Nava-Bringas T I, Trani-Chagoya Y P, Ventura-Ríos L, Hernández-Díaz C, Romero-Fierro L O, Macías-Hernández S I
Department of Orthopedic Rehabilitation. Instituto Nacional de Rehabilitación «Luis Guillermo Ibarra Ibarra». Av. México-Xochimilco 289, C.P. 14389. Ciudad de México. México.
Department of Orthopedic Rehabilitation, Department of Rehabilitation. Hospital General Naval de Lázaro Cárdenas, Michoacán. México.
Acta Ortop Mex. 2022 Jul-Aug;36(4):230-233.
exercise programs can reduce pain and improve functionality in patients with degenerative spondylolisthesis and chronic low back pain. However, there is still no consensus surrounding the superiority of any specific routine for exercise-induced trophic changes of lumbar muscles. The aim was to compare the changes in the primary lumbar stabilizing muscle thickness after spine stabilization exercises and flexion exercises in patients with spondylolisthesis and chronic low back pain.
prospective, longitudinal and comparative study was carried out. Twenty-one treatment-naive patients with a diagnosis of both chronic low back pain and degenerative spondylolisthesis over the age of 50 were included. A physical therapist taught participants either spine stabilization exercises or flexion exercises to execute daily at home. The thickness of the primary lumbar muscles was measured through ultrasound (at rest and contraction) at baseline and three months. A Mann-Whitney U test and Wilcoxon signed-rank test were performed for comparisons, and Spearman's rank correlation coefficients were calculated for associations.
we did not find statistically between the exercise programs: all patients presented significant changes in the thickness of the multifidus muscle but in none of the other evaluated muscles.
there is no difference between spine stabilization exercises and flexion exercises after three months in terms of the changes in muscle thickness evaluated by ultrasound.
运动计划可以减轻退行性腰椎滑脱症和慢性下腰痛患者的疼痛并改善其功能。然而，对于任何特定常规运动对腰椎肌肉营养变化的优越性，目前仍未达成共识。本研究旨在比较腰椎滑脱症和慢性下腰痛患者进行脊柱稳定运动和屈曲运动后，主要腰椎稳定肌厚度的变化。
进行了一项前瞻性、纵向和对比性研究。纳入了21名年龄超过50岁、初诊为慢性下腰痛和退行性腰椎滑脱症的患者。由一名物理治疗师指导参与者在家中每天进行脊柱稳定运动或屈曲运动。在基线和三个月时，通过超声测量（静息和收缩时）主要腰椎肌肉的厚度。采用曼-惠特尼U检验和威尔科克森符号秩检验进行比较，并计算斯皮尔曼等级相关系数以评估相关性。
我们未发现运动计划之间存在统计学差异：所有患者的多裂肌厚度均有显著变化，但其他评估肌肉均无变化。
在三个月后，就超声评估的肌肉厚度变化而言，脊柱稳定运动和屈曲运动之间没有差异。
