中医导引养生处方对老年女性腰痛的影响
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摘要
目的通过中医导引养生处方对老年女性腰痛的干预,评价疗效并探讨相关机制。方法采集北京市某社区患腰痛老年女性60例,随机分为治疗组和对照组,其中治疗组40例,进行16周的中医导引养生处方(导引功法五禽戏的练习结合指针保健按摩)干预,对照组为20例,两组均实施健康教育。结果应用中医导引养生处方后,老年女性的腰痛疼痛程度和Oswestry功能障碍指数明显改善(P<0.01),坐位体前屈测试得到显著提高(P<0.01);背桥持续时间显著增加(P<0.01),闭眼单脚站立健侧和患侧的支撑时间都有明显的提高(P<0.01)。结论中医导引养生处方可显著改善患腰痛老年女性的功能障碍和疼痛程度,促进柔韧性、平衡能力和腰部相关肌力等体质机能指标的提高。
Objective To evaluate the therapeutic effect of daoyin and health care therapy of TCM on lumbago in aged women and explore its effect mechanism.Methods A total of 60 aged women with lumbago were collected from one community in Beijing and they were randomized into a treatment group and a control group.In the treatment group,40 cases were treated with daoyin and health care therapy of TCM for 16 weeks(five-animal boxing of daoyin exercise and acupressure).There were 20 cases in the control group.The health education was given in both of the groups.Results After treatment with daoyin and health care therapy of TCM,the pain degree and Oswestry disability index were improved obviously in the aged women with lumbago(P<0.01).The result of the sit-and-reach test was improved significantly(P<0.01).The duration of back-bridge test was increased significantly(P<0.01).The support time of standing on one foot of the healthy side with eye closed as well as of the affected side was improved obviously(P<0.01).Conclusion Daoyin and health care therapy of TCM significantly improves in the function impairment and pain degree in lumbago of aged women.Such therapy promotes the flexibility,balance ability and muscle strength of lumbar region.
Objective To evaluate the therapeutic effect of daoyin and health care therapy of TCM on lumbago in aged women and explore its effect mechanism.Methods A total of 60 aged women with lumbago were collected from one community in Beijing and they were randomized into a treatment group and a control group.In the treatment group,40 cases were treated with daoyin and health care therapy of TCM for 16 weeks(five-animal boxing of daoyin exercise and acupressure).There were 20 cases in the control group.The health education was given in both of the groups.Results After treatment with daoyin and health care therapy of TCM,the pain degree and Oswestry disability index were improved obviously in the aged women with lumbago(P<0.01).The result of the sit-and-reach test was improved significantly(P<0.01).The duration of back-bridge test was increased significantly(P<0.01).The support time of standing on one foot of the healthy side with eye closed as well as of the affected side was improved obviously(P<0.01).Conclusion Daoyin and health care therapy of TCM significantly improves in the function impairment and pain degree in lumbago of aged women.Such therapy promotes the flexibility,balance ability and muscle strength of lumbar region.
引文
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[8]董刚,田丽芹,朱书芳,等.膀胱经留针拔罐治疗季节受风致腰痛50例疗效观察[J].世界中西医结合杂志,2014,9(12):1312-1314.
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[15]张晶.太极拳运动对慢性下腰患者步态影响的实验研究[D].上海:上海体育学院,2014.
[16]吴向科.“健身气功·五禽戏”对非体育专业女大学生部分生理指标的影响研究[D].上海:上海师范大学,2012.
[17]王群群.健身气功·五禽戏对60~69岁老年人身体素质相关指标影响的实验研究[D].济南:山东体育学院,2012.
[18]王敏,姜勇.浅谈五禽戏在康复临床中的应用[J].按摩与导引,2008,2(24):42-43.
[19]唐传勤,夏宏武,黄世钧.华佗五禽戏养生健身机理探源[J].安徽农业大学学报:社会科学版,2011,20(6):134-136.
[20]方磊,严隽陶,曹彦俊,等.五禽戏对中老年慢性非特异性下背痛患者腰腹核心肌群力学性能及疼痛影响的临床研究[J].上海中医药杂志,2015(9):49-53.
[21]宁兴明,伍亮,王廷,等.五禽戏配合核心肌力训练治疗非特异性腰痛的临床研究[J].中医正骨,2015(11):25-28.
