摘要
目的探讨悬吊运动训练(SET)治疗慢性腰痛的疗效.方法招募年龄在41~50岁的健康无腰痛受试者15名为健康组,慢性腰痛患者30例随机分为对照组15例和试验组15例.对照组接受常规治疗,试验组接受常规治疗+SET核心控制训练.比较治疗前及治疗3周后,受试者竖脊肌屈曲-放松比值(FR)、功能障碍指数(ODI)、腰椎功能障碍程度(RMQ)、疼痛视觉模拟评分(VAS)、腰椎关节活动度(ROM).并将相关参数进行统计分析.结果①治疗3周后,对照组及治疗组患者竖脊肌FR值较治疗前均显著提高,差异具有统计学意义(P<0.01);治疗组治疗3周后竖脊肌FR比值较对照组提高更显著(P<0.01),更接近健康组.②对照组和治疗组ODI评分、RMQ评分、VAS评分较治疗前均显著降低(P<0.01);治疗组治疗3周后ODI评分、RMQ评分、VAS评分较对照组降低更显著(P<0.01).③对照组与治疗组患者腰椎各方向ROM较治疗前均显著增大(P<0.05);治疗组治疗3周后腰椎各方向ROM较对照组增大更显著(P<0.05),更接近健康组.结论SET核心控制训练作为腰痛治疗方法在临床中得到认可,结合竖脊肌FR比值比较可以更加准确地判断治疗效果,而竖脊肌的屈曲-放松现象是一种简单及相对精确的评价指标,可以在临床中作为判断慢性腰痛的诊断方法推广使用.
Objective To investigate the efficacy of the sling exercise therapy(SET)cure chronic low back pain. Methods Fifteen healthy subjects aged 41-50 years old were recruited,who were divided into normal group respectively. Thirty cases of patients aged 41-50 years old with chronic low back pain,were randomly divided into control group(15 cases)and test group(15 cases). Before and 3 weeks after treatment,through the MyoTrac Encoder instrument measuring flexion-relaxation (FR)ratio of spinal erectors of the subjects measuring the patients' subjective index of the degree of pain,dysfunction and lumbar dysfunction degree by visual analogue scale(VAS),Oswestry dability index(ODI)and the roland morris disability questionnaire(RMQ)scale. Through the tape measure measuring lumbar active motion(the range of motion,ROM),with manual muscle testing method to assess the subjects trunk inflexional and outstretched strength, with a stopwatch to determine subjects trunk inflexional and outstretched endurance. Results Three weeks after treatment,FR ratio of spinal erectors,trunk inflexional and outstretched strength,trunk inflexional and outstretched endurance,each direction of lumbar motion,ODI score,RMQ score,VAS score of control group and test group were significantly ameliorated (P<0.01),and the test group ameliorated more significantly (P<0.05),which was closer to the normal group. Conclusion The SET core control training is recognized as a treatment method for low back pain in the clinic. The FR ratio of the erector spinae can be used to judge the treatment effect more accurately. The flexion-relaxation phenomenon of the erector spinae is a simple and relatively accurate evaluation index. It can be used as a diagnostic method for judging chronic low back pain in the clinic.
作者
许志强
林丕鹏
王乐
Xu Zhiqiang;Lin Peipeng;Wang Le(Department of Rehabilitation Medicine,the First Clinical Medical College of Shanxi Medical University,Taiyuan 030001,Shanxi Province, China)
出处
《实用医技杂志》
2019年第7期828-830,共3页
Journal of Practical Medical Techniques
基金
山西省软科学研究项目(2015041030-5)
山西省卫生计生委科研课题(2014035)
关键词
悬吊训练
腰痛
慢性
屈曲放松
屈曲-放松比值
Sling therapy
Low back pain,chronic
Flexion-relaxation phenomenon
Flexion-relaxation ratio
作者简介
通信作者:王乐.
