家庭锻炼计划对腰痛的有效性:一项随机的五年随访研究。

Tiina Kuukkanen, Esko Mälkiä, Hannu Kautiainen, Timo Pohjolainen
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引用次数: 59

摘要

背景和目的:治疗性运动已被证明有助于减轻慢性腰痛患者的疼痛和增强功能。然而,纵向随访研究的数量很少,而且往往由于退出而限制了受试者的数量。此外,在大多数情况下,缺乏真正的对照组。本研究的目的是描述两个研究小组在进行家庭锻炼计划五年后腰痛强度和功能的长期变化。方法:随机随访5年。57名受试者在他们最初被招募参与干预研究5年后重新接受问卷评估。本研究方案包括一个每天训练一次的家庭运动组(n = 29)和一个不运动的对照组(n = 28)。主要结果测量包括腰痛强度问卷(Borg CR-10量表)和功能问卷(Oswestry残疾指数;ODI)。混淆体力活动控制代谢单位(MET)值。结果:两组患者CR-10和ODI评分在前三个月内均下降。在随访期间,家庭运动组的相应指标仍低于基线值。在最后五年的随访期间,家庭运动组的CR-10得分明显低于对照组(p = 0.01)。在五年的随访期间,总体体力活动略有减少,但两个研究组之间没有差异。结论:目前的随机研究表明,有监督、有控制的家庭锻炼可以减少腰痛,并且这种积极效果可以保持五年以上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of a home exercise programme in low back pain: a randomized five-year follow-up study.

Background and purpose: Therapeutic exercise has been shown to be beneficial in decreasing pain and in increasing functioning in patients with chronic low back pain. However, longitudinal follow-up studies are small in number, and often limited in the numbers of subjects due to drop-outs. In addition there is a shortage of real control groups in most cases. The purpose of the present study was to describe long-term changes in intensity of low back pain and in functioning for two study groups five years after undertaking a home exercise programme.

Method: This was a randomized follow-up study over five years. Fifty-seven subjects were reassessed with questionnaires five years after their initial recruitment for an intervention study. A home exercise group (n = 29), with training once a day, and a control group (n = 28), without exercise, were included in the present study protocol. The primary outcome measurements included a questionnaire on the intensity of low back pain (Borg CR-10 scale) and on functioning (Oswestry Disability Index; ODI). The confounding physical activity was controlled with metabolic unit (MET) values.

Results: The CR-10 and ODI scores decreased during the first three months in both study groups. During the follow-ups, the corresponding indicators of the home exercise group remained below baseline values. The CR-10 score was significantly lower in the home exercise group (p = 0.01) during the last five-year follow-up session compared with the control group. Overall physical activity decreased slightly during the five-year follow-up, but there were no differences between the two study groups.

Conclusions: The present randomized study indicates that supervised, controlled home exercises lead to reduced low back pain, and that positive effects were preserved over five years.

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