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运动控制训练结合传统物理治疗康复对一名非特异性下腰痛患者的治疗效果:病例报告

Therapeutic Effect of Movement Control Exercises Combined With Traditional Physiotherapeutic Rehabilitation in A Patient Suffering With Non-Specific Low Back Pain: A Case Report.

作者信息

Kaple Nikita, Phansopkar Pratik, Boob Manali A

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 Jun 7;16(6):e61868. doi: 10.7759/cureus.61868. eCollection 2024 Jun.


DOI:10.7759/cureus.61868
PMID:38978892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11228404/
Abstract

Low back pain (LBP) is a common complaint among individuals engaged in physically demanding occupations, such as construction workers, luggage lifters, manual laborers, and drivers. One of the main problems facing modern healthcare is treating these people. The identification of distinct patient subgroups with non-specific LBP and the development of specialized, more effective therapies are of crucial significance to enhancing evaluation and treatment regimens. This case report describes the evaluation and management of non-specific LBP in a male construction worker who complained of severe low back discomfort. Enhancing the muscular endurance, strength, and flexibility of the back muscles and soft tissues is the main goal of exercise therapy, which is the key to the management of nonspecific LBP. This patient receives a four-week treatment regimen that includes movement control exercises and several advanced therapeutic modalities. The direction of movement control ensures the way patients sit when their back muscles contract. Back muscle activation rates are greater in the active extension group and lower in the flexion group. A comprehensive rehabilitation program that was effective for our patient, who was experiencing lower back discomfort. We assessed the efficacy of our outcome measures using a variety of outcomes, including the modified Oswestry disability index, visual analog scale, range of motion, Quebec back pain disability scale, and pressure biofeedback unit for muscle strength. In addition to a standard physiotherapy course, providing modern physiotherapeutic treatments was found to be more beneficial for enhancing the patient's overall health and quality of life.

摘要

腰痛(LBP)是从事体力要求较高职业的人群中常见的病症,如建筑工人、行李搬运工、体力劳动者和司机。现代医疗保健面临的主要问题之一就是治疗这些人群。识别非特异性腰痛的不同患者亚组并开发专门的、更有效的治疗方法对于改进评估和治疗方案至关重要。本病例报告描述了一名主诉严重下背部不适的男性建筑工人的非特异性腰痛的评估和管理。增强背部肌肉和软组织的肌肉耐力、力量和灵活性是运动疗法的主要目标,这是管理非特异性腰痛的关键。该患者接受了为期四周的治疗方案,包括运动控制练习和几种先进的治疗方式。运动控制的方向确保患者在背部肌肉收缩时的坐姿。主动伸展组的背部肌肉激活率较高,而屈曲组较低。一个全面的康复计划对我们这位经历下背部不适的患者有效。我们使用多种结果评估了我们的结果指标的疗效,包括改良的奥斯威斯利残疾指数、视觉模拟量表、活动范围、魁北克腰痛残疾量表和用于肌肉力量的压力生物反馈仪。除了标准的物理治疗课程外,发现提供现代物理治疗方法对提高患者的整体健康和生活质量更有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/89eb9f860003/cureus-0016-00000061868-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/be48ad7fbf90/cureus-0016-00000061868-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/baaa6042db63/cureus-0016-00000061868-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/1f52c5e9d6a8/cureus-0016-00000061868-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/2a6c64927449/cureus-0016-00000061868-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/c78cbe34d7bd/cureus-0016-00000061868-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/89eb9f860003/cureus-0016-00000061868-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/be48ad7fbf90/cureus-0016-00000061868-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/baaa6042db63/cureus-0016-00000061868-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/1f52c5e9d6a8/cureus-0016-00000061868-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/2a6c64927449/cureus-0016-00000061868-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/c78cbe34d7bd/cureus-0016-00000061868-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11228404/89eb9f860003/cureus-0016-00000061868-i06.jpg

相似文献

[1]
Therapeutic Effect of Movement Control Exercises Combined With Traditional Physiotherapeutic Rehabilitation in A Patient Suffering With Non-Specific Low Back Pain: A Case Report.

Cureus. 2024-6-7

[2]
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[3]
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[4]
Efficacy of Core-Strengthening and Intensive Dynamic Back Exercises on Pain, Core Muscle Endurance, and Functional Disability in Patients with Chronic Non-Specific Low Back Pain: A Randomized Comparative Study.

J Clin Med. 2024-1-15

[5]
Rehabilitation therapy using the HUBER platform in chronic non-specific low back pain: a randomized controlled trial.

Eur J Phys Rehabil Med. 2023-10

[6]
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Biomed Res Int. 2019-9-29

[7]
[Increase in strength after active therapy in chronic low back pain (CLBP) patients: muscular adaptations and clinical relevance].

Schmerz. 2001-12

[8]
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[9]
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J Bodyw Mov Ther. 2024-7

[10]
Pain and functional outcomes after outpatient physiotherapy in patients with low back pain.

Orthopade. 2017-6

本文引用的文献

[1]
Non-Specific Low Back Pain: An Inductive Exploratory Analysis through Factor Analysis and Deep Learning for Better Clustering.

Brain Sci. 2023-6-13

[2]
A Systematic Review of Clinical Practice Guidelines for Persons With Non-specific Low Back Pain With and Without Radiculopathy: Identification of Best Evidence for Rehabilitation to Develop the WHO's Package of Interventions for Rehabilitation.

Arch Phys Med Rehabil. 2023-11

[3]
Nonspecific Low Back Pain.

N Engl J Med. 2022-5-5

[4]
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Pain Ther. 2018-12

[5]
Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment: A systematic review and meta-analysis.

Musculoskelet Sci Pract. 2018-8

[6]
Non-specific low back pain.

Lancet. 2016-10-11

[7]
Sub-classification based specific movement control exercises are superior to general exercise in sub-acute low back pain when both are combined with manual therapy: A randomized controlled trial.

BMC Musculoskelet Disord. 2016-3-22

[8]
Motor control exercise for acute non-specific low back pain.

Cochrane Database Syst Rev. 2016-2-10

[9]
Incidence and risk factors for first-time incident low back pain: a systematic review and meta-analysis.

Spine J. 2014-10-1

[10]
Non-specific low back pain.

Lancet. 2011-10-6

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