不同频率的普拉提锻炼对慢性腰痛患者的疼痛改善没有加速作用。
Different weekly frequencies of Pilates did not accelerate pain improvement in patients with chronic low back pain.
机构信息
Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo, SP, Brazil.
Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo, SP, Brazil.
出版信息
Braz J Phys Ther. 2020 May-Jun;24(3):287-292. doi: 10.1016/j.bjpt.2019.05.001. Epub 2019 May 16.
BACKGROUND
Recent evidence recommends Pilates for the treatment of chronic low back pain. However, it is still unknown if different weekly frequencies of Pilates can accelerate the improvement of symptoms in patients with chronic low back pain verified by a daily pain assessment.
OBJECTIVE
To analyze whether different weekly frequencies of Pilates can accelerate pain reduction by 30%, 50%, and 100% in patients with non-specific chronic low back pain and the necessary number of weeks to reach these improvements.
METHODS
Two hundred and twenty-two patients were randomized into three groups: Pilates group 1 received treatment once a week, Pilates group 2 received treatment twice a week, and Pilates group 3 received treatment three times a week. All groups received Pilates for six weeks. Pain intensity was measured daily before and after each intervention session using the Pain Numerical Rating Scale. The assessor was not blind.
RESULTS
The survival analysis showed that all Pilates groups had a pain reduction of 30%, 50%, and 100% at the same speed during treatment. There was no difference between the different weekly frequencies of Pilates for any of the comparisons (p>0.05). After the first week of treatment, 44.6% of the patients in Pilates group 3 showed complete pain improvement, followed by 37.8% of the patients in Pilates group 2 and 29.7% in Pilates group 1. After the last week, 71.6% (Pilates group 1), 77% (Pilates group 2), and 78.4% (Pilates group 3) of the patients reported complete improvement of symptoms.
CONCLUSION
Different weekly frequencies of Pilates did not accelerate pain improvement in patients with non-specific chronic low back pain. Registered in Clinical Trials Registry: NCT02241538 (https://clinicaltrials.gov/ct2/show/NCT02241538).
背景
最近的证据表明，普拉提有助于治疗慢性下腰痛。然而，目前尚不清楚每周不同的普拉提频次是否能加速经每日疼痛评估证实的慢性下腰痛患者症状的改善。
目的
分析每周接受 1 次、2 次和 3 次普拉提治疗是否能使非特异性慢性下腰痛患者疼痛减轻 30%、50%和 100%，以及达到这些改善所需的周数。
方法
将 222 例患者随机分为 3 组：普拉提 1 组每周治疗 1 次，普拉提 2 组每周治疗 2 次，普拉提 3 组每周治疗 3 次。所有组均接受 6 周的普拉提治疗。在每次干预前后，使用疼痛数字评分量表（Pain Numerical Rating Scale）对疼痛强度进行每日测量。评估者未设盲。
结果
生存分析显示，所有普拉提组在治疗过程中以相同的速度达到疼痛减轻 30%、50%和 100%。每周不同的普拉提频次之间在任何比较中均无差异（p>0.05）。在治疗的第一周，普拉提 3 组中有 44.6%的患者疼痛完全缓解，其次是普拉提 2 组（37.8%）和普拉提 1 组（29.7%）。在最后一周，71.6%（普拉提 1 组）、77%（普拉提 2 组）和 78.4%（普拉提 3 组）的患者报告症状完全缓解。
结论
每周不同的普拉提频次并未加速非特异性慢性下腰痛患者的疼痛改善。在 ClinicalTrials.gov 注册：NCT02241538（https://clinicaltrials.gov/ct2/show/NCT02241538）。
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