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基于脊柱学校干预措施预防成人腰痛

Prevention of Low Back Pain in Adults with a Back School-Based Intervention.

作者信息

Hernandez-Lucas Pablo, Lopez-Barreiro Juan, Garcia-Soidan Jose Luis, Romo-Perez Vicente

机构信息

Faculty of Education and Sport Sciences, Universidade de Vigo, Campus a Xunqueira, s/n., 36005 Pontevedra, Spain.

出版信息

J Clin Med. 2021 Nov 18;10(22):5367. doi: 10.3390/jcm10225367.

DOI:10.3390/jcm10225367
PMID:34830649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8621974/
Abstract

BACKGROUND

Low back pain is highly prevalent and has a major socio-economic impact worldwide. Among the rehabilitation options is the Back School, which consists of programmes that include exercise and educational interventions to treat and prevent back pain. The effects of this type of programme are usually evaluated in patients with low back pain. The aim of this study was to evaluate the effects on low back functionality and the prevention of medical visits due to low back pain during one year of follow-up in a healthy adult population.

METHODS

A quasi-experimental study was conducted with 56 healthy participants who were divided into an experimental group ( = 30), who underwent the programme consisting of a total of 16 sessions, and a control group ( = 26), who did not undergo the intervention. All participants were administered the Partial Curl-up Test, Biering Sorense Test, Modified Schöber Test, and Toe Touch Test, and they completed the Short Form 36 Health Survey before and after the intervention. In addition, a telephone call was made to ask whether they attended a doctor for low back pain in the following year post-intervention.

RESULTS

In the experimental group, statistically significant improvements were observed in trunk muscle strength, spinal flexion joint range of motion, and hamstring flexibility, and they had fewer visits to the doctor for low back pain in the following year.

CONCLUSIONS

The theoretical-practical programme based on the Back School seems to have beneficial effects on low back functionality by increasing its strength and flexibility in an adult population. In addition, this programme reduced the number of medical visits due to low back pain during the following year after the intervention.

摘要

背景

腰痛在全球范围内高度流行,具有重大的社会经济影响。康复选择之一是“背部学校”,它由包括运动和教育干预措施的项目组成,用于治疗和预防腰痛。这类项目的效果通常在腰痛患者中进行评估。本研究的目的是评估在健康成年人群一年的随访中,该项目对腰部功能以及预防因腰痛就医的影响。

方法

对56名健康参与者进行了一项准实验研究,他们被分为实验组(n = 30),接受总共16节课程的项目,以及对照组(n = 26),不接受干预。所有参与者在干预前后都接受了部分卷腹测试、比林索伦森测试、改良绍伯测试和脚趾触碰测试,并完成了简短健康调查问卷36项。此外,还进行了电话随访,询问他们在干预后的次年是否因腰痛就医。

结果

在实验组中,观察到躯干肌肉力量、脊柱前屈关节活动范围和腘绳肌柔韧性有统计学意义的改善,并且他们在次年因腰痛就医的次数减少。

结论

基于“背部学校”的理论实践项目似乎通过增强健康成年人群的腰部力量和柔韧性,对腰部功能产生有益影响。此外,该项目在干预后的次年减少了因腰痛就医的次数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092f/8621974/7ed958a1fed0/jcm-10-05367-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092f/8621974/7ed958a1fed0/jcm-10-05367-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/092f/8621974/7ed958a1fed0/jcm-10-05367-g001.jpg

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