Biofeedback Physical Therapy With the Hybrid Assistive Limb (HAL) Lumbar Type for Chronic Low Back Pain: A Pilot Study.
Biofeedback Physical Therapy With the Hybrid Assistive Limb (HAL) Lumbar Type for Chronic Low Back Pain: A Pilot Study.
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DOI：
10.7759/cureus.23475
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发表时间：
2022-03
影响因子：
1.2
通讯作者：
Miura, Kousei
中科院分区：
文献类型：
--
作者：
Yasunaga, Yoshihiro;Koizumi, Ren;Toyoda, Taro;Koda, Masao;Mamizuka, Naotaka;Sankai, Yoshiyuki;Yamazaki, Masashi;Miura, Kousei
关键词：
目的慢性下腰痛的治疗方法很多，包括各种药物、运动疗法、矫形术和外科手术，但目前尚无一种有效的治疗方法。我们假设，使用混合辅助肢体(HAL)腰型的生物反馈疗法将对慢性下腰痛产生一些即时效果。这项初步研究的目的是评估在HAL生物反馈物理治疗后，下腰痛和髋关节灵活性以及任何其他不良事件是否会立即发生变化。方法这是一项单中心、先导性、前瞻性、单臂研究，使用HAL腰椎型生物反馈理疗治疗慢性下腰痛患者。患者接受了10分钟的生物反馈理疗(腰椎屈伸、坐立和下蹲)，采用HAL腰型(一次疗程)。评估腰椎前屈、后伸、侧弯和旋转时腰痛的视觉模拟评分(VAS)。测量指地距离(FFD)、直腿抬高试验(SLR)和Thomas测试以评估髋关节的柔韧性。结果所有35名参与者(14名男性和21名女性)(100%)使用HAL腰型进行了生物反馈HAL治疗。没有参与者下腰痛恶化。未发生不良事件。采用HAL腰型生物反馈治疗后，SLR有明显的正向变化，作用范围大，功率充足。腰椎屈伸时的VAS和FFD均有明显的正向变化，作用大小适中，动力充足。结论HAL腰椎型生物反馈疗法是治疗慢性下腰痛的一种选择。
Objective There are many treatments for chronic low back pain, including various medications, exercise therapy, orthotics, and surgery, but no treatment is definitive. We hypothesized that biofeedback therapy using the hybrid assistive limb (HAL) lumbar type would have some immediate effects on chronic low back pain. The purpose of this pilot study was to assess whether immediate changes in low back pain and hip flexibility and any other adverse events would occur following the HAL biofeedback physical therapy. Methods This was a single-center, pilot, prospective, single-arm study of outpatient biofeedback physical therapy using the HAL lumbar type for patients with chronic low back pain. Patients underwent a 10-minute biofeedback physical therapy (lumbar flexion-extension, sit-to-stand, and squat) with the HAL lumbar type (in one session). The visual analog scale (VAS) score of low back pain during lumbar flexion, extension, lateral bending, and rotation was evaluated. The finger-to-floor distance (FFD), straight leg raising test (SLR), and the Thomas test were measured to assess hip flexibility. Results All 35 participants (14 men and 21 women) (100%) conducted a biofeedback HAL therapy session using the HAL lumbar type. No participant had deterioration of low back pain. No adverse events occurred. After the biofeedback therapy using the HAL lumbar type, SLR demonstrated a significant positive change with large effect size and sufficient power. Lumbar VAS during lumbar flexion and extension and FFD showed a significant positive change with medium effect size and adequate power. Conclusions Biofeedback therapy using the HAL lumbar type is an option for intervention in chronic low back pain.
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影响因子：
2.6
作者：
Kawamoto H;Kamibayashi K;Nakata Y;Yamawaki K;Ariyasu R;Sankai Y;Sakane M;Eguchi K;Ochiai N
通讯作者：
Ochiai N
影响因子：
2.3
作者：
Miura K;Koda M;Tamaki K;Ishida M;Marushima A;Funayama T;Takahashi H;Noguchi H;Mataki K;Yasunaga Y;Kawamoto H;Sankai Y;Matsumura A;Yamazaki M
通讯作者：
Yamazaki M
DOI：
10.3390/medicina56120673
发表时间：
2020-12-07
期刊：
Medicina (Kaunas, Lithuania)
影响因子：
--
作者：
Mataki Y;Mutsuzaki H;Kamada H;Takeuchi R;Nakagawa S;Yoshikawa K;Takahashi K;Kuroda M;Iwasaki N;Yamazaki M
通讯作者：
Yamazaki M
影响因子：
1.9
作者：
Morishita T;Inoue T
通讯作者：
Inoue T
影响因子：
2.4
作者：
Bade, Michael;Cobo-Estevez, Manuel;Cook, Chad
通讯作者：
Cook, Chad