普拉提斯床核心练习对中年成人女性的功能影响 慢性非特异性腰部疼痛通过屈曲放松现象分析:试点RCT试验
Nicola Marotta1,2, Alessandro de Sire2,3, Federica Pisani3
1Physical Medicine and Rehabilitation, Department of Experimental and Clinical Medicine, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy.
Journal of functional morphology and kinesiology
|November 24, 2025
概括
Pilates 运动显著改善了中年妇女慢性非特异性腰部疼痛 (CNLBP) 的功能和减少疼痛. 该研究表明,Pilates是CNLBP的有效康复方法,治疗后功能改善持续.
科学领域:
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
- 疼痛管理 疼痛管理
背景情况:
- 慢性非特异性腰部疼痛 (CNLBP) 很普遍,皮拉提经常被推用于症状管理.
- 目前缺乏关于皮拉特斯在CNLBP中的有效性的强有力的证据.
- 了解对干部肌肉功能的影响,特别是曲放松现象 (FRP),至关重要.
研究的目的:
- 评估8x8 Pilates Matwork核心炼计划对中年女性CNLBP疼痛和功能的影响.
- 分析曲放松现象 (FRP) 的变化,以此来衡量肌肉反应.
- 为了比较Pilates干预与CNLBP的标准炼计划.
主要方法:
- 一项试点随机对照试验 (RCT) 涉及21名中年妇女,被诊断患有CNLBP (数值评分表 > 4).
- 干预组:在4周内进行8次Pilates Matwork练习;对照组:标准化的CNLBP练习.
- 结果指标:疼痛的数值评分表 (NRS),奥斯韦斯特残疾指数 (ODI),北克背部疼痛残疾表 (QBPDS) 和通过表面电肌图的FRP比率.
主要成果:
- 与对照组相比,Pilates组在ODI和QBPDS得分上表现出显著的改善,ODI的改善在随访时保持.
- 在 Pilates 组的随访 (T2) 时观察到 NRS 疼痛评分的降低.
- 两组之间没有发现FRP比率的显著差异;然而,Pilates组在T2时超过了9.5的截止值,这表明CNLBP的潜在保护指数.
结论:
- 这项试验RCT表明,Pilates可能是一种有效的康复策略,用于改善中年妇女的功能和控制CNLBP的疼痛.
- 在FRP方面,Pilates表现出与传统治疗相似的结果,具有潜在的恢复预测价值.
- FRP分析在将临床评估转化为康复结果测量方面非常有用.
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