A randomized clinical trial comparing the McKenzie method and motor control exercises in people with chronic low back pain and a directional preference: 1-year follow-up
A randomized clinical trial comparing the McKenzie method and motor control exercises in people with chronic low back pain and a directional preference: 1-year follow-up
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DOI：
10.1016/j.physio.2018.12.004
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发表时间：
2019-12-01
期刊：
影响因子：
3.3
通讯作者：
Ferreira, Paulo H.
中科院分区：
文献类型：
--
作者：
Halliday, Mark H.;Pappas, Evangelos;Ferreira, Paulo H.
目的本研究的主要目的是比较长期（1年随访）McKenzie方法和运动控制练习对慢性腰痛（LBP）和定向偏好患者躯干肌肉厚度的影响。设计随机对照试验。设置悉尼的二级公共卫生机构，参与者70名患有3岁以上干预参与者被随机接受12种治疗方法，包括McKenzie方法或运动控制练习，8周后，通过超声图像测量腹横肌、内肌和外肌的肌肉厚度。次要结局包括功能、感知恢复和疼痛。由盲法评估者在基线、干预后8周和1年随访时收集结局。目前的文件侧重于1年follow-up.Results五十八名参与者完成了数据收集的主要结果在1年。三种研究肌肉的躯干肌厚度变化在组间无显著差异：腹横肌[3%，95%置信区间（CI）：5%，11%]、内肌[-4%，95% CI：9%，2%]和外肌[3%，95% CI：4%，11%]。同样，也没有显着差异组之间的次要结果的功能，知觉恢复和pain.Conclusion躯干肌肉厚度，功能，知觉恢复和疼痛之间的患者接受McKenzie方法或运动控制练习在1年的随访人群中的慢性LBP和定向偏好。(C)2019物理治疗特许协会。由爱思唯尔有限公司出版。保留所有权利。
Objective The primary objective of this study was to compare the long-term (1-year follow-up) effects of the McKenzie method and motor control exercises on trunk muscle thickness in people with chronic low back pain (LBP) and a directional preference.Design Randomized controlled trial.Setting A secondary public health facility in Sydney, Australia.Participants Seventy adults with greater than 3-month history of LBP and a directional preference.Interventions Participants were randomized to receive 12 treatments of either the McKenzie method or motor control exercises over 8-weeks.Outcome measures Muscle thickness of the transversus abdominis, obliquus internus, and obliquus externus measured from ultrasound images. Secondary outcomes included function, perceived recovery, and pain. Outcomes were collected at baseline, post intervention at 8-weeks, and at 1-year follow-up by blinded assessors. The current paper focuses on the 1-year follow-up.Results Fifty-eight participants completed data collection for the primary outcome at 1-year. There were no significant between group differences for changes in trunk muscle thickness for any of the three investigated muscles: transversus abdominis [3%, 95% confidence interval (CI): 5%, 11%], obliquus internus [-4%, 95% CI: 9%, 2%] and obliquus externus [3%, 95% CI: 4%, 11%]. Similarly, there were no significant differences between groups for the secondary outcomes of function, perceived recovery and pain.Conclusion Trunk muscle thickness, function, perceive recovery and pain are similar between patients receiving McKenzie method or motor control exercises at a 1-year follow-up in a population of people with chronic LBP and a directional preference. (C) 2019 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.