核心稳定性训练联合自我同情训练对非特异性慢性下腰痛患者的长期影响：一项随机对照试验。

Long-term impact of self-compassion training with core stability exercise on patients with nonspecific chronic low back pain: A randomized controlled trial.

机构信息

Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, China.

Department of psychology, Sun Yat-Sen University, Guangzhou 510006, China.

出版信息

J Psychosom Res. 2024 Jun;181:111678. doi: 10.1016/j.jpsychores.2024.111678. Epub 2024 Apr 16.

DOI:10.1016/j.jpsychores.2024.111678

PMID:38643684

Abstract

OBJECTIVE

To compare the long-term effectiveness of self-compassion therapy (SCT) combined with core stability exercise (CSE) versus CSE alone in managing nonspecific chronic low back pain (NCLBP).

METHODS

The combined group received SCT and CSE, while the exercise group only received CSE. Treatment was administered once weekly for four weeks, followed by one year of follow-up. The primary outcomes were changes in functional limitations (measured by Roland and Morris Disability Questionnaire scores[RMDQ]) and self-reported back pain (measured by the Numeric Pain Rating Scale[NRS]) at 52 weeks, with assessments also conducted at 2, 4, and 16 weeks.

RESULTS

52 (83.9%) completed the follow-up assessments and were included in the analysis (42 women [80.8%]; mean [SD] age,35.3 [10.0] years). In the combined group, the baseline mean (SD) RMDQ score was 9.3 (4.1),5.7 (5.8) at 2 weeks, 3.8 (3.4) at 4 weeks, 3.8 (3.7) at 16 weeks, and 2.4 (2.7) at 52 weeks. For the exercise group, the RMDQ scores were 8.2 (3.3) at baseline, 6.2 (4.2) at 2 weeks, 5.5 (4.7) at 4 weeks, 4.4 (4.5) at 16 weeks, and 5.2 (5.6) at 52 weeks. The estimated mean difference between the groups at 52 weeks was -3.356 points (95% CI, -5.835 to -0.878; P = 0.009), favoring the combined group. NRS scores showed similar changes.

CONCLUSION

The addition of self-compassion therapy enhances the long-term efficacy of core stability training for NCLBP (Preregistered at chictr.org.cn:ChiCTR2100042810).

摘要

目的

比较自我同情疗法（SCT）联合核心稳定性训练（CSE）与单纯 CSE 治疗非特异性慢性下腰痛（NCLBP）的长期疗效。

方法

联合组接受 SCT 和 CSE 治疗，运动组仅接受 CSE 治疗。每周治疗一次，持续四周，然后进行为期一年的随访。主要结局指标为 52 周时功能障碍（Roland 和 Morris 残疾问卷评分[RMDQ]）和自我报告腰痛（NRS 评分）的变化，同时在 2、4 和 16 周时进行评估。

结果

52 例（83.9%）完成了随访评估并纳入分析（42 例女性[80.8%]；平均[标准差]年龄 35.3[10.0]岁）。在联合组中，基线时 RMDQ 评分的平均值（标准差）为 9.3（4.1），2 周时为 5.7（5.8），4 周时为 3.8（3.4），16 周时为 3.8（3.7），52 周时为 2.4（2.7）。对于运动组，RMDQ 评分在基线时为 8.2（3.3），2 周时为 6.2（4.2），4 周时为 5.5（4.7），16 周时为 4.4（4.5），52 周时为 5.2（5.6）。组间 52 周时的估计平均差值为-3.356 分（95%CI，-5.835 至-0.878；P=0.009），联合组更优。NRS 评分也显示出类似的变化。