Akodu Ashiyat Kehinde, Akindutire Oluwagbemisola Marian
Department of Physiotherapy, College of Medicine, University of Lagos, Lagos, Nigeria.
Korean J Pain. 2018 Jul;31(3):199-205. doi: 10.3344/kjp.2018.31.3.199. Epub 2018 Jul 2.
Sleep disturbance and depression are becoming more recognized as important symptoms among individuals with chronic low back pain. This study evaluated the effect of stabilization exercise on pain-related disability, sleep disturbance and the psychological status of patients with non-specific chronic low back pain (NSCLBP).
A total of 26 patients (M/F = 17/9) with NSCLBP with a mean age of 50.0 ± 15.5 took part in this study. Participants were recruited from selected hospitals in Lagos state. Ethical approval was sought and obtained from the health research and ethics committee of Lagos University Teaching Hospital Idi-araba, Lagos, Nigeria. Participants performed stabilization exercise for eight weeks consecutively and were assessed for pain-related disability, anxiety, depression, and sleep disturbance using the pain-disability index, hospital anxiety and depression scale, and the insomnia severity index at baseline, the 4th week, and the 8th week, post-intervention.
The participants studied recorded significant reduction in pain-related disability ( = 0.001). There was also improvement in the sleep quality ( = 0.001), depression level ( = 0.001), and anxiety level ( = 0.001), post intervention.
This study revealed that stabilization exercise is very useful in the management of sleep disturbance, pain-related disability, depression, and anxiety in NSCLBP patients.
睡眠障碍和抑郁越来越被认为是慢性腰痛患者的重要症状。本研究评估了稳定化运动对非特异性慢性腰痛（NSCLBP）患者疼痛相关残疾、睡眠障碍和心理状态的影响。
共有26例NSCLBP患者（男/女=17/9）参与本研究，平均年龄为50.0±15.5岁。参与者从拉各斯州的选定医院招募。获得了尼日利亚拉各斯伊迪阿拉巴拉拉各斯大学教学医院健康研究与伦理委员会的伦理批准。参与者连续进行八周的稳定化运动，并在干预后基线、第4周和第8周使用疼痛残疾指数、医院焦虑抑郁量表和失眠严重程度指数评估疼痛相关残疾、焦虑、抑郁和睡眠障碍。
参与研究的参与者在疼痛相关残疾方面有显著降低（P=0.001）。干预后，睡眠质量（P=0.001）、抑郁水平（P=0.001）和焦虑水平（P=0.001）也有所改善。
本研究表明，稳定化运动对NSCLBP患者的睡眠障碍、疼痛相关残疾、抑郁和焦虑的管理非常有用。
