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后骨盆倾斜贴扎对慢性下腰痛和腰椎前凸过大个体腹部肌肉厚度及腰椎前凸的影响:一项单组重复测量试验

Effect of Posterior Pelvic Tilt Taping on Abdominal Muscle Thickness and Lumbar Lordosis in Individuals With Chronic Low Back Pain and Hyperlordosis: A Single-Group, Repeated-Measures Trial.

作者信息

Bozorgmehr Ali, Ebrahimi Takamjani Ismail, Akbari Mohammad, Salehi Reza, Mohsenifar Holakoo, Rasouli Omid

机构信息

Rehabilitation Research Center, Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

Rehabilitation Research Center, Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

J Chiropr Med. 2020 Dec;19(4):213-221. doi: 10.1016/j.jcm.2020.07.001. Epub 2021 Jan 22.

Abstract

OBJECTIVE

The purpose of this study was to investigate the effect of posterior pelvic tilt taping (PPTT) on lumbar lordosis, pain, disability, and abdominal muscle thickness in individuals with nonspecific chronic low back pain with hyperlordosis.

METHODS

A prospective, single-group, repeated-measures design was conducted with 31 individuals with nonspecific chronic low back pain (16 men, 15 women) with hyperlordosis (mean ± SD = 59.3° ± 2.9°). Participants' mean age, pain, disability, and lumbar lordosis were, respectively, 35.7 ± 9.9 years, 5.1 ± 1.3, 26.8 ± 11.5, and 59.3° ± 2.9°. The thickness of the abdominal muscles on both sides was measured in the crook lying position by ultrasound imaging. PPTT was performed on both sides. Pain intensity, functional disability, lumbar lordosis angle, and abdominal muscle thickness were measured before PPTT (W0), 1 week after PPTT (W1), and 1 week after PPTT removal (W2).

RESULTS

Analysis revealed significant reductions in lumbar lordosis, pain, and disability, and increased abdominal muscle thickness, at W1 and W2 compared with W0 ( < .001). There were no significant differences in lumbar lordosis or abdominal muscle thickness between W1 and W2.

CONCLUSION

The current study showed in a small group of participants that 1 week of PPTT may improve lumbar lordosis, pain, disability, and abdominal muscle thickness in individuals with nonspecific chronic low back pain with hyperlordosis.

摘要

目的

本研究旨在探讨后骨盆倾斜贴扎(PPTT)对伴有腰椎前凸的非特异性慢性下腰痛患者的腰椎前凸、疼痛、功能障碍及腹肌厚度的影响。

方法

对31例伴有腰椎前凸(平均±标准差=59.3°±2.9°)的非特异性慢性下腰痛患者(16例男性,15例女性)进行前瞻性单组重复测量设计。参与者的平均年龄、疼痛程度、功能障碍及腰椎前凸度分别为35.7±9.9岁、5.1±1.3、26.8±11.5及59.3°±2.9°。通过超声成像在仰卧位测量双侧腹肌厚度。双侧均进行PPTT。在PPTT前(W0)、PPTT后1周(W1)及去除PPTT后1周(W2)测量疼痛强度、功能障碍、腰椎前凸角度及腹肌厚度。

结果

分析显示,与W0相比,W1和W2时腰椎前凸、疼痛及功能障碍均显著降低,腹肌厚度增加(P<0.001)。W1和W2之间腰椎前凸或腹肌厚度无显著差异。

结论

本研究在一小群参与者中表明,1周的PPTT可能改善伴有腰椎前凸的非特异性慢性下腰痛患者的腰椎前凸、疼痛、功能障碍及腹肌厚度。

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