Şahin Nilay, Karahan Ali Yavuz, Albayrak İlknur
Department of Physical Medicine and Rehabilitation, Medical Faculty of Balıkesir University, Balıkesir, Turkey.
Department of Physical Medicine and Rehabilitation, Konya Training and Research Hospital, Konya, Turkey.
Turk J Phys Med Rehabil. 2017 Aug 9;64(1):52-58. doi: 10.5606/tftrd.2018.1238. eCollection 2018 Mar.
This study aims to investigate the effect of physical therapy modalities on pain and functional status in patients with non-specific low back pain.
Between February 2011 and August 2013, a total of 104 patients (38 males, 66 females; mean age 49.3±12.5 years; range 34 to 62 years) with non-specific chronic low back pain for more than 12 weeks without any neurological deficit were included in this randomized-controlled study. The patients were divided into two groups: physical therapy group (n=52) and control group (n=52). Both groups were given exercise and medical treatment; physiotherapy modalities were also applied in the physical therapy group. The patients were assessed using the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and Istanbul Low Back Pain Disability Index (ILBP) before treatment and at two weeks, three months, and one year after treatment.
A total of 100 patients completed one-year follow-up. In both groups, the VAS, ODI, and ILBP significantly improved after treatment (p<0.01), compared to before treatment values. There were statistically significant differences in the VAS, ODI, and ILBP scores at three months and one year after treatment between the physical therapy group and control group (p<0.05).
Multidisciplinary approaches including physical therapy should be implemented to provide long-term improvement in pain and functional status in the treatment of non-specific chronic low back pain.
本研究旨在调查物理治疗方式对非特异性下腰痛患者疼痛及功能状态的影响。
在2011年2月至2013年8月期间，本随机对照研究纳入了104例非特异性慢性下腰痛患者（男性38例，女性66例；平均年龄49.3±12.5岁；年龄范围34至62岁），病程超过12周且无任何神经功能缺损。患者被分为两组：物理治疗组（n = 52）和对照组（n = 52）。两组均给予运动和药物治疗；物理治疗组还应用了物理治疗方式。在治疗前以及治疗后两周、三个月和一年时，使用视觉模拟量表（VAS）、Oswestry功能障碍指数（ODI）和伊斯坦布尔下腰痛功能障碍指数（ILBP）对患者进行评估。
共有100例患者完成了一年的随访。与治疗前的值相比，两组治疗后的VAS、ODI和ILBP均显著改善（p < 0.01）。物理治疗组和对照组在治疗后三个月和一年时的VAS、ODI和ILBP评分存在统计学显著差异（p < 0.05）。
在非特异性慢性下腰痛的治疗中，应采用包括物理治疗在内的多学科方法，以实现疼痛和功能状态的长期改善。
