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【medical-news】自我报告措施比物理措施能更好得
Spine. 33(3):326-338, February 1, 2008.
Marshall, Paul PhD; Murphy, Bernadette PhD
Abstract:
Study Design. Sixteen-week intervention for chronic patients with low back pain (LBP) with 9-month follow-up. Primary randomization at 4 weeks into either supervised Swiss ball exercise or an exercise advice group.
Objective. To evaluate changes in disability and pain in individuals with chronic LBP after combined treatment and exercise interventions, and to evaluate whether changes in self-report or physical measures would best explain improvements in disability
Summary of Background Data. There is a need to understand what the effectiveness of a clinically applicable treatment intervention is for an individual's perception of their back pain. There is insufficient evidence about the different combinations of manual treatment that commonly precede involvement in exercise programs.
Methods. Sixty individuals with chronic nonspecific LBP (at least 3-month duration) were randomly assigned (after 4 weeks of manipulative or nonmanipulative treatment) to either a supervised Swiss ball exercise group, or an advice group. The exercise intervention was for 12 weeks with a long-term follow-up of 9 months. Self-report measures and physical measures (endurance times and myoelectric fatigue) were collected throughout the study.
Results. Self-rated disability improved more after the treatment period for individuals who received supervised exercise compared with advice alone. There was no difference found between individuals who received manipulative or nonmanipulative treatment. Multiple regression analysis found that self-report measures best explained improvements in disability throughout the study. Long-term findings showed no group differences
Conclusion. Supervised exercise is a more successful subsequent to manual treatment compared with exercise advice. The improvements associated with this type of program were primarily manifested in the psychologic self-report measures rather than physical measurements.
本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领 Self-Report Measures Best Explain Changes in Disability Compared With Physical Measures After Exercise Rehabilitation for Chronic Low Back Pain.
自我报告措施比物理措施能更好得评价慢性下腰痛康复训练效果
Spine. 33(3):326-338, February 1, 2008.
Marshall, Paul PhD; Murphy, Bernadette PhD
Abstract: 摘要
Study Design. Sixteen-week intervention for chronic patients with low back pain (LBP) with 9-month follow-up. Primary randomization at 4 weeks into either supervised Swiss ball exercise or an exercise advice group.
研究设计：经过16周的慢性下腰痛（LBP）的治疗干预和9个月的随访，首先在四周随机抽样分为Swiss球被监督的锻炼组和锻炼指导组。Objective. To evaluate changes in disability and pain in individuals with chronic LBP after combined treatment and exercise interventions, and to evaluate whether changes in self-report or physical measures would best explain improvements in disability
方法：评价经综合治疗和锻炼干预后LBP功能障碍和疼痛的变化；评价自我报告措施反映病情变化是否优于物理措施。Summary of Background Data. There is a need to understand what the effectiveness of a clinically applicable treatment intervention is for an individual's perception of their back pain. There is insufficient evidence about the different combinations of manual treatment that commonly precede involvement in exercise programs.
背景资料概括：有必要了解临床适用的治疗成效，，是为了病人的背部疼痛感。没有足够的证据表明，不同组合的观察手法治疗方法普遍优于参与锻炼方案。
Methods. Sixty individuals with chronic nonspecific LBP (at least 3-month duration) were randomly assigned (after 4 weeks of manipulative or nonmanipulative treatment) to either a supervised Swiss ball exercise group, or an advice group. The exercise intervention was for 12 weeks with a long-term follow-up of 9 months. Self-report measures and physical measures (endurance times and myoelectric fatigue) were collected throughout the study.
方法：60例非特殊性下腰痛（LBP）患者 (至少3 个月病程) 随机分配成(在4 个星期推拿治疗或没有接受推拿治疗以后) 一个被监督的Swiss球锻炼小组和锻炼指导组。锻炼治疗12 个星期以后再行9 个月随访。研究过程中自我报告措施和物理措施(耐力测试和肌电图疲劳测试) 被收集。.
Results. Self-rated disability improved more after the treatment period for individuals who received supervised exercise compared with advice alone. There was no difference found between individuals who received manipulative or nonmanipulative treatment. Multiple regression analysis found that self-report measures best explained improvements in disability throughout the study. Long-term findings showed no group differences
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作者:admin@医学,生命科学 2010-09-28 17:13
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