Department of Functional Anatomy, Poznan University of Physical Education, Poznan/61-871, Poland.
Department of Musculoskeletal Rehabilitation, Poznan University of Physical Education, Poznan/61-871, Poland.
Biomed Res Int. 2019 Jan 23;2019:2060987. doi: 10.1155/2019/2060987. eCollection 2019.
The aim of this study was to determine the effect of general rehabilitation gymnastics on subjective and objective characteristics of locomotor system in older women with chronic LBP. To satisfy this goal, the outcomes in exercising women were compared with the results of nonexercising controls.
The study group included 21 women with chronic LBP (age 65-75 years), participating in a 3-year general rehabilitation program combining strength, stretching, endurance, balance, and stabilization exercises with Muscle Energy Techniques (MET). Control group included 20 women with chronic LBP, who neither undertook the gymnastics nor participated in other forms of physical activity. The list of outcome measures included pain severity (Numeric Rating Scale), limitations in the activities of daily living (Oswestry Disability Index and Roland-Morris Disability Questionnaire), mobility of all spinal segments (tensometric electrogoniometry), and bioelectrical activity of back muscles (kinesiologic electromyography).
Exercising women presented with lesser severity of current pain (by 62%, p<0.001) and pain experienced during the last three months (by 32.5%, p<0.001), reported less ailments during the last three months, and had fewer limitations in the activities of daily living (a 30% decrease in Oswestry Disability Index, p<0.05, and a 65% decrease in Roland-Morris Disability Questionnaire scores, p<0.001) than the controls. Moreover, they showed significantly higher values of nearly all spondylometric parameters except for cervical lateral flexion. The study groups did not differ in the amplitudes of bioelectrical signal from the back muscles.
These findings may point to beneficial effects of the combined exercise program.
本研究旨在确定一般康复体操对慢性下腰痛老年女性运动系统主观和客观特征的影响。为了达到这一目标，比较了锻炼组女性与不锻炼对照组的结果。
研究组包括 21 名慢性下腰痛（年龄 65-75 岁）女性，参加了一项为期 3 年的综合康复计划，该计划结合了力量、伸展、耐力、平衡和稳定训练，以及肌肉能量技术（MET）。对照组包括 20 名患有慢性下腰痛的女性，她们既没有进行体操锻炼，也没有参加其他形式的体育活动。结果测量包括疼痛严重程度（数字评分量表）、日常生活活动受限（Oswestry 残疾指数和 Roland-Morris 残疾问卷）、所有脊柱节段的活动度（张力计电测角法）和背部肌肉的生物电活动（运动肌电图）。
锻炼组女性目前疼痛严重程度（降低 62%，p<0.001）和过去三个月内疼痛严重程度（降低 32.5%，p<0.001）均较轻，过去三个月内疼痛较轻，日常生活活动受限较少（Oswestry 残疾指数降低 30%，p<0.05，Roland-Morris 残疾问卷评分降低 65%，p<0.001）。此外，除了颈椎侧屈外，几乎所有的脊柱测量参数都显示出显著更高的值。研究组之间背部肌肉的生物电信号幅度没有差异。
这些发现可能表明综合运动方案具有有益的效果。
