『腰痛研究のエビデンス・評価と臨床的展望』慢性腰痛症者に対する筋収縮後ストレッチングの有効性について  [in Japanese] Effect of post contracted muscle stretching for chronic low back pain  [in Japanese]

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Abstract

慢性腰痛に対する筋ストレッチングとセルフエクササイズの効果に関して検討した.<br> 研究デザインは無作為化対照試験とし,外来受診からの治療期間を最大3カ月間として,コントロール群と,SLRと体幹筋強化を行ったエクササイズ1(E1)群,SLRと体幹筋強化とさらに腰背部ストレッチング加えたエクササイズ2(E2)群として,3カ月後,6カ月各群の痛みと身体機能変化と健康関連QOLをご検討した.<br> 結果,E2群では痛みおよび身体機能は3カ月以内の改善を認め,E1群も6カ月では同様の結果を示した.痛みの軽減と最も関連が高かった項目は,体幹の柔軟性と伸展筋力であった.<br> 以上の結果,慢性腰痛にけるセルフエクササイズによる体幹伸展筋力強化と柔軟性の改善を優先しての外来でのフォローアップは,疼痛および身体機能改善と患者満足度の改善により効果的と考えられた.

Examining the effect of muscle stretching and self-training (hospital-prescribed method) for chronic lower-back pain. The maximum treatment period in the survey was 3 months since the previous outpatient consultation. The test group was divided into three: a control group, Exercise 1 group (carrying out SLR with trunk muscle contract relaxation), and Exercise 2 group (carrying out SLR with trunk muscle strengthening and lower back stretching). <br> For each group, the pain, change of physical function and health-related QOL were examined at 3 months and 6 months after the start of the research period. <br> The results showed that in the Exercise 2 group, pain and physical function was improved at 3 months; in the Exercise 1 group, almost the same effect was shown as in the Exercise 2 group at 6 months. The item which was most closely related to pain alleviation was trunk flexibility and trunk extension strength. <br> In conclusion, for outpatients suffering chronic lower-back pain, follow-up treatment which gives precedence to trunk muscle strengthening and flexibility improvement through self-training would be an effective means of alleviating pain and improving physical function and patient satisfaction.

Journal

  • The Journal of Japanese Society of Lumbar Spine Disorders

    The Journal of Japanese Society of Lumbar Spine Disorders 15(1), 45-51, 2009

    The Japanese Society of Lumbar Spine Disorders

Cited by:  2

Codes

  • NII Article ID (NAID)
    40016888916
  • NII NACSIS-CAT ID (NCID)
    AA11488721
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    1345-9074
  • NDL Article ID
    10487170
  • NDL Source Classification
    ZS35(科学技術--医学--外科学・整形外科学・麻酔学)
  • NDL Call No.
    Z19-B834
  • Data Source
    CJPref  NDL  J-STAGE 
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