Japanese

Title	腰部脊柱管狭窄症患者に対する筋力強化・有酸素運動の併用による効果 - 多機関共同無作為化比較試験 -
Subtitle	研究論文 (原著)
Authors	石田和宏1), 東裕一2), 対馬栄輝3), 加藤浩4), 峯玉賢和5), 三上紘史6), 葉清規7), 小林凌8), 竹内雄一9), 有原裕貴10), 杉澤裕之11), 田中康明12), 上原徹13), 宮城島一史1), 森大14), 森木研登15), 古谷英孝16), 前田健太郎17)
Authors (kana)
Organization	1)えにわ病院, 2)南越谷病院, 3)弘前大学大学院, 4)山形県立保健医療大学, 5)和歌山県立医科大学附属病院紀北分院, 6)船橋整形外科クリニック, 7)浜脇整形外科リハビリセンター, 8)慶友整形外科病院, 9)白庭病院, 10)近江整形外科, 11)富良野協会病院, 12)済生会長崎病院, 13)名古屋市立大学医学部附属西部医療センター, 14)北千葉整形外科, 15)篠路整形外科, 16)苑田第三病院, 17)かわむら整形外科
Journal	理学療法学
Volume	51
Number	4
Page	101-111
Year/Month	2024 /
Article	原著
Publisher	日本理学療法学会連合
Abstract	「要旨」【目的】腰部脊柱管狭窄症(Lumbar Spinal Stenosis: 以下, LSS)患者における筋力強化と有酸素運動の併用の有効性を調査することである. 【方法】LSS患者をストレッチ群32例, それに加えて筋力強化・有酸素運動を行った複合群31例にランダム化割り付けした. 介入は2ヶ月間, 週1回の通院とホームエクササイズとした. 検討項目は, 腰痛・下肢痛・しびれの程度, Oswestry Disability Index(以下, ODI) Score, LSS症状・生活の質(Quality of Life: 以下, QOL)スケールなどとした. 【結果】複合群はストレッチ群と比較し, 腰痛・下肢痛・しびれの程度, ODI Score, LSS症状・QOLスケールにおいて顕著な効果を認めなかった. 補足的な分析における時間の主効果では, 腰痛, しびれ, LSS症状スケールにおいて両群共に有意な改善を示し, 複合群では下肢痛の改善も良好であった. 【結論】LSS患者に対する筋力強化・有酸素運動の併用による明らかな有効性を認めなかった. 経時的な変化では, 筋力強化・有酸素運動の併用の有無に関係なく, 効果を認めた項目が複数存在した.
Practice	医療技術
Keywords	腰部脊柱管狭窄症, 筋力強化, 有酸素運動, 多機関共同無作為化比較試験, Lumbar spinal stenosis, Muscle strengthening exercise, Aerobic exercise, Multicenter randomized controlled trial

English

Title	Efficacy of Muscle Strengthening Exercise and Aerobic Exercise in Patients with Lumbar Spinal Stenosis : A Multicenter Randomized Controlled Trial
Subtitle	Research Reports (Original Article)
Authors	Kazuhiro ISHIDA1), Kazufumi MIYAGISHIMA1), Yuichi AZUMA2), Eiki TSUSHIMA3), Hiroshi KATOH4), Masakazu MINETAMA5), Hiroshi MIKAMI6), Kiyonori YO7), Ryo KOBAYASHI8), Yuichi TAKEUCHI9), Hiroki ARIHARA10), Hiroyuki SUGISAWA11), Yasuaki TANAKA12), Toru UEHARA13), Hiroshi MORI14), Kento MORIKI15), Hidetaka FURUYA16), Kentaro MAEDA17)
Authors (kana)
Organization	1)Eniwa Hospital, 2)Minamikoshigaya Hospital, 3)Hirosaki University Graduate School, 4)Yamagata Prefectural University of Health Sciences, 5)Wakayama Medical University Kihoku Hospital, 6)Funabashi Orthopedic Clinic, 7)Hamawaki Orthopaedic Clinic, 8)Keiyu Orthopaedic Hospital, 9)Shiraniwa Hospital, 10)Omi Orthopedic Clinic, 11)Furano Kyokai Hospital, 12)Saiseikai Nagasaki Hospital, 13)Nagoya City University West Medical Center, 14)Kitachiba Orthopedic Clinic, 15)Shinoro Orthopedic Hospital, 16)Sonoda Third Hospital, 17)Kawamura Orthopedic Clinic
Journal	Journal of the Japanese Physical Therapy Association (Japanese)
Volume	51
Number	4
Page	101-111
Year/Month	2024 /
Article	Original article
Publisher	Japanese Society of Physical Therapy
Abstract	<Abstract> Objective: The purpose of this study was to determine the effectiveness of muscle strengthening and aerobic exercise in patients with lumbar spinal stenosis (LSS). Methods: Patients with LSS were randomly allocated to a stretching group (n = 32) and a combined group that performed muscle strengthening and aerobic exercise in addition to stretching (n = 31). The frequency of visits to the hospital was once per week, and self-exercise was performed at home. The intervention period was 2 months. Outcomes included subjective evaluations of back pain, leg pain, and numbness and scores on the Oswestry Disability Index (ODI), a LSS symptom scale, and a quality of life scale (QOL). Results: No clear improvements in back pain, leg pain, numbness, ODI score, LSS symptom scale, and LSS QOL scale were observed in the combined group compared to the stretching group. The main effect of time in the post-hoc analysis showed significant improvements in both groups in back pain, numbness and the LSS symptom scale. A combined group was more effective in improving leg pain. Conclusion: Muscle strengthening and aerobic exercise do not appear to be effective treatments for patients with LSS. Longitudinal results suggest that some outcomes are positive regardless of the type of exercise therapy.
Practice	Medical technology
Keywords	Lumbar spinal stenosis, Muscle strengthening exercise, Aerobic exercise, Multicenter randomized controlled trial

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