Therapeutic exercise programs and subjects with low back pain : a controlled study of changes in function, activity and participation
Published in
Studies in sport, physical education and healthAuthors
Date
2000Discipline
FysioterapiaKaksi kolmasosaa yli 30-vuotiaista suomalaisista on kokenut ainakin yhdenselkäkipuepisodin elämänsä aikana. Suurimmalla osalla kipu kuitenkin häviää kuuden viikon kuluessa, mutta vaivan jatkuessa tai uusiutuessa ihmisen toimintakyvyssä tapahtuu muutoksia. - Pitkittyneestä tai toistuvasta selkävaivasta kärsivän pitäisi aktivoitua liikkumaan, sillä terapeuttisen harjoittelun avulla voidaan vaikuttaa selkävaivan aiheuttamiin haittoihin, väittelijä Tiina Kuukkanen sanoo. Selkäkipu merkitsee usein mm. heikentynyttä lihastoimintaa, alentunutta liikkuvuutta, muutoksia psykomotorisissa toiminnoissa ja tasapainossa. Se vaikeuttaa päivittäisten toimintojen suorittamista työssä ja kotona, on eräs suurimmista syistä sairauspoissaoloihin ja saattaa haitata myös vapaa-ajan harrastuksia.- Positiivisia muutoksia selkäkivuista kärsivän tilanteessa voidaan siis saavuttaa myös kontrolloidulla kotiharjoittelulla, joka saattaa olla taloudellisempi ja yksilön kannalta joustavampikin ratkaisu kuin harjoittelusalilla käynti, Kuukkanen painottaa. Intensiivisen harjoittelun ryhmä suoritti noin tunnin kestävän harjoitusohjelman kolme kertaa viikossa harjoitussalilla ja kotiharjoitusryhmä teki ohjelmaansa kerran päivässä kotona. Muutoksia tarkasteltiin välittömästi kolmen kuukauden harjoittelun jälkeen sekä kolmen ja kuuden kuukauden kuluttua harjoittelun päättymisestä.
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The purpose of this prospective, clinical trial of twelve months was to investigate the changes in impairments, activity and participation among subacute and chronic low back pain population after a three months therapeutic exercise program using a controlled study design. Initially, 49 male and 41 female attended their local occupational health care services because of low back pain. Finally, the 29 subjects were placed into the three months intensive training group and the 57 subjects were randomly allocated into a home exercise and a control group. Measurements at different levels of ICIDH-2 classification were made at the baseline and after the three months interventions. Follow-up measurements were performed three and nine months after the completion of the interventions. Measurements of low back pain, muscular performance, spinal and muscle flexibility, psychomotor performance, postural sway, activity and participation were included.
Publisher
University of JyväskyläISBN
951-39-1347-3ISSN Search the Publication Forum
0356-1070Metadata
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- Väitöskirjat [3541]
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