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绿色运动和镁-钙-硫酸盐温泉浴疗法治疗非特异性慢性下腰痛：一项随机对照临床试验。

Green exercise and mg-ca-SO thermal balneotherapy for the treatment of non-specific chronic low back pain: a randomized controlled clinical trial.

机构信息

Institute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria.

Department of Physiotherapy, Salzburg University of Applied Science, 5412, Puch/Urstein, Austria.

出版信息

BMC Musculoskelet Disord. 2019 May 17;20(1):221. doi: 10.1186/s12891-019-2582-4.

DOI:10.1186/s12891-019-2582-4
PMID:31096958
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6524239/
Abstract

BACKGROUND

Non-specific chronic low back pain (nscLBP) has a high socio-economic relevance due to its high incidence, prevalence and associated costs. Therefore, it is essential to evaluate effective therapeutic strategies. This study examines the effects of moderate mountain exercise and spa therapy on orthopedic and psychophysiological parameters. Based on a three-armed randomized controlled trial, guided mountain hiking tours and balneotherapy in thermal water were compared to a control group.

METHODS

Eighty patients with diagnosed nscLBP were separated into three groups: The two intervention groups GE (green exercise) and GEBT (green exercise and balneotherapy) undertook daily mountain hiking tours, whereas the GEBT group got an additional treatment with baths in Mg-Ca-SO thermal water. The third group (CO) received no intervention. GE and GEBT group were treated for 6 days; all groups were followed up for 120 days.

RESULTS

Compared to GE and CO group, the GEBT treatment showed significant improvements of pain, some orthopedic parameters, health-related quality of life and mental well-being in patients with nscLBP.

CONCLUSIONS

The results of this study confirmed a benefit of mountain hiking combined with Mg-Ca-SO spa therapy as a multimodal treatment of patients with nscLBP. Further studies should focus on long-term-effects of this therapeutic approach.

TRIAL REGISTRATION

ISRCTN, ISRCTN99926592 . Registered 06. July 2018 - Retrospectively registered.

摘要

背景

非特异性慢性下腰痛（nscLBP）发病率、患病率高，相关费用高，社会经济相关性高。因此，评估有效的治疗策略至关重要。本研究考察了适度山地运动和温泉疗法对骨科和心理生理参数的影响。基于三臂随机对照试验，比较了指导性山地徒步旅行和温泉水疗与对照组。

方法

将 80 名诊断为 nscLBP 的患者分为三组：两组干预组 GE（绿色运动）和 GEBT（绿色运动和温泉疗法）每天进行山地徒步旅行，而 GEBT 组则接受 Mg-Ca-SO 温泉水疗的额外治疗。第三组（CO）未接受干预。GE 和 GEBT 组治疗 6 天；所有组均随访 120 天。

结果

与 GE 和 CO 组相比，GEBT 治疗可显著改善 nscLBP 患者的疼痛、一些骨科参数、健康相关生活质量和精神幸福感。

结论

本研究结果证实了山地徒步旅行与 Mg-Ca-SO 温泉疗法相结合作为 nscLBP 患者多模式治疗的益处。应进一步研究这种治疗方法的长期效果。

试验注册

ISRCTN，ISRCTN99926592。2018 年 7 月 6 日注册 - 回顾性注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/2c9d595b6ec9/12891_2019_2582_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/60a4afc73b30/12891_2019_2582_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/81b3bd15b9b0/12891_2019_2582_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/6ce812db905c/12891_2019_2582_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/a68ae7b53720/12891_2019_2582_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/561e02e41f38/12891_2019_2582_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/2c9d595b6ec9/12891_2019_2582_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/60a4afc73b30/12891_2019_2582_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/81b3bd15b9b0/12891_2019_2582_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/6ce812db905c/12891_2019_2582_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/a68ae7b53720/12891_2019_2582_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/561e02e41f38/12891_2019_2582_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88c3/6524239/2c9d595b6ec9/12891_2019_2582_Fig6_HTML.jpg

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