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从身体和心理社会因素角度看手法治疗对腰痛患者的有效性。

Effectiveness of manual therapy for patients with low back pain from the perspective of physical and psychosocial factors.

作者信息

Nakagawa Hotaka, Okubo Yu, Hattori Hiroshi, Hamada Yuji, Kikuchi Yuto, Mizoguchi Yasuaki, Akasaka Kiyokazu

机构信息

Graduate School of Medicine, Saitama Medical University: 981 Kawakado, Moroyama, Iruma, Saitama 350-0496, Japan.

Department of Rehabilitation, Saitama Medical University International Medical Center, Japan.

出版信息

J Phys Ther Sci. 2024 Nov;36(11):721-727. doi: 10.1589/jpts.36.721. Epub 2024 Nov 1.


DOI:10.1589/jpts.36.721
PMID:39493684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11527473/
Abstract

[Purpose] This study aimed to determine the effectiveness of the Arthrokinematic Approach (AKA)-Hakata method for patients with low back pain (LBP). [Participants and Methods] The participants were 39 patients with LBP who visited a medical facility between June 1, 2022, and November 30, 2022. The intervention period was 8 weeks, with five treatment sessions, and the patient assessments were performed using patient self-reported measures of LBP and motor function assessment. [Results] The AKA-Hakata method showed significant differences in all of the items evaluated in the longitudinal comparison of patients. Additionally, an interaction was observed only in the Roland-Morris Disability Questionnaire between the two groups classified using the Subgrouping for Targeted Treatment Back Screening Tool. [Conclusion] The results of this study showed that treatment with the AKA-Hakata method may have an early therapeutic effect on the physical and psychosocial risks in daily life. The results of this study indicated that the AKA-Hakata method is effective for the treatment of LBP. However, this study only evaluated a relatively short treatment period of five sessions. Further research on the long-term treatment effect is needed in order to optimize the treatment duration in detail and investigate the effectiveness of the AKA-Hakata method.

摘要

[目的] 本研究旨在确定关节运动学方法(AKA)-博多方法对腰痛(LBP)患者的有效性。[参与者与方法] 参与者为2022年6月1日至2022年11月30日期间到医疗机构就诊的39例LBP患者。干预期为8周,共进行5次治疗,采用患者自我报告的LBP测量和运动功能评估进行患者评估。[结果] AKA-博多方法在患者纵向比较中评估的所有项目上均显示出显著差异。此外,在使用针对性治疗背部筛查工具进行亚组分类的两组之间,仅在罗兰-莫里斯残疾问卷中观察到交互作用。[结论] 本研究结果表明,AKA-博多方法治疗可能对日常生活中的身体和心理社会风险具有早期治疗效果。本研究结果表明,AKA-博多方法对LBP治疗有效。然而,本研究仅评估了相对较短的5次治疗期。需要进一步研究长期治疗效果,以便详细优化治疗持续时间并研究AKA-博多方法的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c7f/11527473/d95727a0b398/jpts-36-721-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c7f/11527473/e877d3de8920/jpts-36-721-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c7f/11527473/85f7b3eb19e1/jpts-36-721-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c7f/11527473/d95727a0b398/jpts-36-721-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c7f/11527473/e877d3de8920/jpts-36-721-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c7f/11527473/85f7b3eb19e1/jpts-36-721-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c7f/11527473/d95727a0b398/jpts-36-721-g003.jpg

相似文献

[1]
Effectiveness of manual therapy for patients with low back pain from the perspective of physical and psychosocial factors.

J Phys Ther Sci. 2024-11

[2]
A Randomized, Single-Blind, Placebo-Controlled Study on the Efficacy of the Arthrokinematic Approach-Hakata Method in Patients with Chronic Nonspecific Low Back Pain.

PLoS One. 2015-12-8

[3]
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Cochrane Database Syst Rev. 2020-7-5

[4]
Does an online psychological intervention improve self-efficacy and disability in people also receiving Multimodal Manual Therapy for chronic low back pain compared to Multimodal Manual Therapy alone? Design of a randomized controlled trial.

Chiropr Man Therap. 2015-12-18

[5]
The effectiveness of a stratified group intervention using the STarTBack screening tool in patients with LBP--a non randomised controlled trial.

BMC Musculoskelet Disord. 2013-12-5

[6]
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J Athl Train. 2011

[7]
Multidisciplinary biopsychosocial rehabilitation for chronic low back pain.

Cochrane Database Syst Rev. 2014-9-2

[8]
A Mind-Body Program for Older Adults With Chronic Low Back Pain: A Randomized Clinical Trial.

JAMA Intern Med. 2016-3

[9]
A multicentred randomised controlled trial of a primary care-based cognitive behavioural programme for low back pain. The Back Skills Training (BeST) trial.

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[10]
Effectiveness of spinal manipulation and biopsychosocial self-management compared to medical care for low back pain: a randomized trial study protocol.

BMC Musculoskelet Disord. 2023-5-25

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