Sport Injury and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Bu Ali Sina University, Hamedan, Iran; Department of Physical Education and Sport Sciences, Payame Noor University, Tehran, Iran.
Sport Rehabilitation, Faculty of Physical Education and Sport Sciences, Bu-Ali Sina University, Hamedan, Iran.
J Bodyw Mov Ther. 2024 Oct;40:2147-2154. doi: 10.1016/j.jbmt.2024.10.065. Epub 2024 Oct 25.
Research has documented chronic non-specific low back pain (CNSLBP) as one of the primary causes of absenteeism at work, often accompanied by the use of health insurance and healthcare services. Considering little research on the consequences of open/closed kinetic chain (O/CKC) exercises in water on CNSLBP improvement, the present study is to investigate the effects of such interventions on the electrical activity of selected lumbar muscles, pain, lumbopelvic control (LPC), ground reaction force (GRF), and psychological factors in men with CNSLBP.
This is a randomized controlled trial that involves individuals with CNSLBP between the ages of 40 and 60 years. Participants are randomly assigned, using block randomization, to one of the following groups: open kinetic chain (OKC) exercises, closed kinetic chain (CKC) exercises, or controls. The training groups engage in the exercises for eight weeks, with three sessions per week and 60 min each at the University of Bu-Ali Sina pool, following the prescribed workout routine. The primary outcomes of the electrical activity of the multifidus (MF), transversus abdominis (TrA), gluteus medius (GM), and quadratus lumborum (QL) muscles are measured by an electromyography (EMG) device. Additionally, the pressure biofeedback (BFB) device and the visual analog scale (VAS) are utilized to assess LPC and pain intensity, respectively. The secondary outcomes of the GRF, along with foot pressure and kinesiophobia, are subsequently measured by the Tampa Scale of Kinesiophobia (TSK).
By comparing the outcomes between the OKC exercise group, CKC exercise group, and control group, this study aims to determine the differential effects of these two water-based exercise interventions on the various physical and psychological parameters in individuals with CNSLBP. The findings provide valuable insights into the most effective approach to water-based rehabilitation for individuals with CNSLBP. By comparing the outcomes of OKC and CKC exercises, healthcare professionals can make informed decisions when designing tailored rehabilitation programs for this patient population. The results also contribute to the development of evidence-based guidelines for the management of CNSLBP using water-based exercises.
研究记录慢性非特异性下腰痛（CNSLBP）是导致工作缺勤的主要原因之一，常伴有医疗保险和医疗保健服务的使用。考虑到关于开放式/闭式动链（O/CKC）水中运动对 CNSLBP 改善效果的研究较少，本研究旨在调查此类干预措施对男性 CNSLBP 患者腰部肌肉电活动、疼痛、腰骨盆控制（LPC）、地面反力（GRF）和心理因素的影响。
这是一项随机对照试验，涉及 40 至 60 岁患有 CNSLBP 的个体。参与者采用区组随机分组，分为开放式动链（OKC）运动组、闭式动链（CKC）运动组或对照组。训练组在布阿里·辛纳大学泳池每周进行三次、每次 60 分钟、共八周的训练，按照规定的锻炼计划进行。多裂肌（MF）、腹横肌（TrA）、臀中肌（GM）和腰方肌（QL）肌肉的电活动主要通过肌电图（EMG）设备进行测量。此外，压力生物反馈（BFB）设备和视觉模拟量表（VAS）分别用于评估 LPC 和疼痛强度。GRF 以及足部压力和运动恐惧的次要结果随后通过坦帕运动恐惧量表（TSK）进行测量。
通过比较 OKC 运动组、CKC 运动组和对照组之间的结果，本研究旨在确定这两种基于水的运动干预对 CNSLBP 患者各种生理和心理参数的差异影响。研究结果为基于水的康复对 CNSLBP 患者最有效的方法提供了有价值的见解。通过比较 OKC 和 CKC 运动的结果，医疗保健专业人员在为该患者群体设计量身定制的康复计划时可以做出明智的决策。研究结果还为使用基于水的运动管理 CNSLBP 的循证指南的制定做出了贡献。
