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Application of suspended core stabilization exercises in the treatment of chronic nonspecific low back pain |
LIU Lishuang WANG Jin QIE Shuyan |
Nerve Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, China |
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Abstract Objective To investigate the clinical suspended core stabilization exercises in the treatment of patients with chronic nonspecific low back pain. Methods Ninety-six patients with chronic nonspecific low back pain treated in Beijing Rehabilitation Hospital, Capital Medical University from January 2016 to January 2017 were randomly divided into observation group and control group by random number table method, with 48 cases in every group. The observation group was given core stabilization exercises by a sling on the basis of extracorporeal shock wave therapy, and the control group was treated with extracorporeal shock wave only. The two groups were treated for 2 months. Before treatment, 2 months of treatment, and 6 months after treatment, visual analogue scale (VAS) was used to assess the degree of pain. Oswestry disability index (ODI) was used to evaluate lumbar function. The 36-item short form (SF-36) was used to evaluate the overall health status of patients, and the effective rate was calculated at 2 months of treatment. The occurrence of adverse reactions was recorded during the course of treatment. The recurrence of the two groups was recorded during the follow-up period 1 year after the end of treatment. Results There were no significant differences in VAS, ODI and SF-36 scores between the two groups before treatment (P > 0.05). The VAS score and ODI of the two groups at 2 months for treatment and 6 months after treatment were lower than before treatment, and the SF-36 scores were higher than before treatment (P < 0.05 or P < 0.01), and the observation group had significant changes compared with the control group (P < 0.05 or P < 0.01). The treatment effective rate at 2 months for treatment in observation group (83.33%) was significantly higher than that of the control group (60.42%) (P < 0.05). One year after treatment, the recurrence rate in the observation group (2.08%) was significantly lower than that of the control group (18.75%) (P < 0.05). No serious adverse reactions occurred in both groups during the treatment. Conclusion The use of core stabilization exercises by a sling in patients with chronic nonspecific low back pain can significantly reduce lumbar pain and enhance lumbar function, and it is safe and stable.
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