Effects of core stability training on older women with low back pain: a randomized controlled trial.

Effects of core stability training on older women with low back pain: a randomized controlled trial.
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DOI:
10.1186/s11556-022-00289-x
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发表时间:
2022-04-15
期刊:
European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity
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研究表明,与健康的老年人相比,患有下腰痛(LBP)的老年人的姿势控制能力可能较差。不好的姿势控制与不好的平衡表现和严重摔倒的高风险有关。针对LBP治疗提出了多种训练策略,尤其是核心稳定训练。但这种对患有LBP的老年人的治疗方法仍不清楚。将31名受试者随机分为核心稳定性训练组(TG,n = 15)和对照组(CG,n = 16)。训练组每周进行4次核心稳定性训练,常规理疗4次,共4 周;对照组每周4次理疗,共4 周。干预前后分别进行超声检查,测量腹横肌厚度。在干预前后应用10厘米视觉模拟评分(VAS)、OSwestry残疾指数(ODI)和活动功能。数据被报告为中位数和极差,并使用双向重复测量ANOVA、t检验和卡方检验进行比较。在所有的统计检验中,P < 0.05被认为是显著的。干预后干预组VAS、ODI、计时起跑、10m步行、四方台阶测试得分差异有统计学意义。在核心稳定性训练后,TRA厚度增加,而对照组未见。核心稳定性训练是老年女性下腰痛的有效干预措施。网上版载有补充材料,可在10.1186/s11556-022-00289-x查阅。
Studies have demonstrated that elderly people with low back pain (LBP) may have poor postural control compared to healthy older adults. Poor postural control is associated with poor balance performance and a high risk of serious falls. A variety of training strategies are proposed for LBP therapy, particularly core stabilization training. But this treatment for older people with LBP remains unclear. 31 participants were randomly placed in a core stability training group (TG, n = 15) and a control group (CG, n = 16). The participants in the training group were required to complete 4 sets of core stability training and conventional physiotherapy 4 times per week for 4 weeks, whereas the participants in the control group only completed physiotherapy 4 times per week for 4 weeks. Ultrasound imaging was used to measure transverse abdominal muscle (TrA) thickness before and after the intervention. A 10-cm visual analog scale (VAS), the Oswestry Disability Index (ODI), and mobility functions were applied before and after the intervention. Data are reported as the median and range and were compared using two-way repeated-measures ANOVA,t-tests and chi-squared tests. P < 0.05 was considered significant in all statistical tests. After intervention, there was a statistically significant difference in scores in the intervention group, especially for VAS, ODI, timed up-and-go,10-m walking and the four-square step test. TrA thickness was increased after core stability training, which was not observed in the control group. Core stability training is an effective intervention for older women with LBP. The online version contains supplementary material available at 10.1186/s11556-022-00289-x.
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