[22]刘伟,江蓉星,陈子锴,等.非特异性下腰痛病因与治疗方案分析[J].中医临床研究,2016(5):146-148.
[23]刘天君.中医气功学[M].北京:人民卫生出版社,1999:242.
[24]居向阳.中国健身气功的心理功效与作用机制研究[J].河北体育学院学报,2010,24(6):87-90.
[25]许一鹤,崔瑾,路绍祖.全国名老中医路绍祖针刺治疗腰痛经验浅析[J].现代养生,2016(12):196.
[2]刘挚.对导引养生发展历程的历史梳理[D].武汉:武汉体育学院,2014.
[3]彭宝淦,陈金栋.腰痛的病理分类与鉴别诊断[J].中华全科医师杂志,2011,10(2):19-20.
[4]Violante FS,Mattioli S,Bonfiglioli R. Low-back pain[J]. HandbClinNeurol,2015,131(3):397-410.
[5]中国康复医学会脊柱脊髓专业委员会专家组.中国急/慢性非特异性腰背痛诊疗专家共识[J].中国脊柱脊髓杂志,2016,26(12):1134-1138.
[6]朱文锋,朱正华.中医常见症状鉴别诊断:腰痛[J].辽宁中医杂志,1999,26(7):4.
[7]于志强,徐琳.刺络拔罐治疗腰痛的研究进展[J].世界中西医结合杂志,2016,11(7):1031-1033.
[8]董刚,田丽芹,朱书芳,等.膀胱经留针拔罐治疗季节受风致腰痛50例疗效观察[J].世界中西医结合杂志,2014,9(12):1312-1314.
[9]叶晓春,赵普,王亮,等.电针腰椎夹脊穴治疗根性坐骨神经痛的临床疗效观察[J].中医药信息,2015,32(1):108-111.
[10]赵瑞芹,宋振峰,侯锡花.中国居民亚健康状态的分析研究[J].医学研究通讯,2001(4):55-57.
[11]陶朔秀.中华导引术的中医养生学研究[D].上海:上海体育学院,2015.
[12]中医大辞典编辑委员会.中医大辞典[M].北京:人民卫生出版社,1986:98.
[13]Lin Ruizhua,Zhu Ninga,Liu Jiana,et al. Acupuncture-movement therapy for acute lumbar sprain:a randomized controlled clinical trial[J]. J Tradit Chin Med,2016,36(1):19-25.
[14]李丽,冯雯雯,鹿海峰.常规针刺和针刺配合腰腹肌训练治疗非特异性腰痛的临床对比研究[J].中国康复医学杂志,2012(5):475-476.
[15]张晶.太极拳运动对慢性下腰患者步态影响的实验研究[D].上海:上海体育学院,2014.
[16]吴向科.“健身气功·五禽戏”对非体育专业女大学生部分生理指标的影响研究[D].上海:上海师范大学,2012.
[17]王群群.健身气功·五禽戏对60~69岁老年人身体素质相关指标影响的实验研究[D].济南:山东体育学院,2012.
[18]王敏,姜勇.浅谈五禽戏在康复临床中的应用[J].按摩与导引,2008,2(24):42-43.
[19]唐传勤,夏宏武,黄世钧.华佗五禽戏养生健身机理探源[J].安徽农业大学学报:社会科学版,2011,20(6):134-136.
[20]方磊,严隽陶,曹彦俊,等.五禽戏对中老年慢性非特异性下背痛患者腰腹核心肌群力学性能及疼痛影响的临床研究[J].上海中医药杂志,2015(9):49-53.
[21]宁兴明,伍亮,王廷,等.五禽戏配合核心肌力训练治疗非特异性腰痛的临床研究[J].中医正骨,2015(11):25-28.
[22]刘伟,江蓉星,陈子锴,等.非特异性下腰痛病因与治疗方案分析[J].中医临床研究,2016(5):146-148.
[23]刘天君.中医气功学[M].北京:人民卫生出版社,1999:242.
[24]居向阳.中国健身气功的心理功效与作用机制研究[J].河北体育学院学报,2010,24(6):87-90.
[25]许一鹤,崔瑾,路绍祖.全国名老中医路绍祖针刺治疗腰痛经验浅析[J].现代养生,2016(12):196.