Nakagawa Hotaka, Okubo Yu, Hattori Hiroshi, Hamada Yuji, Kikuchi Yuto, Mizoguchi Yasuaki, Akasaka Kiyokazu
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.
J Phys Ther Sci. 2024 Nov;36(11):721-727. doi: 10.1589/jpts.36.721. Epub 2024 Nov 1.
[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.
[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。
Cochrane Database Syst Rev. 2020-7-5
J Athl Train. 2011
Cochrane Database Syst Rev. 2014-9-2
Adv Orthop. 2022-12-28
Eur Spine J. 2021-10
Int J Sports Phys Ther. 2021-6-1
Lancet. 2016-10-11
Isokinet Exerc Sci. 2010
Expert Rev Neurother. 2013-1