悬吊训练对慢性下腰背痛患者疼痛、残障、肌力和焦虑的影响
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摘要
目的:探讨悬吊训练对慢性下腰背痛(CLBP)患者疼痛、残障、肌力、焦虑的临床疗效。方法:将40例CLBP患者按照随机数字表法分为观察组和对照组,每组20例,观察组运用悬吊训练,对照组在治疗床上进行核心稳定性训练。2组治疗前后通过视觉模拟疼痛量表(VAS)、Oswesty功能障碍指数(ODI)、背伸肌肌力及焦虑自评量表(SAS)进行疗效评价。结果:2组治疗后的VAS评分、ODI、背伸肌肌力及SAS评分均较治疗前显著改善,差异具有统计学意义(P<0.05);观察组的VAS评分、ODI、背伸肌肌力及SAS评分改善幅度较对照组显著,差异具有统计学意义(P<0.05)。结论:悬吊训练可以改善CLBP患者的疼痛指数、残障程度,增加背伸肌肌力和改善焦虑。
Objective: To explore the clinical effect of suspension training for pain, disability, muscle strength and anxiety in the patients with chronic low back pain(CLBP). Methods: A total of 40 patients with CLBP were randomly divided into observation group and control group, with 20 cases in each group. The observation group was treated by suspension training, and the control group was performed core stability training in the treatment bed. Both groups were evaluated by visual analogue scale(VAS), Oswesty disability index(ODI), extensor muscle strength and self-rating anxiety scale(SAS) before and after treatment. Results: After six weeks of treatment, the VAS score, ODI, extensor muscle strength and SAS score in both groups were significantly improved compared with those before treatment(P<0.05). The improvement of VAS score, ODI, extensor muscle strength and SAS score in the observation group were significantly higher than those in the control group(P<0.05). Conclusion: Suspension training can improve the pain index, degree of disability, increase of extensor muscle strength and improve the anxiety of patients with CLBP.
Objective: To explore the clinical effect of suspension training for pain, disability, muscle strength and anxiety in the patients with chronic low back pain(CLBP). Methods: A total of 40 patients with CLBP were randomly divided into observation group and control group, with 20 cases in each group. The observation group was treated by suspension training, and the control group was performed core stability training in the treatment bed. Both groups were evaluated by visual analogue scale(VAS), Oswesty disability index(ODI), extensor muscle strength and self-rating anxiety scale(SAS) before and after treatment. Results: After six weeks of treatment, the VAS score, ODI, extensor muscle strength and SAS score in both groups were significantly improved compared with those before treatment(P<0.05). The improvement of VAS score, ODI, extensor muscle strength and SAS score in the observation group were significantly higher than those in the control group(P<0.05). Conclusion: Suspension training can improve the pain index, degree of disability, increase of extensor muscle strength and improve the anxiety of patients with CLBP.
引文
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[17]LEE S W,KIM S Y.Effects of hip exercises for chronic lowback pain patients with lumbar instability[J].J Phys Ther Sci,2015,27(2):345-348.
[18]NEWTON M,THOW M,SOMERVILLE D,et al.Trunk strength testing with iso machines.Part 2:Experimental evaluation of the Cybex II Back Testing System in normal subjects and patients with chronic low back pain[J].Spine(Phila Pa 1976),1993,18(7):812-824.
[2]师东良,王予彬.核心稳定训练对非特异性下背痛的治疗作用[J].中国康复医学杂志,2011,26(7):695-698.
[3]曾雅琴,陈少清,陈乐春,等.下腰痛核心肌群在临床上的评价方式[J].按摩与康复医学,2015,6(1):16-18.
[4]MACDONALD D A,MOSELEY G L,HODGES P W.The lumbar multifidus:Does the evidence support clinical beliefs?[J].Man Ther,2006,11(4):254-263.
[5]LEE J S,YANG S H,KOOG Y H,et al.Effectiveness of sling exercise for chronic low back pain:a systematic review[J].Phys Ther Sci,2014,26(8):1301-1306.
[6]KIM J H,KIM Y E,BAE S H,et al.The effect of the neurac sling exercise on postural balance adjustment and muscular response patterns in chronic low back pain patients[J].Phys Ther Sci,2013,25(8):1015-1019.
[7]朱立国,于杰,高景华,等.渗湿通络法治疗寒湿痹阻型腰椎间盘突出症的临床观察[J].北京中医,2006,25(7):389-392.
[8]CHOW J H,CHAN C C.Validation of the Chinese version of the Oswestry disability index[J].Work,2005,25(4):307-314.
[9]严怀宁,叶荣,张晓峰,等.武警新兵腰背肌背伸训练对腰背肌肌力的影响[J].重庆医学,2013,42(15):1746-1748.
[10]吴美霞,季向荣.非手术脊柱减压系统配合中医护理干预对腰椎间盘突出症的临床观察[J].新中医,2017,49(1):181-183.
[11]林科宇,许轶,王楚怀,等.悬吊式核心稳定训练对慢性非特异性下背痛的疗效[J].中国康复医学杂志,2014,29(10):923-928.
[12]BOGDUK N.Clinical anatomy of the lumbar spine and sacrum[M].Edinburgh:Churchill Livingstone,1997:1-20.
[13]PANJABI M M.The stabilizing system of the spine.PartⅠ.Function,dysfunction,adaptation,and enhancement[J].J Spinal Disord,1992,5(4):383-389,397.
[14]PANJABI M M.The stabilizing system of the spine.PartⅡ.Neutral zone and instability hypothesis[J].J Spinal Disord,1992,5(4):390-396,397.
[15]MCGILL S M.Low back exercises:evidence for improving exercise regimens[J].Phys Ther,1998,78(7):754-765.
[16]VERA-GARCIA F J,GRENIER S G,MCGILL S M.Abdominal muscle response during curl-ups on both stable and labile surfaces[J].Phys Ther,2000,80(6):564-569.
[17]LEE S W,KIM S Y.Effects of hip exercises for chronic lowback pain patients with lumbar instability[J].J Phys Ther Sci,2015,27(2):345-348.
[18]NEWTON M,THOW M,SOMERVILLE D,et al.Trunk strength testing with iso machines.Part 2:Experimental evaluation of the Cybex II Back Testing System in normal subjects and patients with chronic low back pain[J].Spine(Phila Pa 1976),1993,18(7):812-824.