Weng Lin-Man, Wang Rui, Yang Qi-Hao, Chang Tian-Tian, Wu Cheng-Cheng, Li Wen-Long, Du Shu-Hao, Wang Yu-Chen, Wang Xue-Qiang
Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
College of Chinese Wushu, Shanghai University of Sport, Shanghai, China.
Front Aging Neurosci. 2022 Aug 22;14:976164. doi: 10.3389/fnagi.2022.976164. eCollection 2022.
Increased social distance is one of the manifestations of social impairment. Chronic low back pain (CLBP) is one of factors associated with increased social distance and social withdrawal. Exercise therapy is an effective means to social impairment. However, whether exercise could reduce social distance in patients with CLBP remains unknown. This study aimed to investigate the effect of exercise on social distance in middle-aged and elderly patients with CLBP.
The longitudinal intervention recruited 29 middle-aged and elderly patients with CLBP from various communities in Yangpu District, Shanghai, China. The participants received exercise intervention for 8 weeks. The assessments were conducted before and after the intervention, including social distance, pain intensity, unpleasantness of pain, Roland-Morris Questionnaire (RMDQ), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS). Intention to treat analysis was performed.
After the 8-week exercise intervention, the social distance of patients with CLBP was shorter than that before intervention and showed significant difference ( < 0.05). The scores of pain intensity, unpleasantness of pain, RMDQ, SAS, and SDS also decreased and were significantly different between pre- and post-intervention ( < 0.05). In addition, the social distance, pain intensity, unpleasantness of pain, RMDQ, SAS, and SDS scores of the moderate CLBP group decreased more after the intervention compared with those of the mild CLBP group.
The 8-week exercise intervention cannot only shorten the social distance in middle-aged and elderly patients with CLBP but also relieve pain, disability, and negative emotions.
社交距离增加是社会功能障碍的表现之一。慢性下腰痛（CLBP）是与社交距离增加和社交退缩相关的因素之一。运动疗法是改善社会功能障碍的有效手段。然而，运动是否能减少CLBP患者的社交距离尚不清楚。本研究旨在探讨运动对中老年CLBP患者社交距离的影响。
本纵向干预研究从中国上海杨浦区的各个社区招募了29名中老年CLBP患者。参与者接受了为期8周的运动干预。在干预前后进行评估，包括社交距离、疼痛强度、疼痛不适感、罗兰·莫里斯功能障碍问卷（RMDQ）、自评焦虑量表（SAS）和自评抑郁量表（SDS）。进行意向性分析。
经过8周的运动干预后，CLBP患者的社交距离比干预前缩短，差异有统计学意义（<0.05）。疼痛强度、疼痛不适感、RMDQ、SAS和SDS的得分也有所下降，干预前后差异有统计学意义（<0.05）。此外，中度CLBP组干预后的社交距离、疼痛强度、疼痛不适感、RMDQ、SAS和SDS得分比轻度CLBP组下降得更多。
为期8周的运动干预不仅可以缩短中老年CLBP患者的社交距离，还可以缓解疼痛、功能障碍和负面情绪。
