LUMBAR STRENGTHENING IN CHRONIC LOW-BACK-PAIN PATIENTS - PHYSIOLOGICAL AND PSYCHOLOGICAL BENEFITS

被引：166

作者：

RISCH, SV ^{[1
]}

NORVELL, NK ^{[1
]}

POLLOCK, ML ^{[1
]}

RISCH, ED ^{[1
]}

LANGER, H ^{[1
]}

FULTON, M ^{[1
]}

GRAVES, JE ^{[1
]}

LEGGETT, SH ^{[1
]}

机构：

[1] UNIV FLORIDA,GAINESVILLE,FL 32611

来源：

SPINE | 1993年 / 18卷 / 02期

关键词：

CHRONIC LOW-BACK PAIN; LUMBAR EXTENSION STRENGTH; PSYCHOLOGICAL DISTRESS;

D O I：

10.1097/00007632-199302000-00010

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The effects of exercise for isolated lumbar extensor muscles were examined in 54 chronic low-back pain patients. Subjects were randomly assigned to a 10-week exercise program (N = 31) or a wait-list control group (N = 23). Results indicated a significant increase in isometric lumbar extension strength for the treatment group and a significant reduction in reported pain compared with the control group (P 0.05). Treated subjects reported less physical and psychosocial dysfunction whereas the control group increased in pain, and physical and psychosocial dysfunction. There were no concomitant changes in reported daily activity levels. These results show that lumbar extension exercise is beneficial for strengthening the lumbar extensors and results in decreased pain and improved perceptions of physical and psychosocial functioning in chronic back pain patients. However, these improvements were not related to changes in activities or psychological distress.

引用

页码：232 / 238

页数：7

共 38 条

[31] Mayer T.G., Smith S.S., Keeley J., Mooney V., Quantification of lumbar function part 2: Sagittal plane trunk strength in chronic low back pain patients, Spine, 10, pp. 765-772, (1985)
[32] McCready M., Long B., Exercise adherence, J Sports Psych, 7, pp. 346-359, (1985)
[33] Mitchell R.I., Carment G.M., Results of a multicenter trial using an intensive active exercise program for the treatment of acute soft tissue and back injuries, Spine, 15, pp. 514-521, (1990)
[34] Pollock M.L., Leggett S.H., Graves J.E., Et al., Effect of resistance training on lumbar extension strength, Am J Sports Med, 17, pp. 624-629, (1989)
[35] Rosomoff H.L., Do herniated disks produce pain?, The Clin J of Pain, 1, pp. 91-93, (1985)
[36] Snook S.H., Webster B.S., The cost of disability, Clin Orth Related Res, 221, pp. 77-84, (1987)
[37] Veit C.T., Ware J.E., The structure of psychological distress and well-being in general populations, J Consult and Clin Psych, 51, pp. 730-742, (1983)
[38] Waddell G., A new clinical model for the treatment of low back pain, Spine, 12, pp. 632-644, (1987)

← 1 2 3 4 →