穆里根概念在肥胖慢性机械性腰痛患者中的应用效果:随机对照试验

Life Pub Date : 2024-06-13 DOI:10.3390/life14060754
Muhammed Safa Cankaya, Omer Osman Pala
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引用次数: 0

摘要

背景:机械性腰背痛(MLBP)的治疗方法多种多样,但疗效证据却大相径庭。目标这项随机对照试验旨在评估穆里根概念应用的效果,包括肥胖腰背痛患者的持续自然顶骨滑行(SNAGS)和自然顶骨滑行(NAGS)。研究方法:研究于 2021 年 1 月至 2022 年 6 月在一家三级医院进行,将患者随机分为两组。两组患者均接受六次拉伸和强化训练,每隔一天一次。穆里根组则接受了SNAG和NAGS技术的额外干预。对患者的视觉模拟量表(VAS)评分、Oswestry 失能指数(ODI)评分和 MLBP 水平的活动范围(ROM)进行了测量。结果干预后,与干预前相比,两组患者的屈曲 ROM、伸展 ROM、左右旋转 ROM、左右侧身屈曲 ROM、VAS 评分和 ODI 评分均有积极变化(两组和变量的 p 均小于 0.001)。穆里根组的ROM增加幅度更大,VAS评分和ODI评分的下降幅度更显著。结论:事实证明,穆里根活动技术对提高肥胖 MLBP 患者各个方向的活动度、降低疼痛水平和减轻残疾程度大有裨益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes of Mulligan Concept Applications in Obese Individuals with Chronic Mechanical Low Back Pain: A Randomized Controlled Trial
Background: Various treatment modalities have been employed for mechanical low back pain (MLBP), but evidence of their efficacy varies greatly. Objectıve: This randomized controlled trial aimed to assess the outcomes of Mulligan concept applications, including sustained natural apophyseal glides (SNAGS) and natural apophyseal glides (NAGS), in obese patients with MLBP. Methods: The study, conducted between January 2021 and June 2022 at a tertiary hospital, involved randomizing patients into two groups. Both groups underwent six sessions of stretching and strengthening exercises every other day. The Mulligan group received additional intervention with SNAG and NAGS techniques. Measurements were made regarding the Visual Analog Scale (VAS) score, Oswestry Disability Index (ODI) score and range of motion (ROM) for the patients’ MLBP level. Results: Post-interventions, both groups exhibited positive changes in flexion ROM, extension ROM, right and left rotation ROM, right and left lateral flexion ROM, VAS score, and ODI score compared to pre-intervention (p < 0.001 for both groups and variables). The Mulligan group showed a higher increase in ROM and a more significant decrease in VAS and ODI scores. Conclusıons: Mulligan mobilization techniques prove significantly beneficial for enhancing ROM in all directions, reducing pain levels, and alleviating disability in obese individuals with MLBP.
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