Private Practice, Helsinki, Finland.
Department of Surgery (Incl. Physiatry), Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
J Back Musculoskelet Rehabil. 2024;37(6):1561-1571. doi: 10.3233/BMR-230413.
Exercise is a first-line treatment for chronic non-specific low back pain (CNSLBP). Exercise combined with specific breathing techniques have the potential to improve multifactorial outcomes. No previous studies, however, have compared outcomes between identical exercises with or without a specific breathing protocol in a uniform clinical study setting.
Thirty subjects with CNSLBP were randomized into two groups. Both groups had four contact clinic visits where they received personalized home movement control exercises to practice over two months. The experimental group included a movement control exercise intervention combined with synchronized breathing techniques. Trial registration number: NCT05268822.
Feasibility was demonstrated by meeting the recruitment goal of 30 subjects within the pre-specified timeframe with enrolment rate of 24.8% (30/121). Synchronized breathing techniques were successfully adhered by participants. Home exercise adherence was nearly identical between the groups without any adverse events. Preliminary efficacy findings on pain intensity, disability, and self-efficacy in the experimental group exceeded the minimal clinically important difference. No such findings were observed in any outcome measures within the control group. Overall, multifactorial differences were consistent because nine out of eleven outcome measures showed greater improvements for the experimental group.
The synchronized breathing with movement control exercises protocol was feasible and may be more beneficial for improving multifactorial outcomes compared to identical exercises alone. Results suggested progression to a full-scale trial.
运动是治疗慢性非特异性下腰痛（CNSLBP）的一线治疗方法。运动与特定呼吸技术相结合，有可能改善多因素的结果。然而，以前没有研究在统一的临床研究环境中比较过具有或不具有特定呼吸方案的相同运动的结果。
1）研究将同步呼吸与运动控制练习相结合的可行性，并评估纳入标准、随机化程序和脱落率。2）研究干预措施对多因素结果测量的初步疗效。
30 名 CNSLBP 患者随机分为两组。两组均有 4 次门诊就诊，在 2 个月内接受个性化家庭运动控制练习。实验组包括运动控制练习干预与同步呼吸技术相结合。试验注册号：NCT05268822。
通过在规定的时间内招募到 30 名受试者，达到了 30 名的目标，招募率为 24.8%（30/121），证明了可行性。参与者成功地坚持了同步呼吸技术。两组在家进行运动的依从性几乎相同，没有任何不良事件。实验组在疼痛强度、残疾和自我效能方面的初步疗效发现超过了最小临床重要差异。对照组的任何结果测量中均未观察到这种发现。总的来说，多因素差异是一致的，因为 11 项结果测量中有 9 项显示实验组的改善更大。
运动与同步呼吸技术相结合的方案是可行的，与单独进行相同的运动相比，可能更有益于改善多因素的结果。结果表明可以进行全面的试验。
