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脊柱局部正骨推拿联合拉伸运动对腰椎间盘突出症患者腰椎功能的影响 被引量:1

Influence of Spinal Bone-Setting Massage Combined with Stretching Exercise on Lumbar Spine Function in Patients with Lumbar Disc Herniation
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摘要 目的探究在腰椎间盘突出症患者中实施脊柱局部正骨推拿联合拉伸运动对其腰椎功能的影响.方法选择郑州大学第一附属医院2019年8月—2021年12月收治的腰椎间盘突出症患者122例,按照随机数字表法分为对照组(n=61)和观察组(n=61).对照组进行拉伸运动,观察组在此基础上联合脊柱局部正骨推拿,均持续干预2周.比较两组腰椎功能、疼痛程度及生活质量.结果干预前,两组腰椎功能、疼痛程度、生活质量比较,组间差异无统计学意义(P>0.05);干预后,观察组日本骨科协会评估表评分(20.34±2.64)分高于对照组,疼痛视觉模拟评分(2.10±0.58)分低于对照组,生活质量综合评定问卷中躯体、心理、社会功能、物质生活状态分别为(80.11±6.13)分、(79.84±6.89)分、(82.14±7.28)分、(83.52±7.46)分,均高于对照组,组间差异有统计学意义(P<0.05).结论在腰椎间盘突出症患者中实施脊柱局部正骨推拿联合拉伸运动能够缓解疼痛,改善腰椎功能,提高生活质量,具有临床推广价值. Objective To investigate the effect of spinal bone-setting massage of the spine combined with stretching exercises on the function of the lumbar spine in patients with lumbar intervertebral disc herniation.Methods 122 patients with lumbar disc herniation admitted to the first affiliated hospital of zhengzhou university from August 2019 to December 2021 were selected and divided into a control group(n=61)and an observation group(n=61)according to the random number table method.The control group was subjected to stretching exercise,and the observation group was combined with local orthopedic massage of the spine on this basis,and both continued intervention for 2 weeks.The lumbar spine function,pain level and quality of life were compared between the two groups.Results Before the intervention,there were no statistically significant differences between the two groups in terms of lumbar spine function,pain level,and quality of life(P>0.05);after the intervention,the Japanese Orthopaedic Association assessment scale score(20.34±2.64)points in the observation group was higher than that in the control group,the pain visual analog score(2.10±0.58)points in the observation group was lower than that in the control group,and the physical,psychological,social function and material life status in the comprehensive assessment of quality of life questionnaire were(80.11±6.13)points,(79.84±6.89)points,(82.14±7.28)points,(83.52±7.46)points respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusions In patients with lumbar intervertebral disc herniation,the implementation of local spinal bone-setting massage combined with stretching can relieve pain,improve lumbar spine function,and improve quality of life,which has clinical value.
作者 郭宇 李众毅 GUO Yu;LI Zhongyi(Department of Rehabilitation Medicine,The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan,450052,China;Department of Chinese Medicine Rehabilitation,The Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou Henan,450000,China)
出处 《反射疗法与康复医学》 2022年第13期25-27,共3页 Reflexology And Rehabilitation Medicine
关键词 腰椎间盘突出症 脊柱局部正骨推拿 拉伸运动 腰椎功能 疼痛程度 生活质量 Lumbar disc herniation Spinal bone-setting massage Stretching exercise Lumbar spine function Pain level Quality of life
作者简介 郭宇(1996-),男,河南濮阳人,本科,技师,研究方向:康复治疗。
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