Ingerson Evan, Renfrow Christopher, Aragon Erin, Ferger Nathan, Olson Britta, Sachs Andrew, Nelson-Wong Erika
J Back Musculoskelet Rehabil. 2019;32(6):885-895. doi: 10.3233/BMR-171053.
Healthy individuals who develop low back pain (LBP) during standing (standing intolerant) respond favorably to stabilization-based exercise interventions. People with clinical LBP meeting clinical prediction rules for stabilization-based exercise share characteristics with standing intolerant individuals.
To investigate the impact of stabilization-based exercise on standing tolerance, muscle activation and clinical measures in individuals with LBP meeting clinical prediction rules for stabilization-based exercise.
Participants with and without LBP completed testing pre- and post-6 weeks of progressive home exercise intervention. Testing included clinical examination and electromyography during sagittal and frontal plane movements. LBP was also assessed by visual analogue scale (VAS) during standing. Outcomes included clinical findings, muscle sequencing, and VAS in standing.
The LBP group had non-significant decreases in Oswestry Disability Index (-2.1%, p= 0.22), baseline VAS (-7.1 mm, p= 0.11), lumbopelvic reversal (p= 0.06) and positive active hip abduction test (p= 0.06). Significant improvements were seen in standing VAS (-5.6 mm, p< 0.001). The LBP group had beneficial changes in activation strategies in standing flexion (p< 0.05) following intervention, with no changes during frontal plane movement strategies.
Individuals with LBP meeting clinical prediction rules for stabilization-based exercise demonstrated increased standing tolerance and sagittal plane muscle sequencing following a 6-week intervention.
在站立时出现腰痛（不耐站立）的健康个体对基于稳定化的运动干预反应良好。符合基于稳定化运动临床预测规则的临床腰痛患者与不耐站立个体具有共同特征。
探讨基于稳定化的运动对符合基于稳定化运动临床预测规则的腰痛个体的站立耐受性、肌肉激活和临床指标的影响。
有和没有腰痛的参与者在进行为期6周的渐进性家庭运动干预前后完成测试。测试包括矢状面和额状面运动期间的临床检查和肌电图。还通过站立时的视觉模拟量表（VAS）评估腰痛情况。结果包括临床发现、肌肉序列和站立时的VAS。
腰痛组的Oswestry功能障碍指数（-2.1%，p = 0.22）、基线VAS（-7.1 mm，p = 0.11）、腰骶骨盆反向运动（p = 0.06）和主动髋外展试验阳性（p = 0.06）均有非显著性下降。站立VAS有显著改善（-5.6 mm，p < 0.001）。干预后，腰痛组在站立屈曲时的激活策略有有益变化（p < 0.05），在额状面运动策略期间无变化。
符合基于稳定化运动临床预测规则的腰痛个体在进行6周干预后，站立耐受性增加，矢状面肌肉序列改善。
