关键词: Neuromuscular training non-specific chronic low back pain postural control stabilization exercise vibratory stimulation.

来  源:   DOI:10.5606/tftrd.2023.10726   PDF(Pubmed)

Abstract:
UNASSIGNED: This study aimed to compare the effect of flexi-bar and stabilization exercises on static and dynamic postural control in patients with chronic nonspecific low back pain.
UNASSIGNED: In this randomized controlled study conducted between November 2019 and March 2020, 38 patients (19 males, 19 females; mean age: 33.8±6.2 years; range, 20 to 45 years) were randomly assigned into flexi-bar (n=19) and stabilization (n=19) groups. Both groups received general physiotherapy for three sessions per week, a total of 10 sessions. Besides, the flexi-bar group received flexi-bar exercises, and the stabilization group received stabilization exercises. Postural sway was assessed with a force platform in three difficult conditions, including open eye, close eye, and one-leg standing and dynamic posture with the modified Star Excursion Balance Test.
UNASSIGNED: After the intervention, both groups showed a significant improvement in static and dynamic postural control (p<0.05). However, no significant differences were found between groups after treatment, while only the phase-plane portrait of opened eyes condition was significantly improved (p=0.03), in the flexi-bar group compared to the stabilization group.
UNASSIGNED: Both flexi-bar and stabilization exercises effectively improved static and dynamic postural control, but none of the exercises was superior to the other. Flexi-bar is recommended as an effective tool in low back pain rehabilitation.
摘要:
本研究旨在比较屈肌和稳定运动对慢性非特异性下腰痛患者静态和动态姿势控制的影响。
在2019年11月至2020年3月之间进行的这项随机对照研究中,38名患者(19名男性,19名女性;平均年龄:33.8±6.2岁;范围,20至45岁)被随机分配到flexi-bar(n=19)和稳定(n=19)组。两组均接受一般物理治疗,每周三次,共10次会议。此外,弹性杆小组接受了弹性杆练习,稳定小组接受了稳定演习。在三个困难条件下,使用力平台评估了姿势摇摆,包括睁开眼睛,闭上眼睛,以及一条腿站立和动态姿势,带有改良的StarExcursion平衡测试。
干预后,两组在静态和动态姿势控制方面均有显著改善(p<0.05).然而,治疗后组间无显著性差异,而仅睁眼状态的相平面肖像显着改善(p=0.03),与稳定组相比,屈曲杆组。
弹性杆和稳定练习均有效改善了静态和动态姿势控制,但是没有一个练习比其他练习更好。Flexi-bar被推荐为下腰痛康复的有效工具。
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