Elabd Aliaa M, Hasan Shahnaz, Alghadir Ahmad H, Elabd Omar M, Shawky Ghada Mohamed, Iqbal Amir, Marwan Yara N
Basic Science Department, Faculty of Physical Therapy, Benha University, Benha, Egypt.
Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al-Majmaah, Saudi Arabia.
Medicine (Baltimore). 2024 Dec 13;103(50):e40879. doi: 10.1097/MD.0000000000040879.
Researchers are prioritizing the development of an effective treatment approach for third-trimester pregnancy-related low back pain (LBP), a prevalent and costly disorder. Therefore, this study aimed to examine the effects of Tui-Na (TN) versus positional release techniques (PRT) on third trimester pregnancy-related LBP.
Fifty pregnant women in their third trimester with low back pain were randomly assigned to 1 of 2 groups for 4 weeks of prescribed treatment (TN or PRT). The primary outcome was LBP intensity. Secondary outcomes included the Oswestry disability index for back disability and the pressure pain threshold of lumbar tender points. Two-way multivariate analysis of variance was used for the data analysis.
Multivariate tests indicated statistically significant effects of group (F = 10.062, P < .001, partial η2 = 0.302), time (F = 473.5, P < .001, partial η2 = 0.953), and group-by-time interactions (F = 4.045, P < .001, partial η2 = 0.148). However, the TN group, when compared to the PRT group, revealed a significant decrease in back disability (P < .001, partial η2 = 0.124) and a significant increase in pressure pain threshold at the Rt and Lt points (P = .02 and .001, partial η2 = 0.055, and 0.108, respectively). Within-group comparisons were significant for all measured variables in both the groups (P < .001).
Although both TN and PRT are beneficial treatments for third trimester pregnancy-related LBP, TN leads to more beneficial outcomes.
研究人员将开发一种针对孕晚期与妊娠相关的腰痛（LBP）的有效治疗方法作为首要任务，这种疾病普遍存在且成本高昂。因此，本研究旨在探讨推拿（TN）与体位释放技术（PRT）对孕晚期与妊娠相关的LBP的影响。
50名孕晚期腰痛孕妇被随机分为两组，接受为期4周的规定治疗（TN或PRT）。主要结局是腰痛强度。次要结局包括用于评估背部功能障碍的奥斯维斯特残疾指数和腰椎压痛点的压痛阈值。采用双向多变量方差分析进行数据分析。
多变量检验表明，组间（F = 10.062，P <.001，偏η2 = 0.302）、时间（F = 473.5，P <.001，偏η2 = 0.953）以及组间与时间的交互作用（F = 4.045，P <.001，偏η2 = 0.148）均有统计学意义。然而，与PRT组相比，TN组的背部功能障碍显著降低（P <.001，偏η2 = 0.124），右侧和左侧点的压痛阈值显著升高（P = 0.02和0.001，偏η2分别为0.055和0.108）。两组内所有测量变量的组内比较均有统计学意义（P <.001）。
虽然TN和PRT对孕晚期与妊娠相关的LBP都是有益的治疗方法，但TN能带来更有益的结果。
