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改善躯干活动度和等长肌力与多模式康复治疗后腰痛患者疼痛及功能障碍的改善是否相关?

Do Improved Trunk Mobility and Isometric Strength Correlate with Improved Pain and Disability after Multimodal Rehabilitation for Low Back Pain?

作者信息

Jain Shikha, Shetty Gautam M, Linjhara Sanya, Chutani Neha, Ram C S

机构信息

Fisioterapeuta sênior, QI Spine Clinic, Delhi, Índia.

Cirurgião ortopédico, chefe de Pesquisa e Excelência Clínica, QI Spine Clinic, Mumbai, Maharashtra, Índia.

出版信息

Rev Bras Ortop (Sao Paulo). 2023 Oct 30;58(5):e698-e705. doi: 10.1055/s-0043-1768625. eCollection 2023 Oct.


DOI:10.1055/s-0043-1768625
PMID:37908535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10615606/
Abstract

To determine the correlation between posttreatment trunk range of motion (ROM) and isometric strength (TIS) and pain and disability in patients who underwent multimodal rehabilitation for low back pain (LBP).  In this prospective cohort study, 122 patients undergoing multimodal rehabilitation for LBP were analyzed. The pre- and posttreatment numerical pain rating scale (NPRS) and the Oswestry disability index (ODI) scores, as well as trunk ROM and TIS were compared. The Pearson correlation was used to determine correlation between posttreatment clinical outcomes and ROM and TIS.  At the end of treatment, the mean NPRS (  < 0.0001) and ODI (  < 0.0001) scores, mean trunk extension (  < 0.0001), and flexion (  < 0.0001) ROMs improved significantly. Similarly, posttreatment, the mean extension (  < 0.0001) and flexion (  < 0.0001) TISs improved significantly. There was a weak correlation between the NPRS score and ROM extension (r = -0.24,  = 0.006) and flexion strength (r = -0.28,  = 0.001), as well as between the ODI score and TIS extension (r = -0.30,  = 0.0007) and flexion (r = -0.28,  = 0.001).  Despite significant improvement in pain, disability, trunk ROM, and TIS with multimodal treatment, there was a weak correlation between posttreatment pain and function and trunk ROM and TIS. Improvement in pain and function with physical rehabilitation treatment for LBP is a complex phenomenon and needs further investigation.

摘要

确定接受多模式康复治疗的腰痛(LBP)患者治疗后躯干活动范围(ROM)、等长肌力(TIS)与疼痛及功能障碍之间的相关性。 在这项前瞻性队列研究中,对122例接受LBP多模式康复治疗的患者进行了分析。比较了治疗前后的数字疼痛评分量表(NPRS)、奥斯威斯利功能障碍指数(ODI)评分,以及躯干ROM和TIS。采用Pearson相关性分析来确定治疗后临床结局与ROM和TIS之间的相关性。 治疗结束时,平均NPRS评分(<0.0001)和ODI评分(<0.0001)、平均躯干伸展(<0.0001)和屈曲(<0.0001)ROM均显著改善。同样,治疗后,平均伸展(<0.0001)和屈曲(<0.0001)TIS也显著改善。NPRS评分与ROM伸展(r = -0.24,P = 0.006)和屈曲力量(r = -0.28,P = 0.001)之间,以及ODI评分与TIS伸展(r = -0.30,P = 0.0007)和屈曲(r = -0.28,P = 0.001)之间存在弱相关性。 尽管多模式治疗使疼痛、功能障碍、躯干ROM和TIS有显著改善,但治疗后疼痛和功能与躯干ROM和TIS之间存在弱相关性。LBP物理康复治疗中疼痛和功能的改善是一个复杂的现象,需要进一步研究。

相似文献

[1]
Do Improved Trunk Mobility and Isometric Strength Correlate with Improved Pain and Disability after Multimodal Rehabilitation for Low Back Pain?

Rev Bras Ortop (Sao Paulo). 2023-10-30

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Dynamics of Changes in Isometric Strength and Muscle Imbalance in the Treatment of Women with Low back Pain.

Biomed Res Int. 2020

[2]
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Br J Sports Med. 2019-10-30

[3]
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Med Sci Sports Exerc. 2019-12

[4]
The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial.

Medicine (Baltimore). 2019-6

[5]
The effect of high-intensity resistance exercise on lumbar musculature in patients with low back pain: a preliminary study.

BMC Musculoskelet Disord. 2019-6-18

[6]
Reliability and agreement of isometric functional trunk and isolated lumbar strength assessment in healthy persons and persons with chronic nonspecific low back pain.

Phys Ther Sport. 2019-7

[7]
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J Back Musculoskelet Rehabil. 2019

[8]
Mechanical Low Back Pain.

Am Fam Physician. 2018-10-1

[9]
Effects of supplemental heat therapy in multimodal treated chronic low back pain patients on strength and flexibility.

Clin Biomech (Bristol). 2018-8

[10]
Resistance band training or general exercise in multidisciplinary rehabilitation of low back pain? A randomized trial.

Scand J Med Sci Sports. 2018-4-24

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