核心稳定锻炼与一般背部锻炼在减轻慢性腰痛方面的效果

Dr. Buddaraju Lalitha, Dr. Mona M Salih, Dr. Siddaram Patil N, Dr. Rajini Cartor Medidi
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摘要

目的:慢性腰痛是工业化国家最昂贵的良性疾病,也是最常见的活动原因。它被定义为持续超过12周的疼痛,通常归因于脊柱的退行性或创伤性状况。纤维炎、炎性关节病和代谢性骨病也被认为是原因。虽然急性腰痛预后良好,但慢性腰痛及其相关残疾对社会的影响是巨大的。与急性腰痛不同,慢性腰痛没有生物学意义。然而,这是一种在受内源性和外源性因素影响的复杂环境中进化的疾病,它对个体生产力的改变程度超过了初始病理功能障碍的程度。本研究的目的是确定核心稳定运动与一般腰背部运动在减轻慢性腰痛方面的相对疗效。研究方法:这是一项短期研究,选择30名慢性腰痛患者,按照预先设定的选择标准,分为实验组a组(核心稳定运动)和B组(一般背部运动)。疼痛强度测试前后结果在VAS上进行标注。然后采用非配对的“t”检验对各实验组的平均值进行统计比较。结果:研究结果显示,治疗期后疼痛强度均值有明显下降。治疗前核心稳定运动组和一般背部运动组的平均预试值分别为5.5和5.2,治疗后分别降至1和1.7。结论:两种治疗方法都显示出有效的结果,但核心稳定练习已被证明比一般背部锻炼更有效。
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Effect of core stabilization exercises versus general back exercises in reducing chronic low back pain
Aim: Chronic low back pain is the most expensive benign condition in industrialized countries and the most common cause of activity. It is defined as pain that persists longer than 12 weeks and is often attributed to degenerative or traumatic conditions of the spine. Fibrositis, inflammatory spondyloarthropathy and metabolic bone conditions are also cited as causes. Although acute low back pain has a favorable prognosis, the effect of chronic low back pain and its related disability on society is tremendous. Unlike acute low back pain, chronic low back pain serves no biologic purpose. However, it is a disorder that evolves in a complex milieu influenced by endogenous and exogenous factors, and it alters the individual‘s productivity to an extent beyond what the initiating pathologic dysfunction would have. The purpose of this study is to determine the relative efficacy of core stabilization exercises compared to general low back exercises in reducing chronic low back pain. core stabilization exercise Study method: This a short term study, where thirty chronic low back pain patients with pre-defined selection criteria were selected and assigned into equal experimental groups as group A (core stabilization exercises) and group B (general back exercise). The pre and post test outcomes of pain intensity are marked on the VAS. Then statistical comparison is drawn between the experimental groups mean values by using unpaired‗t‘ test. Results: The study results show that the pain intensity mean values have decreased to significant extent after the treatment period. The mean pretest values of both core stabilization exercises and general back exercise groups before the treatment are 5.5 and 5.2 respectively which have been decreased to 1 and 1.7 after the treatment. Conclusion: Both the treatment procedures have shown an effective outcome, but core stabilization exercises have proven to be more effective than the general back exercise statistically.
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