Tantot Mélanie, Le Moal Vincent, Mévellec Éric, Nouy-Trollé Isabelle, Lemoine-Josse Emmanuelle, Besnier Florent, Guiraud Thibaut
Treboul Functional Rehabilitation Center, ORPEA/CLINEA, 29100 Douarnenez, France.
Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QU H1T 1N6, Canada.
Clin Pract. 2022 Aug 9;12(4):609-618. doi: 10.3390/clinpract12040064.
Non-specific chronic low back pain (NSCLBP) is defined as a complex disorder involving structural, biomechanical, cognitive, psychological, social, and lifestyle factors. Non-pharmacological approaches such as exercise and physical therapy have been proposed in first-line treatments, along with psychological follow-up and pain medication if needed. Our objective was to evaluate the effectiveness of an intensive rehabilitation program with HUBER (a multi-axis motorized platform equipped with force sensors, allowing patients to perform physical exercises in an isometric mode) on the spine flexion-to-extension ratio at 60 and 120°/s, pain, and trunk flexibility in individuals with NSCLBP. Twelve participants underwent a clinical evaluation including isokinetic spine strength and participated in a 6-week rehabilitation program with HUBER 360 Evolution. The main findings of this pilot study show that the flexor/extensor ratios at 60°, the flexibility of the hamstring and quadriceps, and muscular endurance of the trunk, disability, and quality of life were significantly improved at the end of the rehabilitation program (p < 0.05). Low back pain and analgesic medication were also reduced. Exercising with the HUBER Platform seems to be effective in managing NSCLBP but a randomized study with a larger sample size and a control group is necessary.
非特异性慢性下腰痛(NSCLBP)被定义为一种涉及结构、生物力学、认知、心理、社会和生活方式因素的复杂病症。一线治疗方案中已提出采用运动和物理治疗等非药物方法,必要时还可进行心理随访并使用止痛药物。我们的目标是评估使用HUBER(一种配备力传感器的多轴电动平台,可让患者以等长模式进行体育锻炼)的强化康复计划对NSCLBP患者在60°/秒和120°/秒时脊柱屈伸比率、疼痛及躯干灵活性的效果。12名参与者接受了包括等速脊柱力量测试在内的临床评估,并参与了为期6周的HUBER 360 Evolution康复计划。这项初步研究的主要结果表明,在康复计划结束时,60°时的屈伸比率、腘绳肌和股四头肌的灵活性、躯干的肌肉耐力、残疾程度及生活质量均有显著改善(p < 0.05)。下腰痛和止痛药物的使用也有所减少。使用HUBER平台进行锻炼似乎对管理NSCLBP有效,但有必要进行一项样本量更大且设有对照组的随机研究。