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核心稳定性训练对亚急性非特异性下腰痛患者腰椎关节位置觉的影响:一项随机对照试验。

The effect of core stabilization exercise on lumbar joint position sense in patients with subacute non-specific low back pain: a randomized controlled trial.

作者信息

Puntumetakul Rungthip, Chalermsan Rungthip, Hlaing Su Su, Tapanya Weerasak, Saiklang Pongsatorn, Boucaut Rose

机构信息

School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University: 123 Mittraphap Rd, Muang District, Khon Kaen 40002, Thailand.

Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University, Thailand.

出版信息

J Phys Ther Sci. 2018 Nov;30(11):1390-1395. doi: 10.1589/jpts.30.1390. Epub 2018 Nov 6.

Abstract

[Purpose] This study aimed to examine the effect of core stabilization exercise (CSE) on joint position sense, pain intensity, and functional disability in patients with subacute non-specific low back pain (NSLBP). [Participants and Methods] Thirty-eight participants with subacute nonspecific low back pain of 6-12 weeks duration, aged 18-60 years, were included in this study. Participants were randomly divided into two groups: a core stabilization exercise group (n=19) or a control group (n=19). Outcomes measures included lumbar joint repositioning error (LJRE), numeric pain rating scale (11-NRS), and the Roland-Morris disability questionnaires (RMDQ). Measures were taken at baseline, 4 weeks, 7 weeks of intervention, and at 4 weeks after the last intervention. [Results] All outcomes measures were significantly improved in the core stabilization exercise group, compared with the control group. [Conclusion] Core stabilization exercise can improve acuity of joint position sense, reduce pain, and functional disability compared with thermal therapy. The finding demonstrated that core stabilization exercises are more suitable for patients with subacute NSLBP than thermal therapy and this should be useful to clinicians.

摘要

[目的] 本研究旨在探讨核心稳定训练(CSE)对亚急性非特异性下腰痛(NSLBP)患者关节位置觉、疼痛强度及功能障碍的影响。[参与者与方法] 本研究纳入了38例病程为6 - 12周、年龄在18 - 60岁的亚急性非特异性下腰痛患者。参与者被随机分为两组:核心稳定训练组(n = 19)和对照组(n = 19)。结局指标包括腰椎关节复位误差(LJRE)、数字疼痛评分量表(11 - NRS)和罗兰 - 莫里斯功能障碍问卷(RMDQ)。在基线、干预4周、7周以及最后一次干预后4周进行测量。[结果] 与对照组相比,核心稳定训练组的所有结局指标均有显著改善。[结论] 与热疗相比,核心稳定训练可提高关节位置觉的敏锐度,减轻疼痛及功能障碍。研究结果表明,核心稳定训练比热疗更适合亚急性NSLBP患者,这对临床医生应具有一定帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ad1/6220097/35b549dfef84/jpts-30-1390-g001.jpg

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