Department of Physical Therapy, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan; Department of Physical Therapy, Graduate Institute of Rehabilitation Science, China Medical University, Taichung, Taiwan.
Department of Physical Therapy, Graduate Institute of Rehabilitation Science, China Medical University, Taichung, Taiwan.
J Bodyw Mov Ther. 2024 Apr;38:339-345. doi: 10.1016/j.jbmt.2023.10.004. Epub 2024 Feb 5.
To determine the effects of Pilates exercises on lumbo-pelvic alignment in non-specific low back pain (NSLBP) patients.
Twenty-two patients (Male:7; Female:15) with NSLBP aged 20-65 years were recruited and classified based on a modified O'Sullivan's classification system into flexion pattern (FP) or active extension pattern (EP) groups. Oswestry Disability index (ODI), Roland-Morris Disability Questionnaire (RMDQ) as well as radiographic lumbar global range of motion (ROM) and lumbo-pelvic alignment were measured Pre- and immediately post-intervention and at 6- and 12-month. The intervention included supervised six-weeks Pilates program with 60 min per session and up to two sessions per week.
Lumbar lordosis, sacral slope and sacral inclination were found to be significantly different between the FP and EP groups based on the O'Sullivan's classification system. However, despite the significant changes in RMDQ (p = 0.001), no significant changes were found for any of the alignment parameters (p > 0.05) post intervention for both groups. For lumbar global ROM, a statistically significant change was observed for the EP group (p = 0.028) but not for the FP group (p = 0.249). No significant correlations were identified between any of the self-reported outcomes, radiographic alignment and ROM parameters.
Patients self-perceived long-term functional improvements based on responding to questionnaires after Pilates exercises were not reflected in significant changes in lumbo-pelvic alignment or lumbar ROM. This may be due to the current cohort demonstrating within normal ranges due to the lesser severity of their condition, but further research is needed for clarification.
确定普拉提运动对非特异性下腰痛（NSLBP）患者腰骨盆排列的影响。
招募了 22 名年龄在 20-65 岁之间的 NSLBP 患者（男性 7 名，女性 15 名），并根据改良的 O'Sullivan 分类系统将其分为屈肌模式（FP）或主动伸展模式（EP）组。在干预前、干预后即刻、6 个月和 12 个月时，测量 Oswestry 残疾指数（ODI）、Roland-Morris 残疾问卷（RMDQ）以及腰椎整体活动度（ROM）和腰骨盆排列的放射学参数。干预包括监督的六周普拉提计划，每次 60 分钟，每周最多两次。
根据 O'Sullivan 分类系统，FP 和 EP 组之间的腰椎前凸、骶骨倾斜和骶骨倾斜度存在显著差异。然而，尽管 RMDQ 有显著变化（p=0.001），但两组干预后任何排列参数均无显著变化（p>0.05）。对于腰椎整体 ROM，EP 组有统计学意义的变化（p=0.028），但 FP 组无变化（p=0.249）。在任何自我报告的结果、放射学排列和 ROM 参数之间都没有发现显著的相关性。
患者在普拉提运动后通过回答问卷感知到的长期功能改善，并没有反映在腰骨盆排列或腰椎 ROM 的显著变化上。这可能是由于当前队列由于病情较轻，处于正常范围内，但需要进一步研究以澄清。
