The mobility of the lumbar spine in persons with low back pain

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Dorota Wójtowicz

Arletta Hawrylak, Tadeusz Skolimowski, Katarzyna Barczyk, Dorota Wójtowicz – The mobility of the lumbar spine in persons with low back pain. Fizjoterapia Polska 2004; 4(2); 100-106

Abstract

Background. The purpose of our study was to examine changes in the mobility of the lumbar spine in persons with L5-S1 diskopathy and the changes in mobility associated with different modalities of treatment. Material and methods. We studied 150 persons 40-50 years of age, 64 men and 86 women. Due to variations in management the material was divided into two groups: Group I, treated only pharmacologically, and Group II, treated with both pharmacological methods and physiotherapy. The patients were examined twice, once before treatment and again after 6 weeks of treatment. The research methods included clinical interviews and measurement of thoraco-lumbar and lumbar mobility on all planes. Non-steroid anti-inflammatory drugs were used in Group I. In Group II, comprehensive physiotherapy was also applied, including physicotherapy, kinesitherapy, and massage. Results. Our analysis of the material showed that the limitations in spinal mobility were similar in both groups at baseline. After a 6-week course of treatment, significant improvement in the mobility of the thoraco-lumbar and lumbar spine was noted only in Group II (pharmacotherapy and physiotherapy), involving all the tested ranges of movement. Conclusions. An evaluation of treatment outcome in persons with L5-S1 diskopathy indicates that persons treated both with pharmacotherapy and physiotherapy show greater improvement. The fact that significant improvement was seen only in this group may result from the fact that the drugs used prepared the way for better results in subsequent physiotherapy. These results indicate that pharmacological treatment in these patients should be supplemented with physiotherapy.

Key words:
discopathy, non-steroidal anti-inflammatory drugs, physicotherapy, kinesitherapy, massage
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

腰椎骶椎间疼痛进行选择性理疗疗程的有效性

摘要
研究目的:研究目的在评估因骨关节炎所引起的腰锥骶椎间疼痛的选择性理疗疗程的有效性。
材料及方法:共45名腰锥骶椎间疼痛的患者参与研究,他们将接受一系列的理疗疗程。受试者将分成四组,其中三组将根据其施用的理疗疗程分组,而第四组(对照组)受试者将只服用非类固醇消炎药,时间为其他组别的疗程延续时间。病患将通过自己的简单版问卷表SF-36(第二卷)接受研究,共计11个问题,此外也使用洛维特测试及莱蒂宁量表及诊断测试(Laseque、Bragard、Thomayer)。研究于系列疗程开始前及疗程结束两星期后进行。
结果:受试者年龄在45-65岁之间,其中71.1%为女性,28.9%为男性,13.3%为体能活跃者。脊柱骨关节炎是所有受试患者产生疼痛的原因,在研究组中,其物理治疗前和结束两周后所测量的疼痛严重程度、肌肉力量水平和生活质量的结果在统计上有着显著差异。90%参与疗程者的肌肉力量增加,而对照组中只有6%的人士增加。46.6% 接受疗程者在所提到的脊柱部分活动范围获得改善,而对照组中无患者在活动范围上获得改善。
结论:理疗疗程对腰椎骶椎的病状控制具正面作用,在改善生活质量、肌肉力量、活动范围以并减少或完全消除疼痛上能有效作用。无论采用哪一种理疗疗程,其作用都比单单服用非类固醇消炎药要好。

关键词:
理疗、骨关节炎、腰椎骶椎段、非类固醇消炎药

Pobierz/Download/下載/Cкачиваете Pobierz artykuł w j. angielskim/Available only English version/下載英文版