{"title":"单次本体感觉神经肌肉促进练习对慢性腰椎间盘病患者坐立策略的直接影响:初步研究","authors":"Tomasz Sipko PT, Edmund Glibowski PhD","doi":"10.1016/j.jmpt.2022.09.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to measure the immediate effects of single-session proprioceptive neuromuscular facilitation<span> exercises on the sit-to-stand (STS) task and level of pain in patients with chronic low back pain.</span></p></div><div><h3>Methods</h3><p>Fifty-three patients were assigned to the control and intervention groups. The total time was 30 minutes (each exercise 5 minutes). The minimum vertical ground reaction force (VGRF<sub>min</sub>) and maximum vertical ground reaction force (VGRF<sub>max</sub>) and time phases (T<sub>min</sub> – time to counterforce, T<sub>max</sub> – time to peak force, T<sub>tot</sub><span> – time to post-peak rebound force) were measured with a Kistler force plate in eyes-open and eyes-closed conditions during the STS task. Pain level was determined on a numeric rating scale.</span></p></div><div><h3>Results</h3><p>Main effects were observed only in the intervention group: decreasing pain value (F = 25.398, <em>P</em> < .0001), increasing T<sub>min</sub> (F = 5.72, <em>P</em> = .0044), decreasing T<sub>max</sub> (F = 3.43, <em>P</em> = .04), and decreasing T<sub>tot</sub> (F = 3.935, <em>P</em> = .02258). There was a main effect of the eyes factor on VGRF<sub>min</sub> (F = 12.53, <em>P</em> < .0001) and VGRF<sub>max</sub> (F = 7.16, <em>P</em> < .01).</p></div><div><h3>Conclusion</h3><p>Immediate effects of single-session proprioceptive neuromuscular facilitation exercises were observed in decreasing the level of pain. Adaptation effects were noted in the retention test. The STS task could be optimized in time phases and dynamic movements in patients with chronic low back pain.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Immediate Effects of Single-Session Proprioceptive Neuromuscular Facilitation Exercises on the Sit-to-Stand Strategy in Patients With Chronic Lumbar Spinal Disc Disease: A Preliminary Study\",\"authors\":\"Tomasz Sipko PT, Edmund Glibowski PhD\",\"doi\":\"10.1016/j.jmpt.2022.09.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>The purpose of this study was to measure the immediate effects of single-session proprioceptive neuromuscular facilitation<span> exercises on the sit-to-stand (STS) task and level of pain in patients with chronic low back pain.</span></p></div><div><h3>Methods</h3><p>Fifty-three patients were assigned to the control and intervention groups. The total time was 30 minutes (each exercise 5 minutes). The minimum vertical ground reaction force (VGRF<sub>min</sub>) and maximum vertical ground reaction force (VGRF<sub>max</sub>) and time phases (T<sub>min</sub> – time to counterforce, T<sub>max</sub> – time to peak force, T<sub>tot</sub><span> – time to post-peak rebound force) were measured with a Kistler force plate in eyes-open and eyes-closed conditions during the STS task. Pain level was determined on a numeric rating scale.</span></p></div><div><h3>Results</h3><p>Main effects were observed only in the intervention group: decreasing pain value (F = 25.398, <em>P</em> < .0001), increasing T<sub>min</sub> (F = 5.72, <em>P</em> = .0044), decreasing T<sub>max</sub> (F = 3.43, <em>P</em> = .04), and decreasing T<sub>tot</sub> (F = 3.935, <em>P</em> = .02258). There was a main effect of the eyes factor on VGRF<sub>min</sub> (F = 12.53, <em>P</em> < .0001) and VGRF<sub>max</sub> (F = 7.16, <em>P</em> < .01).</p></div><div><h3>Conclusion</h3><p>Immediate effects of single-session proprioceptive neuromuscular facilitation exercises were observed in decreasing the level of pain. Adaptation effects were noted in the retention test. The STS task could be optimized in time phases and dynamic movements in patients with chronic low back pain.</p></div>\",\"PeriodicalId\":16132,\"journal\":{\"name\":\"Journal of Manipulative and Physiological Therapeutics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2022-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Manipulative and Physiological Therapeutics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0161475422001348\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Manipulative and Physiological Therapeutics","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0161475422001348","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
目的观察单次本体感觉神经肌肉促进训练对慢性腰痛患者坐立任务和疼痛水平的直接影响。方法将53例患者分为对照组和干预组。总时间为30分钟(每次练习5分钟)。采用Kistler测力板测量STS任务中睁眼和闭眼条件下最小垂直地面反力(VGRFmin)、最大垂直地面反力(VGRFmax)和时间相位(Tmin -反力时间、Tmax -力峰值时间、ttt -反弹力峰后时间)。疼痛程度由数字评定量表确定。结果干预组的主要效果为:减轻疼痛值(F = 25.398, P <。),增加Tmin (F = 5.72, P = .0044),降低最高温度(F = 3.43, P = .04点),和减少Ttot (F = 3.935, P = .02258)。眼部因素对VGRFmin有主要影响(F = 12.53, P <.0001)和VGRFmax (F = 7.16, P <. 01)。结论单次本体感觉神经肌肉促进训练对减轻大鼠疼痛有立竿见影的效果。在保留测试中注意到适应效应。慢性腰痛患者的STS任务可以在时间阶段和动态动作上进行优化。
Immediate Effects of Single-Session Proprioceptive Neuromuscular Facilitation Exercises on the Sit-to-Stand Strategy in Patients With Chronic Lumbar Spinal Disc Disease: A Preliminary Study
Objective
The purpose of this study was to measure the immediate effects of single-session proprioceptive neuromuscular facilitation exercises on the sit-to-stand (STS) task and level of pain in patients with chronic low back pain.
Methods
Fifty-three patients were assigned to the control and intervention groups. The total time was 30 minutes (each exercise 5 minutes). The minimum vertical ground reaction force (VGRFmin) and maximum vertical ground reaction force (VGRFmax) and time phases (Tmin – time to counterforce, Tmax – time to peak force, Ttot – time to post-peak rebound force) were measured with a Kistler force plate in eyes-open and eyes-closed conditions during the STS task. Pain level was determined on a numeric rating scale.
Results
Main effects were observed only in the intervention group: decreasing pain value (F = 25.398, P < .0001), increasing Tmin (F = 5.72, P = .0044), decreasing Tmax (F = 3.43, P = .04), and decreasing Ttot (F = 3.935, P = .02258). There was a main effect of the eyes factor on VGRFmin (F = 12.53, P < .0001) and VGRFmax (F = 7.16, P < .01).
Conclusion
Immediate effects of single-session proprioceptive neuromuscular facilitation exercises were observed in decreasing the level of pain. Adaptation effects were noted in the retention test. The STS task could be optimized in time phases and dynamic movements in patients with chronic low back pain.
期刊介绍：
The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world.
The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.
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