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首页> 外文期刊>Frontiers in Psychology >The Effect of Exercise Intervention Based Upon the Selective Functional Movement Assessment in an Athlete With Non-specific Low Back Pain: A Case Report and Pilot Study
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The Effect of Exercise Intervention Based Upon the Selective Functional Movement Assessment in an Athlete With Non-specific Low Back Pain: A Case Report and Pilot Study

机译：运动干预的效果基于非特定低腰疼痛的运动员选择性功能运动评估：案例报告和试点研究

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Objectives: To illustrate the effectiveness of the Selective Functional Movement Assessment (SFMA) as a guide to exercise intervention on chronic non-specific low back pain (CNLBP). Methods: A 23-year-old male volleyball athlete with CNLBP was evaluated using the SFMA to assess the degree of physical dysfunctions. And then two-stage exercise protocol was designed based on the results of SFMA. The athlete conducted the exercise intervention for 8 weeks, one hour each time, 3 times a week. Transverse abdominal muscles and multifidus muscle thickness, the degree of low back pain, and the degree of physical dysfunctions was measured at pre-, mid- and post intervention. Results: Based on the results of SFMA, the exercise protocol in the first 4-wk session was designed mainly to develop the mobility of ankle, hip and chest, and the stability of lumbar, hip and knee, in order to improve core strength and gluteal muscle strength; the second stage was an advanced stage with the increase of exercise load on the basis of flexibility and stability, its main purpose was to loosen the hamstring muscles and continue strengthening the core stability, and finally help the participant to establish the correct movement pattern and solve the problems of dysfunctions. After 8-wk exercise intervention, all movement patterns became functional/non-painful except the deep squat pattern; QBPDS score decreased from 11 to 2; VAS score decreased from 4 to 2; the thickness of transverse abdominis muscles（right side: 0.2cm vs 0.31cm, left side:0.22cm vs 0.33cm）and multifidus muscles (right side: 2.09cm vs 2.26cm, left side:2.15cm vs 2.29cm) were both increased. Conclusions: In this case, the SFMA helped to recognize problems related to mobility and stability on the hip joint, thoracic spine and even areas far away from the lumbar spine in an athlete with CNLBP that were not seen with more conventional examination procedures. The improvements of physical function, the increase of deep core muscles thickness, and the released pain after exercise intervention, all verified the effectiveness of SFMA to qualitatively analyze movement patterns at examination and to direct subsequent exercise intervention.
机译：目的：为了说明选择性功能运动评估（SFMA）作为运动干预慢性非特异性低腰痛（CNLBP）的有效性。方法：使用SFMA评估了一个23岁的男排雄性排球运动员，用于评估物理功能障碍程度。然后基于SFMA的结果设计了两阶段运动方案。运动员进行了8周，每次一小时的运动干预，每周3次。横向腹部肌肉和多肌厚度，低腰疼痛程度，并且在介入后，中期和后期和后疗法测量物理功能障碍程度。结果：根据SFMA的结果，首次4-WK会话中的运动方案主要设计为开发脚踝，臀部和胸部的移动性，以及腰部，臀部和膝关节的稳定性，以提高核心强度和臀肌强度;第二阶段是在灵活性和稳定性的基础上增加运动负荷的先进阶段，其主要目的是放松腿筋肌肉并继续加强核心稳定性，最后帮助参与者建立正确的运动模式和解决功能障碍的问题。经过8-WK运动干预后，除了深蹲模式之外，所有运动模式都变得功能/非痛苦; QBPDS分数从11到2减少; VAS得分从4到2减少;横向腹部肌肉的厚度（右侧：0.2cm vs 0.31cm，左侧：0.22cm vs 0.33cm）和多法肌（右侧：2.09cm与2.26cm，左侧：2.15cm与2.29cm）都增加。结论：在这种情况下，SFMA有助于识别与髋关节，胸椎脊柱甚至远离运动员中的腰椎脊柱的移动性和稳定性有关的问题，并在与更多传统的检查程序中没有看到的CNLBP。物理功能的改善，深层核心肌肉厚度的增加，以及运动干预后释放的疼痛，均验证了SFMA的有效性，以定性分析运动模式，并直接进行后续运动干预。

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