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首页> 外文期刊>Journal of athletic training >Core Stability Exercise Versus General Exercise for Chronic Low Back Pain
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Core Stability Exercise Versus General Exercise for Chronic Low Back Pain

机译：核心稳定性运动与一般运动对慢性下腰痛的影响

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Reference: Wang XQ, Zheng JJ, Yu ZW, et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS One. 2012;7(12):e52082. Clinical Questions: Is core stability exercise more effective than general exercise in the treatment of patients with nonspecific low back pain (LBP)? Data Sources: The authors searched the following databases: China Biological Medicine disc, Cochrane Library, Embase, and PubMed from 1970 through 2011. The key medical subject headings searched were chronic pain, exercise, LBP, lumbosacral region, and sciatica. Study Selection: Randomized controlled trials comparing core stability exercise with general exercise in the treatment of chronic LBP were investigated. Participants were male and female adults with LBP for at least 3 months that was not caused by a specific known condition. A control group receiving general exercise and an experimental group receiving core stability exercise were required for inclusion in the meta-analysis. Core stability was defined as the ability to ensure a stable neutral spine position but the type of exercise was not specified. Outcome measures of pain intensity, back-specific functional status, quality of life, and work absenteeism were recorded at 3-, 6-, and 12-month intervals. Data Extraction: The study design, participant information, description of interventions in the control and experimental groups, outcome measures, and follow-up period were extracted. The mean difference (MD) and 95% confidence interval (CI) were calculated to evaluate statistical significance. Risk of bias was assessed using the Cochrane Collaboration Recommendations, and all articles were rated as high risk for other bias with no further explanation given. Main Results: Five studies involving 414 patients were included. Four studies assessed pain intensity using the visual analog scale or numeric rating scale. In the core stability exercise group, the reduction in pain was significant at 3 months (MD = ?1.29, 95% CI = ?2.47, ?0.11; P = .003) but not at 6 months (MD = ?0.50, 95% CI = ?1.36, 0.35; P = .26). Functional status was improved at 3 months (MD = ?7.14, 95% CI = ?11.64, ?2.65; P = .002) but not at 6 months (MD = ?0.50, 95% CI = .36, 0.35; P = .26) or 12 months (MD = ?0.32, 95% CI = ?0.87, 0.23; P = .25). All of the included studies assessed back-specific functional status: 4 used the Oswestry Disability Index and 1 used the Roland-Morris Disability Questionnaire. Patients in the core stability exercise groups experienced improved functional status versus the general exercise group at 3 months (MD = ?7.14, 95% CI = ?11.64, ?2.65; P = .002); no results were recorded at 6 or 12 months. Conclusions: In the short term, core stability exercise was more effective than general exercise for decreasing pain and increasing back-specific functional status in patients with LBP.
机译：参考文献：王新庆，郑继杰，于志文等。对慢性腰痛的核心稳定性锻炼与一般锻炼进行荟萃分析。 PLoS一。 2012; 7（12）：e52082。临床问题：在非特异性下腰痛（LBP）患者的治疗中，核心稳定运动是否比普通运动更有效？数据来源：作者搜索了以下数据库：1970年至2011年的中国生物医学光盘，Cochrane图书馆，Embase和PubMed。搜索的主要医学主题为慢性疼痛，运动，LBP，腰s部和坐骨神经痛。研究选择：研究比较了核心稳定性锻炼与一般锻炼在慢性LBP治疗中的随机对照试验。参与者为LBP的成年男性和女性，至少3个月，并非由特定的已知疾病引起。纳入荟萃分析需要接受普通运动的对照组和接受核心稳定性运动的实验组。核心稳定性定义为确保稳定的中立脊柱位置的能力，但未指定锻炼类型。每隔3、6和12个月记录一次疼痛强度，背部特定功能状态，生活质量和工作缺勤的结果指标。数据提取：提取研究设计，参与者信息，对照组和实验组干预措施的描述，结果测量以及随访期。计算平均差异（MD）和95％置信区间（CI）以评估统计学显着性。使用Cochrane协作建议书评估了偏倚风险，所有文章均被归类为存在其他偏倚的高风险，没有给出进一步的解释。主要结果：纳入五项研究，涉及414例患者。四项研究使用视觉模拟量表或数字量表评估疼痛强度。在核心稳定性锻炼组中，疼痛减轻在3个月时显着降低（MD =？1.29，95％CI =？2.47，？0.11; P = .003），而在6个月时没有减轻（MD =？0.50，95）。 ％CI = 1.36，0.35; P = 0.26）。 3个月时功能状态改善（MD = 7.14，95％CI = 11.64，2.65; P = 0.002），但6个月时未改善（MD = 0.50，95％CI = 0.36，0.35; P = 0.26）或12个月（MD = 0.32，95％CI = 0.87，0.23; P = 0.25）。所有纳入的研究均评估了特定于背部的功能状态：4项使用Oswestry残疾指数，1项使用Roland-Morris残疾问卷。与普通运动组相比，核心稳定性运动组的患者在3个月时的功能状态有所改善（MD =？7.14，95％CI =？11.64，？2.65; P = 0.002）; 6或12个月未记录任何结果。结论：在短期内，核心稳定运动比普通运动更有效地减轻LBP患者的疼痛和增加背部特异性功能状态。

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