Abstract

Purpose

Impaired postural control and fear of falling are common symptoms in patients with neck disorders, but the effects of balance training have not yet been sufficiently investigated. The aim of this study was to determine the effects of balance training on neck pain, postural control, and balance confidence in patients with cervical disc herniation (CDH).

Materials and methods

Thirty patients (21 females and 9 males) aged 18–55 years were randomly assigned into two groups and followed up for 6 weeks, with a 3-day weekly treatment program. Both groups received hot pack therapy, interferential current, and myofascial relaxation and cervical dynamic isometric exercises. The training group also received additional balance training on a force platform with the visual feedback technique. All patients were evaluated using the visual analogue scale for pain intensity, activity specific balance confidence scale (ABC) for balance confidence, centre of pressure with eyes closed-eyes open (CoP-EO/CoP-EC), and the limits of stability tests (LoS) for postural control with a monoaxial bipodal stabilometric force platform pre- and post-intervention.

Results

The pain intensity was significantly reduced in both groups (p = 0.01). CoP-EO/CoP-EC and LoS results improved in the training group (p = 0.036, p = 0.020, p = 0.23, respectively), whereas no effects were observed in the control group (p = 0.955, p = 0.307, p = 0.363, respectively). Although ABC scores increased significantly in both groups (p = 0.001, p = 0.009, respectively), the increase in the training group was significantly higher than that of the control group (p = 0.003).

Conclusions

The results of our study revealed that balance training added to the treatment protocol of CDH may have positive results in the treatment of neck problems. Accordingly, balance training in the treatment of chronic neck problems should also be considered for a comprehensive management of CDH

中文翻译：

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6 周平衡训练和常规物理治疗对颈椎间盘突出症患者疼痛、姿势控制和平衡信心的影响：一项随机对照试验

摘要

目的

姿势控制受损和害怕跌倒是颈部疾病患者的常见症状，但平衡训练的效果尚未得到充分研究。本研究的目的是确定平衡训练对颈椎间盘突出症 (CDH) 患者颈部疼痛、姿势控制和平衡信心的影响。

材料和方法

年龄 18-55 岁的 30 名患者（21 名女性和 9 名男性）被随机分为两组，随访 6 周，每周治疗 3 天。两组均接受热敷疗法、干扰电流、肌筋膜松弛和颈椎动态等长运动。训练组还通过视觉反馈技术在力台上接受了额外的平衡训练。使用视觉模拟量表评估所有患者的疼痛强度、活动特定平衡置信量表 (ABC) 的平衡置信度、闭眼压力中心 (CoP-EO/CoP-EC) 和稳定性测试的极限(LoS) 用于在干预前和干预后使用单轴双脚稳定力平台进行姿势控制。

结果

两组的疼痛强度均显着降低（p  = 0.01）。CoP-EO/CoP-EC 和 LoS 结果在训练组中有所改善（分别为p  = 0.036、p  = 0.020、p  = 0.23），而在对照组中未观察到任何影响（p  = 0.955、p  = 0.307、p  = 0.363，分别）。尽管两组的 ABC 评分均显着增加（分别为p  = 0.001、p  = 0.009），但训练组的增加幅度显着高于对照组（p  = 0.003）。

结论

我们的研究结果表明，在 CDH 治疗方案中加入平衡训练可能对颈部问题的治疗产生积极的效果。因此，慢性颈部问题治疗中的平衡训练也应考虑用于CDH的综合管理