Lena Orges, Qorri Erda, Martínez-Fuentes Juan, Todri Jasemin
ÍTEM-Innovation in Manual and Physical Therapies-Research Group, Physiotherapy Department, UCAM Universidad Católica San Antonio de Murcia, Campus de los Jerónimos, Nº 135 Guadalupe, 30107 Murcia, Spain.
Department of Dentistry, Faculty of Medical Sciences, Albanian University, 1001 Tirana, Albania.
J Clin Med. 2025 Apr 9;14(8):2584. doi: 10.3390/jcm14082584.
Postural therapies have emerged as effective non-invasive approaches to managing and preventing LBP in athletes. These therapies focus on correcting muscular imbalances, enhancing body awareness, and promoting proper alignment. Therefore, the objective of this study was to evaluate the effectiveness of implementing the Mézières method and isostretching postures in Spanish high-level national rhythmic gymnasts with low back pain (LBP). Specifically, the study aims to assess the impact of these postural therapies on functional limitations associated with LBP. This study was a parallel group, randomized controlled trial implemented in 17 rhythmic gymnastics athletes with low back pain conducted at baseline, at 2, 4, and 6 weeks, and upon completion of the 12-week intervention period. The outcome measures included pain measurement, the Borg effort scale, and trunk movement as flexion, extension, inclination, and rotation assessed using a wearable device sensor. The trial included eight participants in the Mézières group and nine in the isostretching group, with no significant age difference between the groups ( = 0.589). Significant differences were found for time ( = 0.000) and group ( = 0.001), indicating variations in left trunk inclination performance over time and between the groups. Both groups showed increased trunk flexion, with the Mézières group demonstrating higher values at all time points. Right trunk rotation fluctuated, with a notable increase in the Mézières group at 6 weeks. The Mézières group also showed higher left trunk rotation values, peaking at 6 weeks. Although the Mézières method showed certain advantages in right trunk rotation and left tilt, the results overall suggest that both approaches are effective in the specific context of this population.
姿势疗法已成为管理和预防运动员腰痛的有效非侵入性方法。这些疗法专注于纠正肌肉失衡、增强身体意识和促进正确的身体姿势。因此，本研究的目的是评估在患有腰痛（LBP）的西班牙高水平国家艺术体操运动员中实施梅齐埃方法和等长伸展姿势的有效性。具体而言，该研究旨在评估这些姿势疗法对与腰痛相关的功能限制的影响。本研究是一项平行组随机对照试验，在17名患有腰痛的艺术体操运动员中进行，在基线、第2、4和6周以及12周干预期结束时进行评估。结果测量包括疼痛测量、博格用力量表以及使用可穿戴设备传感器评估的躯干前屈、后伸、倾斜和旋转运动。该试验包括梅齐埃组的8名参与者和等长伸展组的9名参与者，两组之间年龄无显著差异（P = 0.589）。发现时间（P = 0.000）和组间（P = 0.001）存在显著差异，表明左躯干倾斜表现随时间和组间存在变化。两组的躯干前屈均增加，梅齐埃组在所有时间点的值均较高。右躯干旋转波动，梅齐埃组在第6周显著增加。梅齐埃组的左躯干旋转值也较高，在第6周达到峰值。虽然梅齐埃方法在右躯干旋转和左倾斜方面显示出一定优势，但总体结果表明，在该人群的特定背景下，两种方法均有效。
