Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial
Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial
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DOI：
10.1123/jsr.2018-0252
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发表时间：
2020-02-01
影响因子：
1.7
通讯作者：
Yoon, BumChul
中科院分区：
文献类型：
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作者：
Kim, TaeYeong;Lee, JaeHyuk;Yoon, BumChul
背景：模拟骑马(SHR)运动对改善疼痛和功能残疾是有效的，但其与其他运动的比较有效性尚不清楚。目的：研究SHR运动对慢性下腰痛患者的治疗效果。设计：随机对照试验设置：社区和大学校园。对象：将48例慢性下腰痛患者随机分为2组，分别进行自发性高血压运动(SHR，n=24)和稳定运动(STB，n=24)。干预：每周2次，每次30min，共8周。主要观察指标：在基线、4周、8周和6个月时测量数字评定量表、功能残疾(奥斯威斯蒂残疾指数和罗兰-莫里斯残疾)和恐惧回避信念问卷(FABQ)得分。结果：双因素方差分析显示，组间比较与工作量表相关的FABQ差异有统计学意义(F=21.422；P=0.01)。在数字评定量表(F=1.696；P=.21)、奥斯维斯特残疾指数(F=1.848；P=.20)、罗兰莫斯残疾(F=0.069；P=.80)和与体格有关的常见问题问卷(F=1.579；P=.24)方面，两组间差异无统计学意义。在组内比较中，两组在数字评分(4wk后SHR和STB)、OSwestry残疾指数(6mo后SHR和STB)和Roland-Morris残疾(6mo后SHR和8wk后STB)方面与基线值相比均有显著差异。在FABQ相关体格(4wk后的SHR)和工作量表(6mo后的SHR)中，只有SHR与基线值有显著差异。结论：SHR锻炼8周比STB锻炼对减少工作相关FABQ的效果更好。在坐姿下进行SHR锻炼可以显著减少患有慢性下腰痛的年轻人与疼痛相关的恐惧残疾。
Context: A simulated horseback riding (SHR) exercise is effective for improvement of pain and functional disability, but its comparative effectiveness with the other is unknown. Objective: The authors aimed to demonstrate the effect of a SHR exercise in people with chronic low back pain. Design: A randomized controlled triaL Settings: Community and university campus. Participants: A total of 48 participants with chronic low back pain were divided into 2 groups, and SHR exercises (n = 24) or stabilization (STB) exercises (n = 24) were performed. Interventions: The exercises were performed for 30 minutes, 2 days per week for 8 weeks. Main Outcome Measures: Numeric rating scale, functional disabilities (Oswestry disability index and Roland-Morris disability), and fear-avoidance beliefs questionnaire (FABQ) scores were measured at baseline and at 4 weeks, 8 weeks, and 6 months. Results: A 2-way repeated analysis of variance identified that between-group comparisons showed significant differences in the FABQ related to work scale (F= 21.422; P= .01). There were no significant differences in the numeric rating scale (F= 1.696; P = .21), Oswestry disability index (F= 1.848; P = .20), Roland-Moths disability (F= 0.069; P = .80), and FABQ related to physical scale (F = 1.579; P = .24). In within-group comparisons, both groups presented significant differences in numeric rating scale (both SHR and STB after 4 wk), Oswestry disability index (both SHR and STB after 6 mo), and Roland- Morris disability (SHR after 6 mo and STB after 8 wk) compared with baseline values. In FABQ-related physical (SHR after 4 wk) and work scales (SHR after 6 mo), there were only significant differences in the SHR compared with baseline values. Conclusions: SHR exercise for 8 weeks had a greater effect than STB exercise for reducing work-related FABQ. The SHR exercise performed in a seated position could substantially decrease pain-related fear disability in young adults with chronic low back pain.