[논문]만성요통 대상자의 통증 강도, 장애, 통증 관련 두려움에 대한 복합운동과 안정화운동의 효과 비교: 무작위 대조시험

원종임

doi:10.21598/jkpnfa.2022.20.2.203

만성요통 대상자의 통증 강도, 장애, 통증 관련 두려움에 대한 복합운동과 안정화운동의 효과 비교: 무작위 대조시험
Effects of Multimodal vs. Stabilization Exercises on Pain Intensity, Disability, and Pain-induced Fear in People with Chronic Low Back Pain: A Randomized Controlled Trial 원문보기

PNF and movement, v.20 no.2, 2022년, pp.203 - 214

Abstract ▼ AI-Helper

Purpose: We investigated the effects of multimodal vs. stabilization exercises on chronic low back pain. Methods: Study participants were randomly assigned to a multimodal exercise (n = 20) or a stabilization exercise group (n = 20). Participants in the multimodal exercise group performed stabilization, stretching, and endurance exercises, whereas those in the stabilization exercise group performed only stabilization exercises. Participants in both groups performed the exercises for 1 hour thrice a week for 5 weeks. The following outcomes were evaluated: pain intensity (numeric rating scale), disability (the Oswestry Disability Index [ODI] and the Roland-Morris Disability Questionnaire [RMDQ]), pain-induced fear (the Fear of Daily Activities Questionnaire [FDAQ], the Fear-Avoidance Belief Questionnaire [FABQ], and the Tampa scale for kinesiophobia-11 [TSK-11]). Outcome measures were evaluated at baseline and after intervention. Results: Significant post-intervention improvement was observed in pain intensity and the RMDQ and FDAQ scores in both groups (p < 0.01). The post-intervention ODI, FABQ, and TSK-11 scores were improved in the multimodal exercise group (p < 0.01). Additionally, significant differences were observed in pain intensity, as well as in the ODI, FDAQ, and FABQ scores in the multimodal exercise group compared with these findings in the stabilization exercise group (p < 0.01). Conclusion: The multimodal and stabilization exercise programs reduced pain intensity, disability, and pain-induced fear. Compared with stabilization exercises, multimodal exercises more effectively reduced pain intensity, disability, and pain-induced fear. This study highlights that musculoskeletal rehabilitation for people with chronic low back pain should include a multimodal exercise program.

주제어

표/그림 (4)

표 Table 1. Baseline demographic characteristics of the subjects
표 Table 2. Multimodal and stabilization exercise programs
그림 Fig. 1. Change of pain intensity between multimodal (ME)and stabilization exercise(SE) group (p<0.05).
표 Table 3. Outcome measures at the pre-intervention and post-intervention

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