核心稳定性和跑步机步行运动对腰椎手术后腰痛患者功能状态的影响:一项初步研究

F. Sumaila, G. Sokunbi
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引用次数: 2

摘要

背景:腰痛(LBP)是最常见的肌肉骨骼疾病之一,患者咨询医疗保健。它也是造成残疾和缺勤的最重要原因,其发病率日益上升,对社会造成重大的社会经济影响。这些事实突出了为这种致残状况寻找有效和经过验证的治疗方法的重要性。稳定运动和跑步机步行运动被广泛报道在腰痛治疗中是有效的。然而,它们对术后腰痛的影响尚未被广泛报道。材料与方法:本研究是一项测试前-测试后的准实验研究设计,作为一项大型随机对照试验之前的试点研究。11名参与者符合研究标准,因此通过连续抽样参与了研究,他们每周接受三次核心稳定性锻炼和跑步机步行锻炼(布鲁斯方案),为期6周。对疼痛强度、功能障碍、生活质量和恐惧回避信念进行评估。所得资料采用描述性统计进行汇总,并采用t检验和Wilcoxon符号秩检验进行分析。结果:平均年龄(岁)为51.91±12.44,平均体重指数(kg/m2)为23.56±2.52。疼痛和功能失能在受试者中显著降低(P < 0.05),效应量大。生活质量和恐惧回避均有显著改善(P < 0.05),且效应量大。结论:核心稳定性训练和跑步机步行训练能有效减轻腰痛患者的疼痛,改善患者的功能能力、生活质量和恐惧规避。
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Effect of core stability and treadmill walk exercises on the functional status of postlumbar - Surgical patients with low back pain: A pilot study
Background: Low back pain (LBP) is one of the most common musculoskeletal disorders for which patients consult medical care. It is also the most important cause of disability and absenteeism with increasing prevalence leading to a major socioeconomic impact on society. These facts highlight the importance of finding effective and validated treatments for this disabling condition. Stabilization Exercises and Treadmill Walk Exercise are widely reported to be effective in the management of LBP. However, their effects on Post -Surgical LBP have not been widely reported. Materials and Methods: The study was a pre test- post test quasi-experimental research design undertaken as a pilot study prior to a large randomized controlled trial. Eleven (11) Participants met the study criteria and therefore participated in the study via consecutive sampling, they received Core stability exercises and Treadmill walk exercises (Bruce protocol) three times in a week for a period of six 6 weeks. Assessment of Pain intensity, Functional Disability, Quality of Life and Fear avoidance belief was carried out. Data obtained was summarized using descriptive statistics and analysed using t-test and Wilcoxon sign rank test. Results: Mean age (years) was 51.91 ± 12.44 and mean body mass index (kg/m2) was 23.56 ± 2.52. A statistically significant decrease in pain and functional disability was found among the participants (P < 0.05) with a large effect size. Significant improvement was found in the quality of life and fear avoidance (P < 0.05) with large effect size. Conclusion: It is concluded that Core stability exercises and Treadmill walk training are effective in the reduction of pain and improvement of functional ability, quality of life and fear avoidance of individuals with Post-surgical LBP.
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