Ülger Özlem, Demirel Aynur, Oz Müzeyyen, Şahin Altan
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Department of Anesthesiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
J Exerc Rehabil. 2018 Dec 27;14(6):1048-1052. doi: 10.12965/jer.1836354.177. eCollection 2018 Dec.
The aim of the study was to determine the effect of physiotherapy and minimal invasive technics (MIT) on pain, quality of life and functional disability in geriatric patients with chronic low back pain. According to previous files, 61 geriatric patients who received MIT and physiotherapy allocated to group 1, the patient who received physiotherapy alone allocated to group 2. All patients received soft tissue mobilizations, muscle-energy technics and spinal stabilization exercises. Pain severity, functional disability, life quality, and fear avoidance were assessed with visual analogue scale, Oswestry Disability Index (ODI), Nottingham Health Profile (NHP) and Fear Avoidance Beliefs Questionnaire, respectively. Improvements in ODI and NHP were seen in favor of group 2 after treatment as to baseline (<0.05). Although both treatments showed pain relief, functional restoration, and improvement in quality of life; there was no additional improvement in patients received MIT different from the patients received physiotherapy alone.
本研究的目的是确定物理治疗和微创技术(MIT)对老年慢性下腰痛患者疼痛、生活质量和功能障碍的影响。根据既往档案,61例接受MIT和物理治疗的老年患者被分配到第1组,仅接受物理治疗的患者被分配到第2组。所有患者均接受软组织松动术、肌肉能量技术和脊柱稳定练习。分别使用视觉模拟量表、奥斯威斯功能障碍指数(ODI)、诺丁汉健康量表(NHP)和恐惧回避信念问卷评估疼痛严重程度、功能障碍、生活质量和恐惧回避情况。与基线相比,治疗后第2组的ODI和NHP有所改善(<0.05)。虽然两种治疗均显示疼痛缓解、功能恢复和生活质量改善;但接受MIT的患者与仅接受物理治疗的患者相比,并无额外改善。