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一项评估运动学方法——卡纳利姿势法——对非特异性下腰痛姿势重新编程效果的准实验对照研究。

A Quasi-Experimental Controlled Study to Evaluate the Effects of a Kinesiologic Approach-The Canali Postural Method-To Posture Reprogramming for Non-Specific Low Back Pain.

作者信息

Sabina Saverio, Monteleone Daria, Mincarone Pierpaolo, Maiorano Patrizia, Guarino Roberto, Tumolo Maria Rosaria, Leo Carlo Giacomo, Giordano Antonio, Zisi Mirko

机构信息

Institute of Clinical Physiology, National Research Council, Branch of Lecce, 73100 Lecce, Italy.

MOVE-mentis S.R.L., 47522 Cesena, Italy.

出版信息

Healthcare (Basel). 2025 Apr 10;13(8):869. doi: 10.3390/healthcare13080869.

Abstract

BACKGROUND/OBJECTIVES: Low back pain (LBP) is the leading cause of disability worldwide, with most cases classified as non-specific low back pain (NSLBP). Various treatments exist, among which are physical exercises that promote flexibility, mobility and core stabilization, improving muscle function and body posture. The Canali Postural Method (CPM) is a kinesiological method that offers a personalized approach to postural reprogramming. This study compares the effects of the CPM and generic exercises in individuals with NSLBP.

METHODS

Subjects with NSLBP were engaged in a four-week intervention either based on a CPM reprogramming phase (CPM group) or generic exercises for the control group (CG). The CPM group underwent an assessment phase to identify the possible musculoskeletal causes of compensatory postural arrangements. The functional disability and pain level were assessed before, immediately after and 3 months post-intervention in both groups. Data were analyzed using repeated measures ANOVA.

RESULTS

Thirty-five subjects per group participated, with the CPM group averaging 38.6 ± 10.1 years and the CG 40.2 ± 12.1 years. The CPM group experienced significantly greater pain relief both immediately post-intervention and at the 3-month follow-up ( < 0.001). While the disability perception decreased in both groups, the CPM group showed superior improvement at the 3-month follow-up ( < 0.001).

CONCLUSIONS

The CPM represents promise for enhancing motor control and quality of life, suggesting potential benefits for other musculoskeletal issues. Future research should explore its broader applications and underlying physiological mechanisms.

摘要

背景/目的:腰痛(LBP)是全球致残的主要原因,大多数病例被归类为非特异性腰痛(NSLBP)。存在多种治疗方法,其中包括促进灵活性、活动能力和核心稳定性的体育锻炼,可改善肌肉功能和身体姿势。卡纳利姿势法(CPM)是一种运动学方法,提供个性化的姿势重新编程方法。本研究比较了CPM和一般锻炼对NSLBP患者的影响。

方法

NSLBP患者进行为期四周的干预,干预方式为基于CPM重新编程阶段(CPM组)或一般锻炼(对照组,CG)。CPM组进行评估阶段,以确定代偿性姿势安排可能的肌肉骨骼原因。在两组干预前、干预后即刻和干预后3个月评估功能障碍和疼痛程度。数据采用重复测量方差分析进行分析。

结果

每组35名受试者参与,CPM组平均年龄38.6±10.1岁,CG组平均年龄40.2±12.1岁。CPM组在干预后即刻和3个月随访时疼痛缓解程度均显著更大(<0.001)。虽然两组的残疾感知均有所下降,但CPM组在3个月随访时改善更明显(<0.001)。

结论

CPM有望增强运动控制和提高生活质量,提示对其他肌肉骨骼问题可能有益。未来研究应探索其更广泛的应用和潜在的生理机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230f/12026616/e985539db412/healthcare-13-00869-g001.jpg

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