Patients with chronic non-specific low back pain who reported reduction in pain and improvement in function also demonstrated an improvement in gait pattern

被引:27
作者
Barzilay, Yair [1 ]
Segal, Ganit [2 ]
Lotan, Raphael [3 ]
Regev, Gilad [4 ]
Beer, Yiftah [5 ]
Lonner, Baron S. [6 ]
Mor, Amit [2 ]
Elbaz, Avi [2 ]
机构
[1] Hadassah Hebrew Univ, Spine Div, Dept Orthoped Surg, Med Ctr, Jerusalem, Israel
[2] AposTherapy Res Grp, 1st Abba Even Blvd, Herzliyya, Israel
[3] Edith Wolfson Med Ctr, Dept Orthopaed Surg, Holon, Israel
[4] Sourasky Med Ctr, Dept Orthopaed Surg, Tel Aviv, Israel
[5] Assaf Harofeh Med Ctr, Dept Orthopaed Surg, Zerifin, Israel
[6] Beth Israel Hosp, Mt Sinai Med Ctr, Spine Div, Dept Orthopaed Surg, New York, NY USA
关键词
Gait; Non-specific low back pain; Biomechanical treatment; Physical function; Pain; DEVICE; FORCE;
D O I
10.1007/s00586-015-4004-0
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
To assess the changes in gait pattern and clinical symptoms of patients with chronic non-specific low back pain (CNSLBP) following a home-based biomechanical treatment (HBBT). This was a retrospective analysis of 60 CNSLBP patients. All patients underwent a gait evaluation and completed self-assessment questionnaires at pre-treatment and after 3 and 6 months of a HBBT (AposTherapy). Twenty-four healthy, aged-matched individuals served as a reference group. Significant differences were found in all gait parameters and clinical symptoms between patients with CNSLBP and healthy people before treatment. Significant improvements were found in all gait parameters and clinical measures following 6 months of therapy including an increase in gait velocity (10.6 %), step length (5.6 %), cadence (5 %), and quality of life and a decrease in pain (13.3 %). There were no significant differences between groups in the gait parameters following 6 months of treatment. Significant differences exist between patients with CNSLBP and healthy controls in terms of gait pattern and self-assessed health status. The examined HBBT led to significant improvements in gait pattern, reduction in pain, improved function and increased quality of life. However, future studies should validate these results while comparing this treatment to other treatment modalities.
引用
收藏
页码:2761 / 2766
页数:6
相关论文
共 24 条
[1]   Chapter 4 - European guidelines for the management of chronic nonspecific low back pain [J].
Airaksinen, O. ;
Brox, J. I. ;
Cedraschi, C. ;
Hildebrandt, J. ;
Klaber-Moffett, J. ;
Kovacs, F. ;
Mannion, A. F. ;
Reis, S. ;
Staal, J. B. ;
Ursin, H. ;
Zanoli, G. .
EUROPEAN SPINE JOURNAL, 2006, 15 (Suppl 2) :S192-S300
[2]   Long-Term Effects of AposTherapy in Patients with Osteoarthritis of the Knee: A Two-Year Followup [J].
Bar-Ziv, Yaron ;
Debbi, Eytan M. ;
Ran, Yuval ;
Benedict, Shaike ;
Halperin, Nahum ;
Beer, Yiftah .
ARTHRITIS, 2013,
[3]  
Bureau of Labor Statistics US Department of Labor, 2005, NONF OCC INJ ILLN RE
[4]   A comparison of five low back disability questionnaires: Reliability and responsiveness [J].
Davidson, M ;
Keating, JL .
PHYSICAL THERAPY, 2002, 82 (01) :8-24
[5]   Detecting and quantifying global instability during a dynamic task using kinetic and kinematic gait parameters [J].
Debbi, Eytan M. ;
Wolf, Alon ;
Haim, Amir .
JOURNAL OF BIOMECHANICS, 2012, 45 (08) :1366-1371
[6]   WHAT CAN THE HISTORY AND PHYSICAL-EXAMINATION TELL US ABOUT LOW-BACK-PAIN [J].
DEYO, RA ;
RAINVILLE, J ;
KENT, DL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 268 (06) :760-765
[7]   A unique foot-worn device for patients with degenerative meniscal tear [J].
Elbaz, Avi ;
Beer, Yiftah ;
Rath, Ehud ;
Morag, Guy ;
Segal, Ganit ;
Debbi, Eytan M. ;
Wasser, Daniel ;
Mor, Amit ;
Debi, Ronen .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2013, 21 (02) :380-387
[8]   A Novel Biomechanical Device Improves Gait Pattern in Patient With Chronic Nonspecific Low Back Pain [J].
Elbaz, Avi ;
Mirovsky, Yigal ;
Mor, Amit ;
Enosh, Shavit ;
Debbi, Eytan ;
Segal, Ganit ;
Barzilay, Yair ;
Debi, Ronen .
SPINE, 2009, 34 (15) :E507-E512
[9]   Multidisciplinary rehabilitation for chronic low back pain:: systematic review [J].
Guzmán, J ;
Esmail, R ;
Karjalainen, K ;
Malmivaara, A ;
Irvin, E ;
Bombardier, C .
BMJ-BRITISH MEDICAL JOURNAL, 2001, 322 (7301) :1511-1516
[10]   Reduction in knee adduction moment via non-invasive biomechanical training: A longitudinal gait analysis study [J].
Haim, Amir ;
Rubin, Guy ;
Rozen, Nimrod ;
Goryachev, Yulya ;
Wolf, Alon .
JOURNAL OF BIOMECHANICS, 2012, 45 (01) :41-45