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一名25岁非特异性下腰痛女性的综合物理治疗康复:病例报告

Comprehensive Physiotherapy Rehabilitation in a 25-Year-Old Female With Nonspecific Low Back Pain: A Case Report.

作者信息

Kaple Nikita, Phansopkar Pratik

机构信息

Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 May 17;16(5):e60514. doi: 10.7759/cureus.60514. eCollection 2024 May.

Abstract

A prevalent musculoskeletal disorder known as nonspecific low back pain (NSLBP) is characterized by lumbar discomfort or pain that lacks a distinct, identifiable etiology. It is the main root of disability in all corners of the globe, affecting individuals across diverse age groups and occupations. NSLBP is often categorized as a multifactorial condition, encompassing a range of potential contributing factors such as poor posture, sedentary lifestyle, muscle imbalances, and psychosocial elements. According to current standards, there is a good prognosis for acute nonspecific back pain, although this prognosis is mostly reliant on return to function. Various treatment strategies are available, totally reliant upon the underlying cause of the discomfort. This case report presents the combination of traditional therapy and William's flexion exercises in a 25-year-old female nursing student who presented with complaints of low back pain (LBP) for the last three months. This study investigates the effect of William's flexion exercises in nonspecific low back pain to manage pain and range of motion (ROM), and improve the overall quality of life, which was evaluated using the visual analog scale (VAS), modified Schober's test, pressure biofeedback unit, and modified Oswestry disability questionnaire. The patient received an enhanced physiotherapy program that increased the flexibility and range of motion in the lumbar extensor, hip flexor, and hamstring muscles. The outcome measure shows notable gains after the therapeutic interventions.

摘要

一种常见的肌肉骨骼疾病,称为非特异性下腰痛(NSLBP),其特征是腰部不适或疼痛,且缺乏明确、可识别的病因。它是全球范围内致残的主要根源,影响着不同年龄组和职业的人群。NSLBP通常被归类为多因素疾病,包括一系列潜在的促成因素,如姿势不良、久坐不动的生活方式、肌肉失衡和心理社会因素。根据目前的标准,急性非特异性背痛的预后良好,尽管这种预后主要取决于功能恢复情况。有多种治疗策略可供选择,完全取决于疼痛的潜在原因。本病例报告介绍了一名25岁女性护理专业学生,她在过去三个月一直抱怨下腰痛(LBP),采用了传统疗法和威廉屈曲运动相结合的治疗方法。本研究调查了威廉屈曲运动对非特异性下腰痛的影响,以控制疼痛和活动范围(ROM),并提高整体生活质量,使用视觉模拟量表(VAS)、改良Schober试验、压力生物反馈仪和改良Oswestry残疾问卷进行评估。患者接受了强化物理治疗方案,该方案增加了腰椎伸肌、髋屈肌和腘绳肌的灵活性和活动范围。结果测量显示治疗干预后有显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ec4/11180490/ed5a962fa225/cureus-0016-00000060514-i01.jpg

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