Seeing It Helps: Movement-related Back Pain Is Reduced by Visualization of the Back During Movement

Seeing It Helps: Movement-related Back Pain Is Reduced by Visualization of the Back During Movement
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看到它有帮助:通过在运动过程中可视化背部来减轻与运动相关的背痛

DOI:
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发表时间:
2012
期刊:
The Clinical Journal of Pain
影响因子:
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通讯作者:
G. L. Moseley
G. L. Moseley
中科院分区:
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文献类型:
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作者:
B. Wand;Verity Margaret Tulloch;P. George;Anne J. Smith;R. Goucke;Neil E. O’Connell;G. L. Moseley

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目的:本研究的目的是确定背部可视化是否影响慢性非特异性腰痛患者运动相关疼痛的参数。方法:我们采用随机交叉实验,其中25名参与者在2种条件下进行重复腰椎运动。在视觉反馈条件下,患者能够通过使用镜子看到他们的背部移动。在控制条件下,镜子被覆盖,因此不可能看到背部。结果如下:参与者在有视觉反馈的情况下移动后的平均运动后疼痛强度(35.5±22.8 mm)小于他们在没有视觉反馈的情况下移动时的疼痛强度(44.7±26.0 mm)。该差异具有统计学显著性(平均差异=9.3,95%置信区间:2.8-15.7 F(1,22)=8.82,P=0.007)。参与者在有视觉反馈的情况下移动后的平均缓解时间(44.5 s±53.8)比他们在没有视觉反馈的情况下移动时(94.4 s±80.7)短。该差异也具有统计学显著性(平均差异=49.9,95%置信区间:19.3-80.6,F(1,22)=8.82,P=0.003)。讨论内容:患有慢性非特异性下背痛的患者报告说,当他们在一个使他们能够可视化背部的环境中移动时,疼痛的增加较少,疼痛的缓解更快。这与在其他长期存在的疼痛问题中使用镜像视觉反馈的新兴研究一致,并表明在慢性非特异性腰痛人群中值得进行类似的调查。
Objectives: The aim of this study was to determine whether visualization of the back influenced parameters of movement-related pain in people with chronic nonspecific low back pain. Methods: We used a randomized cross-over experiment in which 25 participants performed repeated lumbar spine movements under 2 conditions. In the visual feedback condition, patients were able to visualize their back as it moved by the use of mirrors. In the control condition, the mirror was covered so no visualization of the back was possible. Results: The average postmovement pain intensity after participants had moved with visual feedback was less (35.5±22.8 mm) than when they moved without visual feedback (44.7±26.0 mm). This difference was statistically significant (mean difference=9.3, 95% confidence interval: 2.8-15.7 F(1,22)=8.82, P=0.007). The average time to ease after participants had moved with visual feedback was shorter (44.5 s±53.8) than when they moved without visual feedback (94.4 s±80.7). This difference was also statistically significantly (mean difference=49.9, 95% confidence interval: 19.3-80.6, F(1,22)=8.82, P=0.003). Discussion: Patients with chronic nonspecific low back pain reported less increase in pain and faster resolution of pain when moving in an environment that enabled them to visualize their back. This is consistent with emerging research on the use of mirror visual feedback in other long-standing pain problems and suggests that similar lines of inquiry may be worth pursuing in the chronic nonspecific low back pain population.
DOI: 10.1016/j.apmr.2010.06.004
发表时间: 2010-09
影响因子: 4.3
作者:
Lee AS;Cholewicki J;Reeves NP;Zazulak BT;Mysliwiec LW
通讯作者: Mysliwiec LW