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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.63 (2017) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/574
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| タイトル: | Therapeutic efficacy of nonsteroidal anti-inflammatory drug therapy versus exercise therapy in patients with chronic nonspecific low back pain: a prospective study |
| 著者: | Takahashi, Naoto
Omata, Jun-Ichi
Iwabuchi, Masumi
Fukuda, Hironari
Shirado, Osamu |
| 学内所属: | 会津医療センター整形外科・脊椎外科学講座
会津医療センターリハビリテーション部 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 63 |
| 号: | 1 |
| 開始ページ: | 8 |
| 終了ページ: | 15 |
| 発行日: | 2017年 |
| 抄録: | Therapy for chronic, nonspecific low back pain is mainly conservative: medication and/or exercise. Pharmacotherapy, however, has side effects, and the quantities of concomitant drugs in older persons require attention. Although exercise promises improved function, its use to alleviate pain is controversial. Thus, we compared the efficacy of pharmacotherapy versus exercise for treating chronic nonspecific low back pain. The pharmacotherapy group (n=18: 8 men, 10 women) were prescribed celecoxib monotherapy. The exercise group (n=22: 10 men, 12 women) undertook stretching exercises. Because of drop-outs, the NSAID group (n=15: 7 men, 8 women) and the exercise group (n =18: 8 men, 10 women) were finally analyzed. We applied a visual analog scale, Roland-Morris disability scores, and the 36-Item Short Form Health Survey. We used a paired t-test for within-group analyses and an unpaired t-test for between-group analyses. Pain relief was achieved after 3 months of pharmacotherapy or exercise. Quality of life improved only in the exercise group. Recovery outcomes for the two groups were not significantly different. Efficacy of exercise therapy for strictly defined low back pain was almost equivalent to that of pharmacotherapy and provided better quality of life. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/574 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/574/1/FksmJMedSci_63_p8.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2016-12 |
| PubMed番号: | 28331155 |
| 関連ページ: | http://doi.org/10.5387/fms.2016-12 |
| 権利情報: | © 2017 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.63 (2017)
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