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基础身体意识疗法对慢性颈痛患者平衡的影响:一项随机交叉试验。

The effects of basic body awareness therapy on balance in patients with chronic neck pain: a randomised crossover trial.

机构信息

Department of Physiotherapy and Rehabilitation, School of Health Sciences, KTO Karatay University, Konya, Turkey.

Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

出版信息

Somatosens Mot Res. 2023 Dec;40(4):147-155. doi: 10.1080/08990220.2023.2181327. Epub 2023 Feb 23.

DOI:10.1080/08990220.2023.2181327
PMID:36815247
Abstract

PURPOSE

This study aimed to compare the effects of basic body awareness therapy (BBAT) and conventional treatments (CT) on balance in patients with chronic neck pain.

METHODS

Thirty-five patients with neck pain participated in this randomised two-period crossover trial. Patients were divided into A (BBAT/CT) ( = 17) and B (CT/BBAT) ( = 18) groups. Group A received BBAT twice a week for 6 weeks, whereas Group B received CT within the same parameters. After a 5-week washout period, the treatments received by the groups were changed. The primary outcome was balance, assessed the sensory organisation test (SOT) using the computerised dynamic posturography device. The secondary outcome was pain assessed by the visual analogue scale. Assessments were performed before and after primary and secondary treatments.

RESULTS

In Group A, the SOT conditions 4, 5, 6; composites score; and visual and vestibular system scores increased after BBAT; however, only condition five scores and vestibular system scores increased ( < .05) in Group B, which started with CT. Within the groups, both treatments were effective for easing pain ( < .05).

CONCLUSIONS

Although patients who started the therapy with BBAT showed more improvement in balance, no differences were observed between the therapies.

摘要

目的

本研究旨在比较基础本体感觉疗法(BBAT)和常规治疗(CT)对慢性颈痛患者平衡的影响。

方法

35 名颈痛患者参与了这项随机两周期交叉试验。患者被分为 A(BBAT/CT)(n=17)和 B(CT/BBAT)(n=18)组。A 组每周接受 2 次 BBAT,共 6 周,而 B 组在相同参数下接受 CT。在 5 周洗脱期后,两组接受的治疗发生变化。主要结局是平衡,使用计算机动态姿势描记术评估感觉组织测试(SOT)。次要结局是疼痛,用视觉模拟评分法评估。在主要和次要治疗前后进行评估。

结果

在 A 组中,BBAT 后 SOT 条件 4、5、6;综合评分;以及视觉和前庭系统评分增加;然而,B 组(开始接受 CT)仅条件 5 评分和前庭系统评分增加(<0.05)。在组内,两种治疗方法均能有效缓解疼痛(<0.05)。

结论

尽管开始 BBAT 治疗的患者平衡改善更明显,但两种治疗方法之间无差异。

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