Collaborative Science and Innovation, Billings Clinic, Billings, MT, USA.
Physical Medicine and Rehabilitation, Billings Clinic, Billings, MT, USA.
J Back Musculoskelet Rehabil. 2024;37(6):1601-1616. doi: 10.3233/BMR-230441.
Low back pain (LBP) is a significant source of disability and decreased quality of life. The Self-Natural Posture Exercise (SNPE) intervention can be used effectively in many cases, but feasibility and impact has not been fully explored.
The current study explores the feasibility and efficacy of face-to-face (FtF) and virtual (Vir) SNPE programs on chronic low back pain.
This is a randomized single-blinded waitlist control study with 10 participants in the FtF group (age 45.8 ± 2.89) and 9 in the Vir group (age 52.2 ± 2.3). Participants had low to moderate low back pain for > 3 months. Those who would eventually become the Vir group served initially as a waitlist control (Con) group. The FtF group received 12 weeks of in-person exercise training sessions conducted and the Vir group received weekly recorded training videos created by and featuring the same instructor. Measured outcomes included feasibility assessed by rate of retention and rate of attendance, level of low back pain (Oswestry Disability Index, Visual Analogue Scale), quality of life (36-Item Short Form Health Survey 1.0), muscular pressure pain threshold, and muscle tone. Analysis was done via repeated measures ANOVA and Wilcoxon tests.
Rates of retention were 80% in the FtF group and 78% in the Vir group. Attendance rates were 88% in the FtF group and 60% in the Vir group. ODI, VAS, and some SF-36 domains improved in both the FtF and Vir groups. Overall, the FtF group improved in more domains and by a larger degree than the Vir group and both groups improved relative to Con.
A 12-week SNPE program, done virtually or in person, shows promise in improving ODI, VAS, and some SF-36 domains. FtF appears to be more effective. Future studies would benefit from sampling a larger and more diverse population.
下腰痛（LBP）是导致残疾和生活质量下降的重要原因。自我自然姿势锻炼（SNPE）干预在许多情况下都可以有效使用，但可行性和效果尚未得到充分探索。
本研究探讨面对面（FtF）和虚拟（Vir）SNPE 方案对慢性下腰痛的可行性和疗效。
这是一项随机、单盲、等待对照研究，FtF 组有 10 名参与者（年龄 45.8±2.89），Vir 组有 9 名参与者（年龄 52.2±2.3）。参与者的腰痛持续时间超过 3 个月，且程度为低至中度。那些最终成为 Vir 组的人最初作为等待对照组（Con）组。FtF 组接受 12 周的面对面运动训练课程，Vir 组则接受每周由同一名教练录制的训练视频。测量结果包括通过保留率和出勤率评估的可行性、腰痛程度（Oswestry 残疾指数、视觉模拟量表）、生活质量（36 项简短健康调查问卷 1.0）、肌肉压力疼痛阈值和肌肉张力。分析采用重复测量方差分析和 Wilcoxon 检验。
FtF 组的保留率为 80%，Vir 组为 78%。FtF 组的出勤率为 88%，Vir 组为 60%。Oswestry 残疾指数、视觉模拟量表和部分 SF-36 领域在 FtF 和 Vir 组均有所改善。总体而言，FtF 组在更多领域和更大程度上改善，优于 Vir 组，两组均相对于 Con 组有所改善。
为期 12 周的 SNPE 方案，无论是面对面进行还是虚拟进行，都有望改善 ODI、VAS 和部分 SF-36 领域。FtF 似乎更有效。未来的研究将受益于对更大和更多样化的人群进行抽样。
