Six Weeks Effects of Dynamic Neuromuscular Stabilization (DNS) Training in Obese Postpartum Women With Low Back Pain: A Randomized Controlled Trial.

IF 1.9 4区医学 Q2 NURSING

Biological research for nursing Pub Date : 2022-01-01 Epub Date: 2021-09-23 DOI:10.1177/10998004211044828

Vajihe Ghavipanje, Nasser Mohammad Rahimi, Farideh Akhlaghi

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引用次数: 9

Abstract

Background: The worldwide prevalence of obesity and low back pain (LBP) has recently dramatically increased and is mainly indicated among postpartum women, leading to a range of adverse health consequences.

Objective: This study aimed to investigate the effects of 6 weeks of Dynamic Neuromuscular Stabilization training (DNS) in obese postpartum women with LBP.

Method: This was a pretest-posttest study design. The study was conducted with 40 obese postpartum women with LBP randomized to receive DNS (n = 20) or General Exercise (GE, n = 20) 6 times a week for 6 weeks. The data were gathered before and after the 6-week intervention.

Results: Forty participants completed the study (mean ± SD, age 29.30 ± 3.77 years; weight 88.10 ± 6.09 kg; height 165.40 ± 6.31 cm; and BMI, 32.19 ± 1.07 kg/m²). The overall group-by-time interaction was significant for Numeric Pain-Rating Scale, Modified Oswestry Disability Questionnaire, Fear-Avoidance Beliefs Questionnaire, Inspiration and Expiration Breath Hold Time, and Respiratory Rate outcomes. The global rating of change was significantly different between groups (p < .05). The rate of improvement was higher in the DNS group compared to the GE group in all 6 tests.

Conclusion: The present study confirms that DNS is applicable in obese postpartum women with LBP and effectively improved NPRS, MODQ, FABQ, BHT, and RR. It is clinically suggested that DNS is imperative based on ideal ontogenetic patterns to attain optimal results for obese postpartum women with LBP.

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动态神经肌肉稳定(DNS)训练对肥胖产后腰痛妇女六周的效果:一项随机对照试验。

背景:肥胖和腰痛(LBP)的全球患病率最近急剧增加，主要表现在产后妇女中，导致一系列不良健康后果。目的:本研究旨在探讨6周动态神经肌肉稳定训练(DNS)对肥胖产后腰痛妇女的影响。方法:采用前测后测研究设计。研究对象为40名患有腰痛的肥胖产后妇女，随机分为两组，分别接受DNS (n = 20)或一般运动(GE, n = 20)，每周6次，持续6周。数据收集于6周干预前后。结果:40名参与者完成了研究(平均±SD，年龄29.30±3.77岁;重量88.10±6.09 kg;高度165.40±6.31 cm;BMI为32.19±1.07 kg/m2)。在数字疼痛评定量表、改良Oswestry残疾问卷、恐惧回避信念问卷、吸气和呼气屏气时间和呼吸频率结果上，整体分组时间交互作用显著。整体变化评分组间差异有统计学意义(p < 0.05)。在所有6项测试中，DNS组的改善率高于GE组。结论:本研究证实DNS适用于肥胖产后腰痛妇女，可有效改善NPRS、MODQ、FABQ、BHT和RR。临床提示，基于理想的个体发生模式，对患有腰痛的产后肥胖妇女进行DNS治疗是必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Biological research for nursing 医学-护理

CiteScore

5.10

自引率

4.00%

发文量

审稿时长

>12 weeks

期刊介绍： Biological Research For Nursing (BRN) is a peer-reviewed quarterly journal that helps nurse researchers, educators, and practitioners integrate information from many basic disciplines; biology, physiology, chemistry, health policy, business, engineering, education, communication and the social sciences into nursing research, theory and clinical practice. This journal is a member of the Committee on Publication Ethics (COPE)