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肌力训练对腰椎间盘突出症病人腰椎功能及预防复发的作用 被引量:14

THE EFFECT OF EXERCISE FOR POWER ON LUMBAR FUNCTION AND RECURRENCE PREVENTION IN PATIENTS WITH LUMBAR INTERVERTEBRAL DISC PROTRUSION
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摘要 目的探讨肌力训练对腰椎间盘突出症病人腰椎功能及预防复发的作用。方法将47例腰椎间盘突出症临床症状缓解的病人随机分为2组:实验组24例,对脊柱各种运动的作用肌进行肌力训练,每周3次,每次90 min,时间6个月;对照组23例,自然发展不做针对性肌肉训练。试验结束后对2组病人的腰椎功能进行评定。结果训练前实验组与对照组腰椎功能评分差异无显著性。训练后实验组腰椎功能评分明显提高(t=2.83,P<0.05),而对照组试验前后腰椎功能评分差异无显著性(t=0.93,P>0.05)。训练后实验组腰椎功能评分明显高于对照组(t=2.87,P<0.05)。训练结束后随访半年,实验组复发率明显低于对照组(χ2=6.23,P<0.05)。结论肌力训练对改善腰椎间盘突出症病人的腰椎功能及预防复发有很好效果。 Objective To assess the effect of exercise for power on lumbar function and its recurrence prevention in patients with lumbar intervertebral disc protrusion (LIDP). Methods Forty-seven LIDP patients with clinically symptomatic relief were evenly randomized to two groups. The patients in the treatment group were conducted exercise for power, three times a week, 90 rain each time, for six months; for those in the control group, no training aiming directly at exercise for power was un- dertaken. Upon completion of the training, the lumbar function was appraised. Results Before training, no significant difference of lumbar function between the two groups was noted; After training, the lumbar function score of those in the experiment group was markedly elevated (t= 2.83, P〈0.05), and that of those in the control, no significant difference was recorded between before and after the training (t=0.93,P〉0.05). The lumbar function score of those in the experiment after instruction was obviously higher than that in the control (t=2.87,P〈0.01). A follow-up of six months showed that the recurrence rate in the experiment was significantly lower than that in the control (x2 =6.23,P〈0.05). Conclusion The exercise for power is of great effect on improving lumbar function and preventing recurrence in patients with LIDP.
作者 战迅 王新青
出处 《青岛大学医学院学报》 CAS 2010年第6期532-534,共3页 Acta Academiae Medicinae Qingdao Universitatis
关键词 腰椎 椎间盘移位 运动疗法 复发 lumbar vertebrae intervertebral disk displacement exercise therapy recurrence
作者简介 [作者简介]战迅(1970-),男,硕士,讲师。
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