关键词: core stability exercise therapy low back pain musculoskeletal manipulations sacroiliac joint

来  源:   DOI:10.3389/fphys.2024.1337754   PDF(Pubmed)

Abstract:
UNASSIGNED: Sacroiliac joint dysfunction (SIJD), while being the primary contributor to low back pain, is still disregarded and treated as low back pain. Mulligan\'s Mobilization with Movement (MWM) Techniques and Core Stability Exercises (CSE) are often used to treat low back pain. There is not much evidence that it is effective in SIJD. To evaluate the effectiveness of CSE coupled with MWM (CSE + MWM) in the treatment of SIJD.
UNASSIGNED: 39 patients with SIJD were recruited and randomly divided into distinct groups as follows: control group (n = 13), CSE group (n = 13) and CSE + MWM group (n = 13). The Numerical Pain Rating Scale (NPRS), the Roland Morris Disability Questionnaire (RMDQ), the Range of Motion (ROM), the Pressure Pain Threshold (PPT) and the pelvic tilt angle asymmetry ratio in the sagittal plane (PTAR) were used to gauge the intervention\'s success both before (M0) and after (M1) it. All experimental data were statistically analyzed.
UNASSIGNED: The SIJ-related pain metric significantly decreased in both the CSE + MWM group and the CSE group between M0 and M1, as determined by the NPRS and RMDQ. Between M0 and M1, The CSE group\'s left axial rotation ROM and lumbar flexion ROM were significantly decreased. The CSE + MWM group\'s extension ROM and left lateral flexion ROM both significantly increased between M0 and M1. In the difference variable (M1-M0), the CSE + MWM group substantially outperformed control group in the left lateral flexion ROM and outperformed the CSE group in the left axial rotation ROM.
UNASSIGNED: In individuals with SIJD, CSE + MWM is beneficial in lowering pain, disability, and function. Treatment with CSE and MWM approaches for SIJ appears to boost this efficacy.
摘要:
骶髂关节功能障碍(SIJD),虽然是腰痛的主要原因,仍然被忽视并被视为腰痛。Mulligan的运动动员(MWM)技术和核心稳定性练习(CSE)通常用于治疗腰痛。没有太多证据表明它在SIJD中有效。评价CSE联合MWM(CSE+MWM)治疗SIJD的疗效。
招募39名SIJD患者,并随机分为以下不同的组:对照组(n=13),CSE组(n=13)和CSE+MWM组(n=13)。疼痛数字评分量表(NPRS),罗兰·莫里斯残疾问卷(RMDQ),运动范围(ROM),使用压力疼痛阈值(PPT)和矢状面骨盆倾斜角不对称比(PTAR)来衡量干预前(M0)和干预后(M1)的成功。对所有实验数据进行统计分析。
根据NPRS和RMDQ的测定,CSE+MWM组和CSE组的SIJ相关疼痛指标在M0和M1之间均显著降低。在M0和M1之间,CSE组的左轴旋转ROM和腰椎屈曲ROM明显减少。CSEMWM组的伸展ROM和左侧屈ROM在M0和M1之间均显着增加。在差异变量(M1-M0)中,CSEMWM组在左侧屈ROM中的表现明显优于对照组,在左轴旋转ROM中的表现明显优于CSE组。
在患有SIJD的个人中,CSE+MWM有利于减轻疼痛,残疾,和功能。用CSE和MWM方法治疗SIJ似乎可以提高这种疗效。
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