Labecka Marta Kinga, Plandowska Magdalena, Truszczyńska-Baszak Aleksandra, Rajabi Reza, Różańska Dorota, Płaszewski Maciej
Faculty of Rehabilitation, Jozef Pilsudski University of Physical Education, Warsaw, Poland.
Faculty of Physical Education and Health in Biala Podlaska, Jozef Pilsudski University of Physical Education in Warsaw, Biala Podlaska, Poland.
BMC Musculoskelet Disord. 2024 Dec 20;25(1):1055. doi: 10.1186/s12891-024-08186-3.
Every end-range position maintained for a prolonged time causes a static load on the spine and may lead to musculoskeletal discomfort. Prolonged flexed sitting is a strong predictor of low back pain (LBP). The study aimed to evaluate the effectiveness of the Active Break program, implemented among young people, in reducing perceived low back pain and discomfort, as well as associated disability level resulting from prolonged sitting.
A randomized controlled trial was conducted among young people with non-specific LBP. Participants were randomized into groups: an experimental group participating in the tested Active Break intervention (AB-group, n = 25), and a control group (C-group, n = 25) with self-administered care recommendations. The program took 12 weeks. The outcomes were average pain intensity (Visual Analogue Scale, VAS), disability (Oswestry Disability Index, ODI), perceived low back discomfort (LBD) during prolonged sitting (Borg scale), and global perceived improvement (Global Perceived Effect, GPE).
VAS, ODI, and LBD scores after the 12-week intervention were significantly lower than those at baseline in the AB-group. In the C-group, differences were not statistically significant. Post-intervention inter-group VAS, LBD, and GPE differences were significant.
The 12-week study of the Active Break intervention for young people with non-specific low back pain demonstrated significant improvement. Our research offers valuable evidence-based practices for managing and preventing low back pain, benefiting individuals, educators, healthcare professionals, personal trainers, and family physicians.
The study was registered at ClinicalTrials.gov [NCT05810519], registration date: 31/03/2023.
长时间保持每个终末位姿势会给脊柱带来静态负荷，并可能导致肌肉骨骼不适。长时间弯腰坐着是腰痛（LBP）的一个重要预测因素。本研究旨在评估在年轻人中实施的主动休息计划在减轻因长时间坐着导致的感知到的腰痛和不适以及相关残疾程度方面的有效性。
对患有非特异性腰痛的年轻人进行了一项随机对照试验。参与者被随机分为两组：实验组参与测试的主动休息干预（AB组，n = 25），以及对照组（C组，n = 25），对照组接受自我管理的护理建议。该计划为期12周。结果指标包括平均疼痛强度（视觉模拟量表，VAS）、残疾程度（奥斯威斯利残疾指数，ODI）、长时间坐着时感知到的下背部不适（LBD，博格量表）以及总体感知改善情况（总体感知效果，GPE）。
12周干预后，AB组的VAS、ODI和LBD评分显著低于基线水平。在C组中，差异无统计学意义。干预后组间VAS、LBD和GPE差异显著。
对患有非特异性腰痛的年轻人进行的为期12周的主动休息干预研究显示出显著改善。我们的研究为管理和预防腰痛提供了有价值的循证实践，对个人、教育工作者、医疗保健专业人员、私人教练和家庭医生都有益处。
该研究已在ClinicalTrials.gov上注册 [NCT05810519]，注册日期：2023年3月31日。
