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一项将教育与多模式运动相结合的团体康复计划治疗非特异性慢性下腰痛患者的有效性：一项回顾性非对照研究

Effectiveness of a Group-Based Rehabilitation Program Combining Education with Multimodal Exercises in the Treatment of Patients with Nonspecific Chronic Low Back Pain: A Retrospective Uncontrolled Study.

作者信息

Martins Cristiano, Sayegh Souheil, Faundez Antonio, Fourchet François, Bothorel Hugo

机构信息

Physiotherapy Department and Motion Analysis Lab, Swiss Olympic Medical Center, La Tour Hospital, 1217 Meyrin, Switzerland.

Department of Sports Medicine, Swiss Olympic Medical Center, La Tour Hospital, 1217 Meyrin, Switzerland.

出版信息

Biology (Basel). 2022 Oct 14;11(10):1508. doi: 10.3390/biology11101508.

DOI:10.3390/biology11101508
PMID:36290412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9598691/
Abstract

Currently, there is no consensus on the best rehabilitation program to perform for nonspecific chronic low back pain (NSCLBP). However, multimodal exercises, education, and group-based sessions seem to be beneficial. We, therefore, launched such a treatment program and aimed to evaluate its effectiveness in improving patient health status. We retrospectively analyzed the records of 23 NSCLB patients who followed the MyBack program at La Tour hospital from 2020 to 2022 (25 sessions, 8 weeks). Patients were evaluated before and after intervention using pain on a visual analog scale (pVAS), Roland−Morris Disability Questionnaire (RMDQ), Pain Catastrophizing Scale (PCS), Tampa Scale of Kinesiophobia (TSK), and the EuroQol-5D-3L (EQ-5D-3L). Responder rates were calculated using minimal clinically important differences. Patients reported a significant reduction (p < 0.05) in the pVAS (5.3 ± 1.2 vs. 3.1 ± 1.6), RMDQ (8.8 ± 3.3 vs. 4.0 ± 3.7), PCS (24.5 ± 9.4 vs. 11.7 ± 7.9) and TSK (41.5 ± 9.2 vs. 32.7 ± 7.0). The EQ-5D-3L also statistically improved (score: 0.59 ± 0.14 vs. 0.73 ± 0.07; and VAS: 54.8 ± 16.8 vs. 67.0 ± 15.2). The responder rates were 78% for the pVAS and PCS, 74% for the RMDQ and TSK, and only 26% for the EQ-5D-3L. The MyBack program combining education with multimodal group exercises led to satisfactory clinical, functional, and psychosocial outcomes.

摘要

目前，对于非特异性慢性下腰痛（NSCLBP）最佳的康复方案尚无共识。然而，多模式运动、教育和小组课程似乎是有益的。因此，我们开展了这样一个治疗方案，旨在评估其对改善患者健康状况的有效性。我们回顾性分析了2020年至2022年在拉杜尔医院遵循MyBack方案的23例NSCLB患者的记录（25次课程，为期8周）。在干预前后，使用视觉模拟量表疼痛评分（pVAS）、罗兰-莫里斯残疾问卷（RMDQ）、疼痛灾难化量表（PCS）、坦帕运动恐惧量表（TSK）和欧洲五维健康量表（EQ-5D-3L）对患者进行评估。使用最小临床重要差异计算缓解率。患者报告pVAS（5.3±1.2对3.1±1.6）、RMDQ（8.8±3.3对4.0±3.7）、PCS（24.5±9.4对11.7±7.9）和TSK（41.5±9.2对32.7±7.0）有显著降低（p<0.05）。EQ-5D-3L在统计学上也有所改善（评分：0.59±0.14对0.73±0.07；VAS：54.8±16.8对67.0±15.2）。pVAS和PCS的缓解率为78%，RMDQ和TSK的缓解率为74%，而EQ-5D-3L的缓解率仅为26%。将教育与多模式小组运动相结合的MyBack方案带来了令人满意的临床、功能和心理社会结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d4d/9598691/d53d6f0ae1a7/biology-11-01508-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d4d/9598691/ece2aa3ae634/biology-11-01508-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d4d/9598691/cd9935113b05/biology-11-01508-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d4d/9598691/d53d6f0ae1a7/biology-11-01508-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d4d/9598691/ece2aa3ae634/biology-11-01508-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d4d/9598691/cd9935113b05/biology-11-01508-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d4d/9598691/d53d6f0ae1a7/biology-11-01508-g003.jpg

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引用本文的文献

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[2]
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[3]
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[4]
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[5]
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本文引用的文献

[1]
Effects of Pain Neuroscience Education Combined with Lumbar Stabilization Exercise on Strength and Pain in Patients with Chronic Low Back Pain: Randomized Controlled Trial.

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Cochrane Database Syst Rev. 2021-9-28

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