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对接受功能训练的慢性下腰痛女性患者的前向躯干弯曲分析

Analysis of Forward Trunk Bending in Women with Chronic Low Back Pain Undergoing Functional Training.

作者信息

Adamik Aleksandra, Krężałek Piotr, Mikołajczyk Edyta

机构信息

Institute of Applied Sciences, Faculty of Motor Rehabilitation, University of Physical Culture, 31-571 Krakow, Poland.

Laboratory of Biophysics and Movement Analysis, Department of Biomechanics, University of Physical Culture, 31-571 Krakow, Poland.

出版信息

J Clin Med. 2025 Jun 11;14(12):4156. doi: 10.3390/jcm14124156.

DOI:10.3390/jcm14124156
PMID:40565900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12194704/
Abstract

This paper analyzes the movement and relationships within the lumbopelvic-hip complex during forward trunk bending in young women with chronic low back pain. : This study involved 24 women aged 20-24 with chronic low back pain. They were randomly divided into two equal-sized groups: Group 1 participated in a 12-week functional training program, and Group 2 was a control without any intervention. The level of perceived pain was assessed using the Visual Analog Scale (VAS). Qualitative motion analysis was performed using the BTS SMART-D system. Custom indicators were developed to evaluate the angular relationships and ranges of motion in the lumbar spine and the lumbopelvic-hip complex. The functional training program consisted of three sections: motor control and stabilization, muscle strengthening, and stretching exercises. Statistical analysis was performed using Statistica 13.3. : The therapy resulted in a reduction in perceived pain levels reported by the participants. There was a significant improvement in the quality of the forward trunk bending pattern in women who underwent functional training. : Significant modifications in the quality, technique, and angular relationships within the lumbopelvic-hip complex were observed during the forward trunk bending pattern in women undergoing functional training. It has proven to be an effective form of therapy for chronic low back pain.

摘要

本文分析了患有慢性腰痛的年轻女性在躯干前屈过程中腰骶-髋复合体的运动及相互关系。本研究纳入了24名年龄在20至24岁之间的慢性腰痛女性。她们被随机分为两组,每组人数相等:第1组参加为期12周的功能训练计划,第2组作为对照组,不进行任何干预。使用视觉模拟量表(VAS)评估疼痛感知水平。使用BTS SMART-D系统进行定性运动分析。开发了自定义指标来评估腰椎和腰骶-髋复合体的角度关系及运动范围。功能训练计划包括三个部分:运动控制与稳定、肌肉强化和伸展运动。使用Statistica 13.3进行统计分析。该疗法使参与者报告的疼痛感知水平降低。接受功能训练的女性在躯干前屈模式的质量上有显著改善。在接受功能训练的女性的躯干前屈模式中,观察到腰骶-髋复合体在质量、技术和角度关系上有显著改变。事实证明,这是一种治疗慢性腰痛的有效疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c18/12194704/8107d1d671c3/jcm-14-04156-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c18/12194704/1edd63a2a7d4/jcm-14-04156-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c18/12194704/638b7c88de4d/jcm-14-04156-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c18/12194704/8107d1d671c3/jcm-14-04156-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c18/12194704/1edd63a2a7d4/jcm-14-04156-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c18/12194704/638b7c88de4d/jcm-14-04156-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c18/12194704/8107d1d671c3/jcm-14-04156-g003.jpg

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Impact of isolated lumbar extension strength training on reducing nonspecific low back pain, disability, and improving function: a systematic review and meta-analysis.单纯腰椎伸展力量训练对减轻非特异性下腰痛、功能障碍及改善功能的影响:一项系统评价与Meta分析
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Chronic Low Back Pain in Adults: Evaluation and Management.
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Am Fam Physician. 2024 Mar;109(3):233-244.
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Epidemiology of low back pain: frequency, risk factors, and patterns in South-South Nigeria.尼日利亚南部腰背痛的流行病学:频率、风险因素及模式
Reumatologia. 2023;61(5):360-367. doi: 10.5114/reum/173377. Epub 2023 Oct 31.
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Front Rehabil Sci. 2023 Aug 16;4:1216069. doi: 10.3389/fresc.2023.1216069. eCollection 2023.
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