关键词: Core Stability Exercise Therapy Isometric Isotonic Nonspecific Chronic Low Back

来  源:   DOI:10.5812/aapm-144046   PDF(Pubmed)

Abstract:
UNASSIGNED: Non-specific chronic low back pain (NSCLBP) is a prevalent condition that affects 90% of individuals experiencing low back pain. Core stabilization exercises (CSE) stand out as the most commonly employed therapeutic approach for managing NSCLBP. Nevertheless, there remains uncertainty regarding the superior effectiveness between isometric (ISOM) and isotonic (ISOT) types of CSE in the treatment of NSCLBP.
UNASSIGNED: The primary objective of this study was to compare the efficacy of ISOM and ISOT exercises concerning pain and disability in patients with NSCLBP. Additionally, the study aimed to assess the effectiveness of both ISOM and ISOT in comparison to no intervention concerning these variables in these patients.
UNASSIGNED: This study was a randomized controlled trial that involved 41 men and women experiencing NSCLBP. Participants were randomly allocated to three groups: ISOM CSE (n = 13), ISOT CSE (n = 14), and a waitlist control (n = 14). The exercise training was administered for 40 - 60 minutes three times a week over a period of up to 8 weeks. Pain (assessed using the Visual Analog Scale or VAS) and disability (evaluated through the Oswestry Disability Index or ODI) variables were measured before and after the interventions.
UNASSIGNED: Based on the results, there was no significant difference between the 2 exercise groups (ISOM and ISOT) regarding pain and disability. However, the ISOM group demonstrated numerically better results than the ISOT group. Both the ISOM and ISOT groups exhibited a significant decrease in pain levels, with the VAS score decreasing from 5.5 to 2.7 for ISOM and from 5.8 to 3.7 for ISOT, as compared to the control group (P < 0.001 and P = 0.001, respectively). Additionally, the average disability showed a significant improvement in both the ISOM (ODI score from 17 to 11) and ISOT (ODI score from 15.4 to 11) groups compared to the control group (P < 0.001).
UNASSIGNED: Both ISOM and ISOT methods are effective in alleviating pain and disability in patients with NSCLBP. However, there is no significant difference in the benefits between them. Numerically, ISOM exercises were found to be superior. Further studies are needed to obtain a more accurate answer regarding their superiority.
摘要:
非特异性慢性下腰痛(NSCLBP)是一种普遍的疾病,影响90%的经历下腰痛的个体。核心稳定练习(CSE)是管理NSCLBP最常用的治疗方法。然而,等长型(ISOM)和等渗(ISOT)型CSE在NSCLBP治疗中的优异有效性仍存在不确定性.
本研究的主要目的是比较ISOM和ISOT锻炼对NSCLBP患者疼痛和残疾的疗效。此外,本研究旨在评估ISOM和ISOT在这些患者中的有效性,并与未对这些变量进行干预相比.
这项研究是一项随机对照试验,涉及41名男性和女性患有NSCLBP。参与者被随机分为三组:ISOMCSE(n=13),ISOTCSE(n=14),和waitlist控件(n=14)。运动训练在长达8周的时间内每周三次进行40-60分钟。在干预前后测量疼痛(使用视觉模拟量表或VAS评估)和残疾(通过Oswestry残疾指数或ODI评估)变量。
根据结果,两个运动组(ISOM和ISOT)在疼痛和残疾方面没有显着差异。然而,ISOM组的数值结果优于ISOT组。ISOM和ISOT组的疼痛水平均显著下降,随着ISOM的VAS评分从5.5降至2.7,ISOT的VAS评分从5.8降至3.7,与对照组相比(分别为P<0.001和P=0.001)。此外,与对照组相比,ISOM组(ODI评分为17~11分)和ISOT组(ODI评分为15.4~11分)的平均残疾均有显著改善(P<0.001).
ISOM和ISOT方法均可有效缓解NSCLBP患者的疼痛和残疾。然而,它们之间的好处没有显着差异。数字上,ISOM练习被发现是优越的。需要进一步的研究才能获得关于其优越性的更准确的答案。
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