J Back Musculoskelet Rehabil. 2020;33(5):841-848. doi: 10.3233/BMR-181202.
Trunk stabilization contributes to the efficient control of body movements in daily life, and it plays an important role in maintaining the proper alignment of the body and preventing low back pain.
This study aimed to identify the effectiveness of breathing exercises and lumbar segmental exercises on the vital capacity of lumbar instability patients.
Fifty-nine patients suffering from chronic low back pain participated in this study. They were randomly divided into three groups: experiment group 1 performed breathing and segmental stabilization exercises (n= 20), experiment group 2 performed segmental stabilization exercises (n= 20), and the control group performed the modality treatment (n= 19). The measurements were assessed on vital capacity.
The difference in the forced vital capacity, maximal expiratory pressure, and maximal inspiratory pressure at pre- and post-intervention was significant in the RE+LSSE and LSSE groups (p< 0.05) and among all groups (p< 0.05). The difference in the forced expiratory volume at one second of each group was significant (p< 0.05) but was not significant among groups (p> 0.05).
In conclusion, the lumbar segmental stabilization exercise activates the deep muscle and improves the respiratory function and respiratory pressure, when used for chronic low back pain patients with segmental instability.
躯干稳定性有助于日常生活中身体运动的有效控制，对于保持身体的适当排列和预防下腰痛起着重要作用。
本研究旨在确定呼吸练习和腰椎节段运动对腰椎失稳患者肺活量的影响。
59 名患有慢性下腰痛的患者参与了这项研究。他们被随机分为三组：实验组 1 进行呼吸和节段稳定练习（n=20），实验组 2 进行节段稳定练习（n=20），对照组进行常规治疗（n=19）。通过肺活量评估测量结果。
在干预前后，RE+LSSE 和 LSSE 组的用力肺活量、最大呼气压力和最大吸气压力均有显著差异（p<0.05），且所有组之间均有显著差异（p<0.05）。各组的一秒用力呼气量差异显著（p<0.05），但组间差异不显著（p>0.05）。
综上所述，腰椎节段稳定运动可以激活深层肌肉，改善呼吸功能和呼吸压力，适用于患有节段性不稳定的慢性下腰痛患者。
