比较家庭视频支持的McKenzie与普拉提运动项目对慢性非特异性腰痛患者的效果：一项随机对照试验

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES Pub Date : 2025-09-29 DOI:10.1016/j.jbmt.2025.09.044

Lamprini Zygouna , Dimitrios Lytras , Konstantinos Kasimis , Ioanna P. Chatziprodromidou , Thomas Apostolou , Paris Iakovidis

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引用次数: 0

摘要

背景：慢性非特异性腰痛（NSLBP）是一种具有重要社会经济意义的普遍疾病。其中麦肯齐和普拉提运动方法被广泛应用于物理治疗干预；然而，评估其有效性的比较研究，特别是以家庭为基础的视频支持格式，仍然有限。目的：本随机对照试验比较视频支持的McKenzie和Pilates运动对成人慢性NSLBP患者疼痛、残疾、压痛阈值和腰椎活动能力的短期影响。方法32例慢性非slbp患者随机分为McKenzie运动组（n = 16）和Pilates运动组（n = 16）。这两种干预都是在家里通过教学视频进行的，为期三周。结果测量在干预前和干预后进行评估，包括疼痛强度的视觉模拟量表（VAS），功能残疾的Roland-Morris残疾问卷（RMDQ），压力疼痛阈值（PPT）测量，以及腰椎柔韧性评估指尖到地板（FTF）测试。麦肯齐组每天锻炼（每周7次），而普拉提组每周锻炼3次。结果运动强度（VAS）在McKenzie组下降28.0 mm，在Pilates组下降25.6 mm，其中62.5%和56.3%的参与者超过了MCID 20 mm。残疾（RMDQ）分别提高了3.4分和2.8分，但两组都没有超过3.5分的MCID。压痛阈值双侧增加（右侧：+13.2 vs +11.7 N/cm2；左侧：+9.9 vs +6.6 N/cm2），在大多数情况下超过MDC （6-9 N/cm2）。腰椎柔韧性（FTF）分别提高5.3 cm和6.8 cm，分别比MDC提高56.3%和75.0%。两组间无显著差异或不良事件发生。结论两种干预措施均可改善慢性非slbp患者3周后的预后。有必要进行规模更大、随访时间更长的试验，以确认这些结果并指导实施。

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Comparison of the effectiveness of home-based video-supported McKenzie versus Pilates exercise programs in patients with chronic non-specific low back pain: a randomized controlled trial

Background

Chronic non-specific low back pain (NSLBP) is a prevalent condition with significant socio-economic implications. The McKenzie and Pilates exercise methods are widely used physiotherapy interventions; however, comparative studies evaluating their effectiveness, particularly in home-based, video-supported formats, remain limited.

Objectives

This randomized controlled trial compared the short-term effects of video-supported McKenzie and Pilates exercises on pain, disability, pressure pain threshold, and lumbar mobility in adults with chronic NSLBP.

Methods

Thirty-two participants with chronic NSLBP were randomly assigned to either a McKenzie (n = 16) or a Pilates (n = 16) exercise group. Both interventions were performed at home using instructional videos for three weeks. Outcome measures were assessed pre- and post-intervention and included the Visual Analog Scale (VAS) for pain intensity, the Roland-Morris Disability Questionnaire (RMDQ) for functional disability, pressure pain threshold (PPT) measured with algometry, and lumbar flexibility assessed with the Fingertip-to-Floor (FTF) test. The McKenzie group performed daily sessions (7 times/week), while the Pilates group exercised three times per week.

Results

Pain intensity (VAS) decreased by 28.0 mm in the McKenzie group and 25.6 mm in the Pilates group, with 62.5 % and 56.3 % of participants exceeding the MCID of 20 mm. Disability (RMDQ) improved by 3.4 and 2.8 points, respectively, but neither group surpassed the 3.5-point MCID. Pressure pain threshold increased bilaterally (right: +13.2 vs. +11.7 N/cm²; left: +9.9 vs. +6.6 N/cm²), exceeding the MDC (6–9 N/cm²) in most cases. Lumbar flexibility (FTF) improved by 5.3 cm and 6.8 cm, respectively, with 56.3 % and 75.0 % exceeding the MDC. No significant between-group differences or adverse events were observed.

Conclusion

Both interventions improved outcomes over 3 weeks in individuals with chronic NSLBP. Larger trials with longer follow-up are warranted to confirm these results and guide implementation.

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来源期刊

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES REHABILITATION-

CiteScore

2.80

自引率

0.00%

发文量

133

审稿时长

321 days

期刊介绍： The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina