Tai Chi Exercise for Treatment of Pain and Disability in People With Persistent Low Back Pain: A Randomized Controlled Trial
Tai Chi Exercise for Treatment of Pain and Disability in People With Persistent Low Back Pain: A Randomized Controlled Trial
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DOI：
10.1002/acr.20594
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发表时间：
2011-11-01
影响因子：
4.7
通讯作者：
Latimer, Jane
中科院分区：
文献类型：
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作者：
Hall, Amanda M.;Maher, Chris G.;Latimer, Jane
Objective.确定太极拳运动对持续性腰痛的影响。我们在澳大利亚新南威尔士州悉尼的一般社区环境中进行了一项随机对照试验。参与者包括160名年龄在18岁至70岁之间的持续性非特异性腰痛志愿者。太极组（n = 80）包括18个40分钟的会议，在10周的时间内提供了一个合格的教练组的格式。等待名单对照组继续他们通常的医疗保健。背部症状的困扰是主要结局。次要结局包括疼痛强度和疼痛相关残疾。在干预前和干预后收集数据并按意向治疗进行分析。太极拳运动在0-10量表上减少了1.7分的背部症状，在0 - 10量表上减少了1.3分的疼痛强度，在0-24 Roland-Morris残疾问卷量表上改善了2.6分的自我报告残疾。所有结局的随访率>90%。这些结果被研究者和参与者认为是一个值得的治疗效果。这是第一个实用的随机对照试验太极拳运动的人腰痛。研究表明，为期10周的太极拳计划改善了疼痛和残疾的结果，可以被认为是对那些经历长期腰痛症状的人的安全有效的干预。
Objective. To determine the effect of tai chi exercise on persistent low back pain.Methods. We performed a randomized controlled trial in a general community setting in Sydney, New South Wales, Australia. Participants consisted of 160 volunteers between ages 18 and 70 years with persistent nonspecific low back pain. The tai chi group (n = 80) consisted of 18 40-minute sessions over a 10-week period delivered in a group format by a qualified instructor. The waitlist control group continued with their usual health care. Bothersomeness of back symptoms was the primary outcome. Secondary outcomes included pain intensity and pain-related disability. Data were collected at pre- and postintervention and analyzed by intent-to-treat.Results. Tai chi exercise reduced bothersomeness of back symptoms by 1.7 points on a 0-10 scale, reduced pain intensity by 1.3 points on a 0-10 scale, and improved self-report disability by 2.6 points on the 0-24 Roland-Morris Disability Questionnaire scale. The followup rate was >90% for all outcomes. These results were considered a worthwhile treatment effect by researchers and participants.Conclusion. This is the first pragmatic randomized controlled trial of tai chi exercise for people with low back pain. It showed that a 10-week tai chi program improved pain and disability outcomes and can be considered a safe and effective intervention for those experiencing long-term low back pain symptoms.