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The effects of selective Pilates versus extension-based exercises on rehabilitation of low back pain

机译:选择性普拉提与基于延伸的锻炼的影响对低腰疼痛的康复

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IntroductionChronic non-specific low back pain (LBP) may lead to functional impairment and physical disability. The aim of this study was to compare the effects of selective Pilates (SP) and extension-based (EB) exercises on pain, lumbar spine curvature, lumbar forward flexion range of motion (ROM), and physical disability in such individuals. Materials and methodsIn this randomized clinical trial, Forty-seven patients with chronic non-specific LBP (Mean of age: 39.7 years) were randomly allocated into either SP (N?=?16), EB (N?=?15), or control (N?=?16) groups. The measurements included pain intensity, physical disability, lumbar forward bending ROM, and lumbar spine curvature at the baseline, after receiving the 6-week interventions, and also following one month of cessation of the exercises The analysis of co-variance (ANCOVA) and Post-hoc Bonferroni tests were administered to compare the three groups after the interventions and one month later (P? ?0.05). Furthermore; in follow-up, the patients in SP group significantly achieved a higher level of pain intensity improvement and lumbar flexion ROM than the EB exercises (P?
机译:引导性非特异性低腰痛(LBP)可能导致功能性损害和身体残疾。本研究的目的是比较选择性普拉提(SP)和基于延伸的(EB)锻炼对疼痛,腰椎曲率,腰椎向前屈曲范围(ROM)的影响,以及这些个体的身体残疾的影响。这些随机临床试验,四十七名慢性非特异性LBP患者(平均值:39.7岁)被随机分配给SP(n?=?16),EB(n?=?15),或控制(n?=?16)组。测量包括疼痛强度,身体残疾,腰部正向弯曲ROM和基线的腰椎曲率,在接受6周的干预后,并且在练习的一个月停止的一个月内,分析了共同差异(ANCOVA)和管理后HOC Bonferroni测试以在干预措施和一个月后进行比较三组(P?0.05)。此外;在随访中,SP组的患者显着达到了较高水平的疼痛强度改善和腰部屈曲,而不是EB练习(P?<〜0.001)。结论估计核心肌肉激活和改善SP训练中的腰蛋白节奏可能在慢性LBP患者中减少疼痛和身体残疾中起作用。需要进一步的高质量研究来调查这种机制的细节。

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