PDF(Pubmed)
Abstract：
We aimed to determine the effects of three-direction movement control focus complex pain program (3D-MCE) and neurodynamic focus complex pain program (NDT) on pain, mechanosensitivity, and body function in Taekwondo athletes with non-specific low back pain. This study used a two-group pretest-posttest design and was conducted at a university physiotherapy lab and training center. It included 21 Taekwondo athletes with non-specific low back pain from a Taekwondo studio and a University in Busan. Participants were divided into a 3D-MCE group (n = 10) and an NDT group (n = 10). The numerical rating pain scale (NRPS), pain pressure threshold (PPT), movement analysis, and Oswestry Disability Index (ODI) were measured before and after the intervention. The intervention was performed for 45 min twice a week for 4 weeks. Each group performed movement control exercises and neurodynamic techniques. The NRPS, motion analysis, and ODI were significantly changed after the intervention in the 3-DMCE group. The NRPS, PPT, and ODI changed significantly after the intervention in the NDT group. Moreover, the PPT and motion analysis showed significant differences between the two groups. For Taekwondo athletes with non-specific low back pain, 3D-MCE improved the stability control ability of the lumbar spine. It was confirmed that neurodynamic techniques reduce muscle and nerve mechanosensitivity.
摘要：
我们旨在确定三方向运动控制焦点复杂疼痛程序（3D-MCE）和神经动力学焦点复杂疼痛程序（NDT）对疼痛的影响，机械敏感性,跆拳道运动员非特异性下腰痛的身体功能。这项研究采用了两组前测-后测设计，并在大学物理治疗实验室和培训中心进行。其中包括来自跆拳道工作室和釜山大学的21名非特异性腰痛的跆拳道运动员。参与者分为3D-MCE组（n=10）和NDT组（n=10）。数字疼痛评分(NRPS)，疼痛压力阈值（PPT），运动分析,在干预前后测量Oswestry残疾指数（ODI）。干预进行45分钟，每周两次，共4周。每组进行运动控制练习和神经动力学技术。NRPS,运动分析,3-DMCE组干预后ODI明显改变。NRPS,PPT,NDT组干预后ODI变化明显。此外，PPT和运动分析显示两组之间存在显着差异。对于非特异性下腰痛的跆拳道运动员,3D-MCE提高了腰椎的稳定性控制能力。证实了神经动力学技术降低了肌肉和神经机械敏感性。
