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首页> 外文期刊>Journal of bodywork and movement therapies >Effects of lumbosacral orthosis on dynamical structure of center of pressure fluctuations in patients with non-specific chronic low back pain: A randomized controlled trial
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Effects of lumbosacral orthosis on dynamical structure of center of pressure fluctuations in patients with non-specific chronic low back pain: A randomized controlled trial

机译:腰骶矫形器对非特异性慢性低腰疼痛患者压力波动中心动力结构的影响:随机对照试验

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Background: A few clinical trials have examined the effect of treatment interventions on postural control in patients with chronic low back pain, all of which have exclusively evaluated postural stability using traditional linear measures of postural sway. However, postural control improvement cannot be determined by exclusively relying on linear measurements, because these parameters provide no information on underlying motor control mechanisms. Objective: This study aimed to compare the effect of using lumbosacral orthoses (LSO) together with routine physical therapy, compared to routine physical therapy alone on postural control, using nonlinear analysis techniques. Methods: Forty-four patients with low back pain were randomly allocated to the intervention and control groups. Both groups underwent 8 sessions of physical therapy twice weekly for 4 weeks. The intervention group received LSO in addition to routine physical therapy. Before and after the intervention, non-linear dynamical features of center of pressure fluctuations were assessed during quiet standing at 3 difficulty levels of postural tasks, including eyes open while standing on a rigid surface, eyes closed while standing on a rigid surface, and eyes closed while standing on a foam surface. Results: The results of this study showed that a 4-week intervention consisting of LSO and routine physical therapy modalities did not affect the temporal structure of postural sways in patients with low back pain. Conclusion: Treatment strategies, such as routine physical therapy modalities or LSO, which exclusively focus on the correction of peripheral mechanics, fail to affect the behavior of the postural control system.
机译:背景:少数临床试验检测治疗干预措施对慢性低腰疼痛患者宫内治疗的影响,所有这些都是使用姿势摇摆的传统线性测量来评估姿势稳定性。然而,通过专门依赖线性测量来确定姿势控制改善,因为这些参数不提供关于底层电机控制机制的信息。目的:该研究旨在将使用非线性分析技术的常规物理治疗与常规物理治疗相比,比较使用腰骶部垂直(LSO)的效果。方法:随机分配44例低腰疼痛患者介入治疗组。两组两组每周两次治疗两次物理治疗疗法4周。除常规物理治疗外,干预组还接受了LSO。在干预之前和之后,在安静地站在3个难度的姿势任务中,在安静地站立时进行了压力波动中心的非线性动力学特征,包括在刚性表面上的眼睛睁开,闭眼,同时站在刚性表面上,眼睛站立在泡沫表面时关闭。结果:该研究的结果表明,由LSO和常规物理治疗方式组成的4周干预并未影响腰部疼痛患者姿势的时间结构。结论:常规物理治疗方式或LSO等治疗策略专注于外围力学校正,未能影响姿势控制系统的行为。

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