The purpose of this study was to investigate the effects of multidimensional approach model on the pain, disability, and sitting posture in patients with nonspecific low back pain (LBP). Sixty LBP patients were recruited and were randomly divided into two groups: multidimensional treatment (MT) group (n = 30) and unimodal treatment (UT) group (n = 30). All participants underwent 48 sessions of treatment (40 min/session, two sessions per day, 2 days per week) for 12 weeks. The MT group conducted a core stability exercise twice a day and additionally provided training on pain principles and management methods. The UT group only performed a core stability exercise twice a day. The visual analog scale (VAS) and Oswestry Disability index (ODI) were used to measure pain intensity and disability. Thoracolumbar kyphosis and lumbar lordosis in the sitting position were measured using a motion capture system. After training, the pain and disability in the MT group improved significantly greater than the UT group (). In the MT group, the pain relief effect persisted 3 months after the end of training. Thoracolumbar kyphosis and lumbar lordosis in the MT group were significantly improved compared to the UT group (). Thus, MT combined with core stability exercise may be used to improve the pain, disability, and sitting posture in patients with LBP.

中文翻译：

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多维治疗对腰痛患者疼痛、残疾和坐姿的影响：一项随机对照试验

本研究的目的是调查多维方法模型对非特异性腰痛 (LBP) 患者的疼痛、残疾和坐姿的影响。招募了 60 名 LBP 患者并随机分为两组：多维治疗（MT）组（n  =30）和单峰治疗（UT）组（n = 30）。所有参与者都接受了 48 次治疗（40 分钟/次，每天两次，每周 2 天），持续 12 周。MT 组每天进行两次核心稳定性练习，并额外提供疼痛原理和管理方法的培训。UT 组每天只进行两次核心稳定性练习。视觉模拟量表 (VAS) 和 Oswestry 残疾指数 (ODI) 用于测量疼痛强度和残疾。使用运动捕捉系统测量坐位的胸腰椎后凸和腰椎前凸。训练后，MT组的疼痛和残疾改善明显大于UT组（）。在 MT 组中，疼痛缓解效果在训练结束后持续 3 个月。与UT组相比，MT组胸腰椎后凸和腰椎前凸明显改善（）。因此，MT结合核心稳定性锻炼可用于改善LBP患者的疼痛、残疾和坐姿。