Faculty of Physical Education and Sport Science, Islamic Azad University, Tehran, Iran.
Imam Khomeini International University, Qazvin, Iran.
Ir J Med Sci. 2021 Nov;190(4):1413-1421. doi: 10.1007/s11845-020-02447-5. Epub 2021 Jan 6.
The study investigated the influence of hydrotherapy method-based McKenzie and Williams among patients with non-specific low back pain (NSLBP).
Semi-experimental pretest-posttest with a control group design trial was conducted at Health Service Center, Qazvin, Iran. Twenty-eight NSLBP patients (16 men and 12 women, age: 42.5 ± 7 years) were recruited. Hydrotherapy program developed based on McKenzie and Williams therapy was performed individually 3 days per week for 20 sessions. Therefore, the study compared a hydrotherapy group (based on McKenzie and Williams therapy) to a control group. Participants attended a hydrotherapy program under the supervision of a hydrotherapist. The Numeric Pain Rating Scale (NPRS), Roland-Morris Disability Questionnaire (RMDQ), and Straight Leg Raise Test (SLRT) were measured at the beginning, middle, and at the end of the 20 sessions to determine pain and functionality of the patient's improvement.
Overall, NPRS, RMDQ, and SLRT scores were improved in hydrotherapy group in the 10th session and 20th session compared with baseline (p ≤ 0.001) and control group (p ≤ 0.001). No difference in the treatment variables between the 10th session and the 20th session was observed (p > 0.05).
The results indicated that the NSLBP symptom was improved after 10 sessions of hydrotherapy program developed based on McKenzie and Williams therapy.
本研究调查了基于麦肯基和威廉姆斯的水疗方法对非特异性下腰痛（NSLBP）患者的影响。
这是一项在伊朗卡兹温卫生服务中心进行的半实验性预试验-后试验、设有对照组的试验。共招募了 28 名 NSLBP 患者（16 名男性和 12 名女性，年龄：42.5±7 岁）。根据麦肯基和威廉姆斯疗法制定了水疗方案，每周进行 3 次，共进行 20 次。因此，本研究将水疗组（基于麦肯基和威廉姆斯疗法）与对照组进行了比较。参与者在水疗师的监督下参加水疗方案。在第 10 次和第 20 次治疗时，采用数字疼痛评分量表（NPRS）、罗伦兹-莫里斯残疾问卷（RMDQ）和直腿抬高试验（SLRT）来评估疼痛和患者功能的改善情况。
总体而言，与基线相比（p≤0.001）和对照组相比（p≤0.001），水疗组在第 10 次和第 20 次治疗时 NPRS、RMDQ 和 SLRT 评分均有所改善。在第 10 次和第 20 次治疗时，治疗变量之间没有差异（p＞0.05）。
研究结果表明，基于麦肯基和威廉姆斯疗法的水疗方案进行 10 次治疗后，NSLBP 症状得到改善。
