摘要
探讨腰椎运动链训练系统对腰椎间盘突出症(lumbar disc herniation, LDH)术后腰椎功能与生物力学的影响。通过选取河南省信阳市中心医院收治的122例LDH患者,随机数字表法分组,各61例。两组均行手术治疗,对照组采取常规训练,观察组基于对照组采取腰椎运动链训练系统。比较2组干预效果。干预12周后、24周后观察组健侧、弱链侧平均振幅值、步幅、步频、腰背伸展状态平均功率(AP)、腰背伸展状态平均功率(PT)高于对照组,VAS评分及腰背屈/伸比(F/E)低于对照组(P<0.05);干预24周后观察组SF-36、BI评分高于对照组(P<0.05)。腰椎运动链训练系统可缓解LDH术后疼痛,改善下肢步态,恢复腰椎功能及生物力学,提高生活质量。
To investigate the effect of lumbar motion chain training system on lumbar function and biomechanics after lumbar disc herniation(LDH)surgery.A total of 122 patients with LDH admitted to the Central Hospital of Xinyang City,Henan Province,were selected and randomly divided into two groups of 61 cases each.Both groups underwent surgical treatment,with the control group receiving conventional training and the observation group receiving lumbar motion chain training system based on the control group.The intervention effects of the two groups were compared.After 12 and 24 weeks of intervention,the average amplitude,stride length,step frequency,AP,and PT of the healthy side and weak chain side in the observation group were higher than those in the control group,while the VAS score and F/E were lower(P<0.05).After 24 weeks of intervention,the SF-36 and BI scores in the observation group were higher than those in the control group(P<0.05).The lumbar spine motion chain training system can alleviate postoperative pain of LDH,improve lower limb gait,restore lumbar spine function and biomechanics,and improve quality of life.
作者
高健
李伟
GAO Jian;LI Wei(Zhengzhou University of Industrial Technology,451100 Zhengzhou,China;Henan Xinyang Central Hospital,464099 Xinyang,China)
出处
《应用力学学报》
CAS
CSCD
北大核心
2024年第2期477-484,共8页
Chinese Journal of Applied Mechanics
基金
教育部产学合作协同育人项目:“运动处方+智慧体育”精准干预大学生体质健康效用的实证研究(No.220601359143854)。
关键词
腰椎间盘突出症
经皮椎间孔镜微创手术
腰椎运动链训练系统
常规训练
lumbar disc herniation
minimally invasive percutaneous intervertebral foraminoscopic surgery
lumbar chain of motion training system
routine training
作者简介
通信作者:高健。E-mail:gjian176621@163.com。