Žiaková Elena, Sládeková Nina, Havlová Jana
Department of Physiotherapy, Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovak Republic.
Faculty of Health Sciences, University of Ss. Cyril and Methodius in Trnava, Trnava, Slovak Republic.
Cent Eur J Public Health. 2025 Mar;33(1):71-76. doi: 10.21101/cejph.a8199.
Chronic back pain is the most common cause of incapacity for work. The purpose of the study was to determine the effectiveness for activating the function of the deep stabilization system (DSS) in patients with chronic low back pain.
The effectiveness of three different methods was compared: Pilates method (PM), dynamic neuromuscular stabilization and balance aids on deep stabilization system function and pain perception in the lumbar spine. The group consisted of 75 patients.
The results show differences in the effectiveness of the methods depending on the observed characteristics. The least significant differences were observed when comparing the Pilates method to balance aids. No statistically significant difference was observed in four out of five areas. The only area where a statistically significant effect of the exercise method got recorded was the intra-abdominal pressure test (p < 0.05). The lowest change was recorded in the measured values using the intra-abdominal pressure test at PM, and the highest change was recorded in Thomayer's values at dynamic neuromuscular stabilization.
By comparing the three methods it was noted that each of them has its own positive reaction to the pain and the muscular apparatus. The most appropriate method to affect DSS function appears the dynamic neuromuscular stabilization (DNS) concept, where was the most significant improvement in DSS activation and the most significant reduction in chronic low back pain.
慢性背痛是导致工作能力丧失的最常见原因。本研究的目的是确定激活慢性下背痛患者深部稳定系统（DSS）功能的有效性。
比较了三种不同方法的有效性：普拉提方法（PM）、动态神经肌肉稳定和平衡辅助对腰椎深部稳定系统功能和疼痛感知的影响。该组由75名患者组成。
结果显示，根据观察到的特征，这些方法的有效性存在差异。将普拉提方法与平衡辅助进行比较时，观察到的差异最小。在五个区域中的四个区域未观察到统计学上的显著差异。运动方法产生统计学显著效果的唯一区域是腹内压测试（p < 0.05）。在普拉提方法中，腹内压测试测量值的变化最小，而在动态神经肌肉稳定中，托马耶尔值的变化最大。
通过比较这三种方法发现，它们对疼痛和肌肉组织都有各自的积极反应。影响DSS功能的最合适方法似乎是动态神经肌肉稳定（DNS）概念，在该概念中，DSS激活有最显著的改善，慢性下背痛有最显著的减轻。
