六週懸吊系統運動訓練對慢性下背痛患者之療效

Background and Purpose: Therapeutic exercise is commonly used to treat low back pain (LBP). Recently, the trend for the low back pain training regimen has progressed from global muscle training to segmental lumbar stabilization and neuromuscular control training. Most exercise programs for LBP are performed on stable surfaces, and not on unstable ones, such as physioball or unstable sling exercise. Few studies have investigated the use of unstable sling exercises as treatment strategy for low back pain. Therefore, we studied the effects of 6-week sling lumbar stabilization exercise training for subjects with chronic LBP.
Methods: Twelve subjects with chronic LBP voluntarily participated in this study. Our outcome measures were lumbar stability, proprioception, functional performance (walking test, timed of sit-to-stand, timed of repeated trunk fl exion, and loading reaching), and Oswestry Questionnaire before and after the training. Nonparametric Wilcoxon signed rank test was used to analyze improvements in these variables.
Results: We found significant improvements in all variables except for the walking test. Conclusion: This training program effectively improved lumbar stability, proprioception, and functional performance in subjects with chronic low back pain.
研究背景及目的：運動治療常用來訓練下背痛患者的腹背部肌肉力量，近年來的訓練方式已從大肌肉群的肌力或肌耐力訓練轉向至脊椎週邊小肌肉群的穩定性訓練及神經肌肉控制訓練，但是一般患者常在穩定性的平面上訓練，如治療床，較少利用不穩定的平面進行訓練，如抗力球或懸吊系統，因此，本研究目的是了解慢性下背痛患者使用懸吊系統進行六週腰椎穩定運動之療效。
方法：12位慢性下背痛患者自願參與此研究，測試的參數包括腰椎穩定性、腰椎本體覺、身體功能性評估、歐式背痛失能問卷評估。受試者接受測試後，以懸吊系統再進行6週的腰椎穩定運動訓練，六週後再進行第二次測試。本研究使用無母數魏克遜符號等級檢定進行統計分析。
結果：結果顯示在接受六週的腰椎穩定運動訓練後，所有參數都有顯著進步，除了五十英呎快速行走測試之外。
結論：六週懸吊系統運動訓練對慢性下背痛患者可改善其腰椎穩定性、本體覺、及大部份的身體功能性動作。