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Rehabilitation Practice and Science

Translated Title

比較增生療法與傳統物理治療對腰薦椎轉變椎體所造成慢性下背痛的療效

Abstract

A lumbosacral transitional vertebra (LSTV) is a congenital musculoskeletal abnormality with a higher incidence in patients with low back pain as to the normal population. Such finding implicates that an altered mechanics caused by a transitional vertebra may contribute to pain generation. In cadavers with an LSTV, the iliolumbar ligament at the level immediately above the transitional vertebra was thinner and weaker than it was for cadavers without an LSTV. This ligament of LSTV is vulnerable to sprains in terms of structural and biomechanical alterations and may be the target of treatment. Twenty-two patients with chronic low back pain in the presence of an LSTV participated in this study. Intervention effects of prolotherapy and traditional physical therapy on pain control, balance performance and flexibility of the low back in patients with an LSTV were investigated. The experimental group, consisting of 14 participants, over the iliolumbar ligament and anomalous articulation of the LSTV was treated with prolotherapy (local injection with 25% glucose). The control group consisted of 8 weight-, height-, and age-matched participants that underwent traditional physical therapy. Both groups were evaluated in terms of balance performance, flexibility of the low back, and the visual analogue scale at Weeks 0, and 4. The results showed that both groups had significant pain reduction after 4 weeks of treatment, but the experimental group showed superior pain reduction than the physical therapy group. Balance and flexibility were not significantly improved after 4 weeks of treatment for both groups. In conclusion, prolotherapy showed a more promising pain reduction effect than traditional physical therapy in 4 weeks, future researches are needed to examine its chronic effect.

Language

Traditional Chinese

First Page

159

Last Page

169

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