在巴基斯坦人群中使用核心稳定训练治疗与慢性非特异性下腰痛相关的残疾

Treatment of disability associated with chronic non-specific low back pain using core stabilization exercises in Pakistani population.

作者信息

Waseem Muhammad, Karimi Hossein, Gilani Syed Amir, Hassan Danish

机构信息

University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan.

Riphah College of Rehabilitation Sciences, Riphah International University, Islamabad, Pakistan.

出版信息

J Back Musculoskelet Rehabil. 2019;32(1):149-154. doi: 10.3233/BMR-171114.

Abstract

BACKGROUND

Chronic non-specific low back is the most common musculoskeletal complaint that significantly affects the general population. Exercises are advocated as the main part of treatment for chronic low back pain.

OBJECTIVE

The purpose of this study was to compare the effects of workouts of the core musculature and routine physical therapy exercise training for the treatment of disability caused by chronic low back pain.

METHODS

In this single-blinded, randomized, controlled trial, 120 patients with non-specific low back pain were examined in Lahore, Pakistan. They were randomly allocated into treatment groups A and B. Group A performed core stabilization workouts and Group B had routine physical therapy. The Oswestry Disability Index (ODI) was used to evaluate the outcome of each treatment. Statistical analysis was performed using SPSS v16.0 and a p value < 0.05 was considered significant.

RESULTS

Significant reduction in disability was observed in both groups at the end of the second, fourth, and sixth week of treatment (p value < 0.05). The mean reduction in disability as measured by ODI score was 39.44 ± 14.64 for Group A and 31.91 ± 12.31 for Group B.

CONCLUSION

A larger reduction in disability was observed for subjects treated with core stabilization exercises in comparison to those treated with routine physical therapy.

摘要

背景

慢性非特异性下腰痛是最常见的肌肉骨骼疾病,对普通人群有显著影响。运动被提倡作为慢性下腰痛治疗的主要部分。

目的

本研究的目的是比较核心肌群锻炼和常规物理治疗运动训练对慢性下腰痛所致残疾的治疗效果。

方法

在这项单盲、随机、对照试验中,对巴基斯坦拉合尔的120例非特异性下腰痛患者进行了检查。他们被随机分为治疗组A和B。A组进行核心稳定锻炼,B组进行常规物理治疗。采用Oswestry功能障碍指数(ODI)评估每种治疗的结果。使用SPSS v16.0进行统计分析,p值<0.05被认为具有显著性。

结果

在治疗的第二、第四和第六周结束时,两组的功能障碍均有显著降低(p值<0.05)。A组通过ODI评分测量的功能障碍平均降低为39.44±14.64,B组为31.91±12.31。

结论

与接受常规物理治疗的受试者相比,接受核心稳定锻炼治疗的受试者功能障碍降低幅度更大。

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