Sachs B L, Ahmad S S, LaCroix M, Olimpio D, Heath R, David J A, Scala A D
Department of Orthopaedics, Tufts University Medical School, New England Medical Center Hospitals, Boston, Massachusetts.
Spine (Phila Pa 1976). 1994 Jan 1;19(1):49-52. doi: 10.1097/00007632-199401000-00009.
The purpose of this study was to assess repeated exercise on the B-200 Isostation as part of rehabilitation work tolerance for nonsurgical patients with lumbar spine disorders. For a consecutive 7-month period, treatment subjects were randomly assigned according to birth date for participation in two groups: a standard work tolerance program only or standard work tolerance program plus inclusion of exercise on the B-200 Isostation. Each patient had similar referral diagnosis requiring conservative treatment. Treatment groups were compared with a control population of volunteers who had neither back pain nor known underlying spinal pathology. All study patients had objective measurement of range of motion, isometric strength, and velocity of motion, on the B-200 Isostation before treatment and at follow-up 3 weeks after treatment. The data showed no significant difference of percent improvement when comparing patients in either of the randomized assigned treatment groups. There was a higher percentage of improvement for each treatment group as compared with the control individuals, however. Based on our study using the B-200 Isostation, there is little objective justification for including exercise on the B-200 dynametric Isostation as part of the rehabilitation routine for improvement of functional physical capacity.
本研究的目的是评估在B - 200等动训练仪上进行重复训练,作为腰椎疾病非手术患者康复工作耐力训练的一部分。在连续7个月的时间里,根据出生日期将治疗对象随机分为两组:仅参加标准工作耐力训练计划或标准工作耐力训练计划外加在B - 200等动训练仪上进行训练。每位患者的转诊诊断相似,均需要保守治疗。将治疗组与既无背痛也无已知潜在脊柱病变的志愿者对照人群进行比较。所有研究患者在治疗前及治疗后3周随访时,均在B - 200等动训练仪上进行了运动范围、等长肌力和运动速度的客观测量。数据显示,在比较随机分配的两个治疗组中的患者时,改善百分比没有显著差异。然而,与对照个体相比,每个治疗组的改善百分比更高。基于我们使用B - 200等动训练仪的研究,几乎没有客观依据将在B - 200动力等动训练仪上进行训练作为康复常规的一部分,以改善身体功能能力。