Ghorbanpour Arsalan, Azghani Mahmoud Reza, Taghipour Mohammad, Salahzadeh Zahra, Ghaderi Fariba, Oskouei Ali E
Department of Physiotherapy, Tabriz University of Medical Sciences, Iran.
Department of Mechanics, Sahand Industrial University, Iran.
J Phys Ther Sci. 2018 Apr;30(4):481-485. doi: 10.1589/jpts.30.481. Epub 2018 Apr 13.
[Purpose] The aim of this study was to compare the effects of "McGill stabilization exercises" and "conventional physiotherapy" on pain, functional disability and active back flexion and extension range of motion in patients with chronic non-specific low back pain. [Subjects and Methods] Thirty four patients with chronic non-specific low back pain were randomly assigned to McGill stabilization exercises group (n=17) and conventional physiotherapy group (n=17). In both groups, patients performed the corresponding exercises for six weeks. The visual analog scale (VAS), Quebec Low Back Pain Disability Scale Questionnaire and inclinometer were used to measure pain, functional disability, and active back flexion and extension range of motion, respectively. [Results] Statistically significant improvements were observed in pain, functional disability, and active back extension range of motion in McGill stabilization exercises group. However, active back flexion range of motion was the only clinical symptom that statistically increased in patients who performed conventional physiotherapy. There was no significant difference between the clinical characteristics while compared these two groups of patients. [Conclusion] The results of this study indicated that McGill stabilization exercises and conventional physiotherapy provided approximately similar improvement in pain, functional disability, and active back range of motion in patients with chronic non-specific low back pain. However, it appears that McGill stabilization exercises provide an additional benefit to patients with chronic non-specific low back, especially in pain and functional disability improvement.
[目的] 本研究旨在比较“麦吉尔稳定化训练”与“传统物理治疗”对慢性非特异性下腰痛患者疼痛、功能障碍以及主动前屈和后伸活动范围的影响。[对象与方法] 34例慢性非特异性下腰痛患者被随机分为麦吉尔稳定化训练组(n = 17)和传统物理治疗组(n = 17)。两组患者均进行为期六周的相应训练。分别使用视觉模拟评分法(VAS)、魁北克下腰痛残疾量表问卷和倾角仪来测量疼痛、功能障碍以及主动前屈和后伸活动范围。[结果] 麦吉尔稳定化训练组在疼痛、功能障碍和主动后伸活动范围方面有统计学意义的改善。然而,主动前屈活动范围是接受传统物理治疗患者中唯一有统计学意义增加的临床症状。比较这两组患者的临床特征时,无显著差异。[结论] 本研究结果表明,麦吉尔稳定化训练和传统物理治疗在慢性非特异性下腰痛患者的疼痛、功能障碍和主动活动范围改善方面提供了大致相似的效果。然而,麦吉尔稳定化训练似乎为慢性非特异性下腰痛患者带来了额外益处,尤其是在疼痛和功能障碍改善方面。