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首页> 外文期刊>PM & R: the journal of injury, function, and rehabilitation >Characteristics and predictors of short-term outcomes in individuals self-selecting yoga or physical therapy for treatment of chronic low back pain.
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Characteristics and predictors of short-term outcomes in individuals self-selecting yoga or physical therapy for treatment of chronic low back pain.

机译：个体自我选择瑜伽或物理疗法治疗慢性下腰痛的个体的短期结果的特征和预测指标。

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OBJECTIVE: To compare clinical and demographic characteristics of individuals self-selecting yoga or physical therapy (PT) for treatment of chronic low back pain (cLBP) and to examine predictors of short-term pain and functional outcomes. DESIGN: Descriptive, longitudinal study. SETTINGS: A hospital-based clinic that offers modified integral yoga classes for cLBP and 2 outpatient PT clinics that offer exercise-based PT. PARTICIPANTS: Adults (n=53) with cLBP>/=12 weeks: yoga (n=27), PT (n=26). METHODS: Yoga participants attended a 6-week, once weekly, 2-hour yoga class. PT participants underwent twice weekly, 1-hour individualized PT. Data were collected at baseline and at 6 weeks. Groups were compared by using chi2 and independent samples t-tests. Hierarchical linear regression was used to predict treatment outcomes. MAIN OUTCOME MEASURES: Disability (Roland Morris Disability Questionnaire), health status (Rand Short Form 36 Health Survey 1.0), pain bothersomeness (numerical rating scale), back pain self-efficacy (Back Pain Self-Efficacy Scale), and treatment satisfaction. RESULTS: At baseline, yoga participants were significantly less disabled (P=.013), had higher health status (P=.023), greater pain self-efficacy (P=.012), and less average pain bothersomeness (P=.001) compared with PT participants. At 6 weeks, when controlling for baseline group differences, greater pain self-efficacy was the strongest predictor for reduced pain and higher function for the entire sample. A significant group interaction by baseline pain self-efficacy predicted disability at 6 weeks. PT participants with low pain self-efficacy reported significantly greater disability than those with high pain self-efficacy. Yoga participants with low and high pain self-efficacy had similar disability outcomes. CONCLUSION: These findings strengthen evidence that self-efficacy is associated with cLBP outcomes, especially in individuals self-selecting PT. Further research to evaluate outcomes after yoga and PT in participants with low pain self-efficacy is needed.
机译：目的：比较个体自我选择瑜伽或物理疗法（PT）治疗慢性下背痛（cLBP）的临床和人口统计学特征，并检查短期疼痛和功能结局的预测因素。设计：描述性的纵向研究。地点：一家医院诊所，为cLBP提供改进的整体瑜伽课程，还有2家门诊PT诊所提供基于运动的PT。参与者：成人（n = 53），cLBP> / = 12周：瑜伽（n = 27），PT（n = 26）。方法：瑜伽学员参加为期6周，每周一次的2小时瑜伽课。 PT参与者每周进行两次，每次1小时的个性化PT。在基线和第6周收集数据。使用chi2和独立样本t检验比较各组。分层线性回归用于预测治疗结果。主要观察指标：残疾（Roland Morris残疾问卷），健康状况（Rand Short Form 36健康调查1.0），疼痛困扰（数字评分量表），背痛自我效能感（Back Pain Self-Eficacy Scale）和治疗满意度。结果：在基线时，瑜伽参与者的残障率显着降低（P = .013），健康状况较高（P = .023），疼痛自我效能更高（P = .012），平均疼痛不适感也较低（P =。 001）与PT参与者进行比较。在第6周时，控制基线组差异时，更大的疼痛自我功效是整个样本减轻疼痛和更高功能的最强预测指标。通过基线疼痛自我效能感的显着组间相互作用预测了6周时的残疾。疼痛自我效能感较低的PT参与者报告的残疾程度明显高于疼痛自我效能感较高的参与者。具有低和高疼痛自我效能感的瑜伽参与者具有相似的残疾结果。结论：这些发现加强了自我效能与cLBP结局相关的证据，尤其是在自我选择PT的个体中。需要进一步研究以评估低疼痛自我效能感参与者在瑜伽和PT后的结果。

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