PDF(Pubmed)
Abstract：
Low back pain (LBP) is a common complaint among individuals engaged in physically demanding occupations, such as construction workers, luggage lifters, manual laborers, and drivers. One of the main problems facing modern healthcare is treating these people. The identification of distinct patient subgroups with non-specific LBP and the development of specialized, more effective therapies are of crucial significance to enhancing evaluation and treatment regimens. This case report describes the evaluation and management of non-specific LBP in a male construction worker who complained of severe low back discomfort. Enhancing the muscular endurance, strength, and flexibility of the back muscles and soft tissues is the main goal of exercise therapy, which is the key to the management of nonspecific LBP. This patient receives a four-week treatment regimen that includes movement control exercises and several advanced therapeutic modalities. The direction of movement control ensures the way patients sit when their back muscles contract. Back muscle activation rates are greater in the active extension group and lower in the flexion group. A comprehensive rehabilitation program that was effective for our patient, who was experiencing lower back discomfort. We assessed the efficacy of our outcome measures using a variety of outcomes, including the modified Oswestry disability index, visual analog scale, range of motion, Quebec back pain disability scale, and pressure biofeedback unit for muscle strength. In addition to a standard physiotherapy course, providing modern physiotherapeutic treatments was found to be more beneficial for enhancing the patient\'s overall health and quality of life.
摘要：
腰背痛（LBP）是从事体力要求高的职业的个人中常见的抱怨，比如建筑工人，行李升降器，体力劳动者，和司机。现代医疗保健面临的主要问题之一是治疗这些人。识别具有非特异性LBP的不同患者亚组，更有效的治疗对加强评估和治疗方案具有重要意义.此病例报告描述了一名男性建筑工人的非特异性LBP的评估和管理，该工人抱怨严重的下背部不适。增强肌肉耐力，力量,背部肌肉和软组织的柔韧性是运动疗法的主要目标，这是非特异性LBP管理的关键。该患者接受为期四周的治疗方案，包括运动控制练习和几种先进的治疗方式。运动控制的方向确保了患者背部肌肉收缩时的坐姿。主动伸展组的背部肌肉激活率更高，屈曲组的背部肌肉激活率更低。对我们的病人有效的全面康复计划，正在经历下背部不适的人。我们使用各种结果来评估我们的结果指标的有效性，包括修改后的Oswestry残疾指数，视觉模拟量表,运动范围,魁北克背痛残疾量表，和压力生物反馈单元的肌肉力量。除了标准的物理治疗课程，提供现代理疗治疗被发现更有利于提高患者的整体健康和生活质量。
