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Effectiveness of interventions for non-specific low back pain in older adults. A systematic review and meta-analysis.干预措施对老年人非特异性下腰痛的疗效。系统评价和荟萃分析。
Physiotherapy. 2019 Jun;105(2):147-162. doi: 10.1016/j.physio.2018.11.004. Epub 2018 Nov 15.
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Prevention and treatment of low back pain: evidence, challenges, and promising directions.预防和治疗下腰痛：证据、挑战和有前途的方向。
Lancet. 2018 Jun 9;391(10137):2368-2383. doi: 10.1016/S0140-6736(18)30489-6. Epub 2018 Mar 21.
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Low back pain: a call for action.下背痛：行动的呼吁。
Lancet. 2018 Jun 9;391(10137):2384-2388. doi: 10.1016/S0140-6736(18)30488-4. Epub 2018 Mar 21.
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Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence.基层医疗中肌肉骨骼疼痛的有效治疗选择：当前证据的系统综述
PLoS One. 2017 Jun 22;12(6):e0178621. doi: 10.1371/journal.pone.0178621. eCollection 2017.
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Yoga treatment for chronic non-specific low back pain.瑜伽治疗慢性非特异性下腰痛。
Cochrane Database Syst Rev. 2017 Jan 12;1(1):CD010671. doi: 10.1002/14651858.CD010671.pub2.
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Yoga as a treatment for chronic low back pain: A systematic review of the literature.瑜伽治疗慢性下腰痛：文献系统综述
J Orthop Rheumatol. 2016 Jan 1;3(1):1-8.
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Myofascial low back pain treatment.肌筋膜性下背痛治疗
Curr Pain Headache Rep. 2014 Sep;18(9):449. doi: 10.1007/s11916-014-0449-9.
8
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9
Effectiveness of myofascial release in the management of chronic low back pain in nursing professionals.肌筋膜放松技术在护理专业人员慢性下腰痛管理中的有效性
J Bodyw Mov Ther. 2014 Apr;18(2):273-81. doi: 10.1016/j.jbmt.2013.05.007. Epub 2013 Jun 5.
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Efficacy of Tai Chi on pain, stiffness and function in patients with osteoarthritis: a meta-analysis.太极拳对骨关节炎患者疼痛、僵硬和功能的疗效：荟萃分析。
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印度一家运动医学研究所13个中心寻求非侵入性治疗腰痛患者的完成率及临床变化

Completion Rates and Clinical Changes of Patients Seeking Non-Invasive Treatment for Low Back Pain in 13 Centres of a Sports Medicine Institute in India.

作者信息

Rajamani Priyadarshini, Shewade Hemant Deepak, Kundu Debashish, Sekaran Kishore Kumar, Amalan Santhanam Daniel, Pugazhendi Sujatha, Pugazhendi Kannan

机构信息

Sports Performance Assessment Research Rehabilitation Counselling (SPARRC) Institute, Indian Institute of Sports Medicine, Chennai, India,

International Union Against Tuberculosis and Lung Disease (The Union), South East Asia Office, New Delhi, India.

出版信息

Complement Med Res. 2020;27(2):89-96. doi: 10.1159/000504015. Epub 2019 Nov 13.

DOI:10.1159/000504015
PMID:31722360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7365554/
Abstract

BACKGROUND/AIM: Low back pain (LBP) is the major cause of disability worldwide. The existing treatments are expensive and associated with complications. The present study aimed to determine the proportion of patients completing therapy and rehabilitation phases and describe the changes in self-reported symptoms and functional disability among LBP patients enrolled in a private sports medicine institute.

METHODS

This is a cohort study involving review of case records. We studied 2 phases out of 3 of non-invasive treatment of LBP: therapy of around 10 days (myofascial trigger point release therapy, cryotherapy, aqua therapy and acupuncture) and rehabilitation of around 3 weeks (muscle strengthening exercises).

RESULTS

A total of 443 patients were enrolled; their mean (SD) age was 46 (15) years, 46% were male, and 193 (44%) presented with chronic (>6 months) pain. The numbers of patients who completed the therapy and rehabilitation phases were 327 (74%) and 115 (26%), respectively. The median (IQR) visual analogue scale pain scores were 7 (6-9) at entry, 2 (1-3) at completion of therapy and 1 (0-2) at completion of rehabilitation (p < 0.001). The median (IQR) functional disability scores were 32 (22-53) at entry, 15 (6-26) at completion of therapy and 4 (0-14) at completion of rehabilitation (p < 0.001).

CONCLUSION

Low completion rates were observed. Patients who completed therapy reported reduction in pain and improved functionalities.

摘要

背景/目的：腰痛（LBP）是全球残疾的主要原因。现有的治疗方法昂贵且伴有并发症。本研究旨在确定完成治疗和康复阶段的患者比例，并描述在一家私立运动医学机构登记的腰痛患者自我报告症状和功能残疾的变化。

方法

这是一项涉及病例记录回顾的队列研究。我们研究了腰痛非侵入性治疗三个阶段中的两个阶段：约10天的治疗（肌筋膜触发点释放疗法、冷冻疗法、水疗和针灸）和约3周的康复（肌肉强化锻炼）。

结果

共纳入443例患者；他们的平均（标准差）年龄为46（15）岁，46%为男性，193例（44%）表现为慢性（>6个月）疼痛。完成治疗阶段和康复阶段的患者人数分别为327例（74%）和115例（26%）。视觉模拟量表疼痛评分的中位数（四分位间距）在入组时为7（6-9），治疗结束时为2（1-3），康复结束时为1（0-2）（p<0.001）。功能残疾评分的中位数（四分位间距）在入组时为32（22-53），治疗结束时为15（6-26），康复结束时为4（0-14）（p<0.001）。

结论

观察到完成率较低。完成治疗的患者报告疼痛减轻且功能改善。