Karoui Souad, Mouhli Najla, Yahyaoui Amira, Maaoui Rim, Rahali Hajer, Ksibi Imène
Department of physical medicine and functional rehabilitation, Main military hospital of instruction of Tunis, Tunisia.
Tunis Med. 2024 May 5;102(5):296-302. doi: 10.62438/tunismed.v102i5.4515.
Chronic low back pain is a public health problem in view of its functional repercussions and the functional rehabilitation is an integral part of its management.
To compare the evolution of muscle strentgh of spinal extensors and flexors in chronic low back pain patients after an isokinetic rehabilitation protocol and a conventional rehabilitation one.
This was a prospective and comparative study carried out in the Physical Medicine Department of the Tunis Military Hospital over a period of 7 months. Fifty patients were included, randomly divided into two groups of 25. The first group (G1) benefited from an isokinetic rehabilitation protocol and the second one (G2) from a classic active physiotherapy. We performed a clinical (Sorensen test and Shirado test) and isokinetic evaluation of the trunk muscles before and after rehabilitation.
The mean age of the general population was 42±8.6 years old. Clinical evaluation showed a deficit in the extensor and flexor muscles of the spine, more important in the extensors in both groups. After rehabilitation, there was a significant improvement in clinical tests of muscular endurance in G1 and G2. Isokinetic assessment showed a greater muscle deficit in the extensors in both groups. After isokinetic rehabilitation, peak torque for flexors and extensors increased by 21% and 23% respectively, power was 34% and 37% higher, and total work increased by 26% and 47%. On the other hand, the (F/E) ratios were unchanged for all three speeds. In Group 2, peak torque values for flexors and extensors increased by 22 and 15% respectively, power was higher by 31 and 23% and total work was also up by 29 and 17%, while F/E ratios were also unchanged. Group 1 showed the greatest improvement in extensor strength at 60°/s, and in power at 90°/s for the various muscles.
In our study, we concluded that endurance and muscular strength improved the most after isokinetic rehabilitation.
鉴于慢性腰痛的功能影响，它是一个公共卫生问题，而功能康复是其治疗的一个组成部分。
比较慢性腰痛患者在接受等速康复方案和传统康复方案后脊柱伸肌和屈肌力量的变化。
这是一项在突尼斯军事医院物理医学科进行的为期7个月的前瞻性比较研究。纳入50例患者，随机分为两组，每组25例。第一组（G1）接受等速康复方案，第二组（G2）接受经典主动物理治疗。我们在康复前后对躯干肌肉进行了临床（索伦森试验和白田试验）和等速评估。
总体人群的平均年龄为42±8.6岁。临床评估显示脊柱伸肌和屈肌存在缺陷，两组中伸肌的缺陷更明显。康复后，G1组和G2组的肌肉耐力临床测试有显著改善。等速评估显示两组伸肌的肌肉缺陷更大。等速康复后，屈肌和伸肌的峰值扭矩分别增加了21%和23%，功率分别提高了34%和37%，总功增加了26%和47%。另一方面，所有三种速度下的（F/E）比值均未改变。在G2组中，屈肌和伸肌的峰值扭矩值分别增加了22%和15%，功率分别提高了31%和23%，总功也分别增加了29%和17%，而F/E比值同样未改变。G1组在60°/s时伸肌力量改善最大，在90°/s时各肌肉的功率改善最大。
在我们的研究中，我们得出结论，等速康复后耐力和肌肉力量改善最为明显。
