下腰痛评定和核心肌力训练在潜艇官兵疗养期间的应用效果
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摘要
目的探讨下腰痛评定和核心肌力训练对潜艇官兵疗养期间的作用效果,为疗养机构对潜艇疗养员进行规范健康维护提供依据。方法选取2015年6月—2017年9月来天津疗养院疗养的潜艇官兵130人作为调查对象。选取2015年6月—2016年6月的潜艇疗养员65名为对照组,2016年7月—2017年9月的潜艇疗养员65名为观察组。观察组给予核心肌力训练,每次训练40 min,每周4次,持续4周,对照组给予常规疗养安排,未进行核心肌力训练。比较两组疗养前后的VAS评分和JOA评分。结果两组VAS评分和JOA评分疗养后均有改善(P<0.01),其中观察组常规疗养配合核心肌力训练后VAS评分平均改善率约为78.95%,JOA评分平均改善率约为82.57%,对照组常规疗养后VAS评分平均改善率约为57.14%,JOA评分平均改善率约为57.23%。观察组改善率明显优于对照组(P<0.01)。结论潜艇官兵在疗养期间进行下腰痛评定和核心肌力训练,下腰痛症状明显改善,改善率优于仅进行常规疗养者,为疗养机构对潜艇疗养员进行健康维护提供了可靠依据。
[Objective] To investigate the effect of low back pain assessment and core muscle strength training on submarine officers and soldiers during the convalescence, provides evidence for the sanatorium to maintain the health of submarine convalescents. [Methods] 130 submarine officers and soldiers in Tianjin Sanatorium from June 2015 to September 2017 were selected as research subjects. A total of 65 convalescent officers from June 2015 to June 2016 were selected as control group,and another 65 from July 2016 to September 2017 were selected as observation group. The observation group was given core muscle strength training, 40 min for each time, 4 times a week for 4 weeks. The control group was given the routine convalescence arrangement without core muscle strength training. The VAS score and JOA score of the two groups before and after convalescence were compared. [Results] After convalescence, the VAS score and JOA score of the two groups improved(P <0.01). After routine convalescence combined with core muscle strength training, the improvement rate of VAS score in the observation group was 78.95% and the improvement rate of JOA score was 82.57%. After routine convalescence, the improvement rate of VAS score in the control group was 57.14% and the improvement rate of JOA score was 57.23%. The improvement of the observation group was better than that of the control group(P<0.01).[Conclusion] The low back pain assessment and core muscle strength training in recuperation can relieve the symptoms of lower back pain of submarine officers and soldiers, and the improvement rate is better than that of the conventional convalescents, which provides a reliable basis for health maintenance of submarine convalescents in convalescent institutions.
[Objective] To investigate the effect of low back pain assessment and core muscle strength training on submarine officers and soldiers during the convalescence, provides evidence for the sanatorium to maintain the health of submarine convalescents. [Methods] 130 submarine officers and soldiers in Tianjin Sanatorium from June 2015 to September 2017 were selected as research subjects. A total of 65 convalescent officers from June 2015 to June 2016 were selected as control group,and another 65 from July 2016 to September 2017 were selected as observation group. The observation group was given core muscle strength training, 40 min for each time, 4 times a week for 4 weeks. The control group was given the routine convalescence arrangement without core muscle strength training. The VAS score and JOA score of the two groups before and after convalescence were compared. [Results] After convalescence, the VAS score and JOA score of the two groups improved(P <0.01). After routine convalescence combined with core muscle strength training, the improvement rate of VAS score in the observation group was 78.95% and the improvement rate of JOA score was 82.57%. After routine convalescence, the improvement rate of VAS score in the control group was 57.14% and the improvement rate of JOA score was 57.23%. The improvement of the observation group was better than that of the control group(P<0.01).[Conclusion] The low back pain assessment and core muscle strength training in recuperation can relieve the symptoms of lower back pain of submarine officers and soldiers, and the improvement rate is better than that of the conventional convalescents, which provides a reliable basis for health maintenance of submarine convalescents in convalescent institutions.
引文
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[10]彭小文,张盘德.非特异性下腰痛的病因研究进展[J].中国康复医学杂志,2010,25(10):1009-1012.
[11]向阳,宋伟娜,周琳.驻海南某部海军官兵健康状况调查[J].华南国防医学杂志,2012,26(1):52-53.
[12]STOKES IA,GARDNER-MORSE MG,HENRY SM.Abdominal muscle activation increases lumbar spinal stability:analysis of contributions of different muscle groups[J]. Clin Biomech,2011,26(8):797-803.
[13]库华义,李奇.腰痛患者进行核心肌群稳定性训练的疗效研究[J].中国康复医学杂志,2012,27(5):276-278.
[14]曹国英.疗养技术常规[M].北京:人民军医出版社,1999:560-680.
[15]张卫兵.特勤疗养学[M].北京:人民军医出版社,2009:493-512.
[2]徐新毅,邱素均,安胜利,等.社区人群非特异性下腰痛的危险因素研究[J].南方医科大学学报,2014,34(12):1794-1798.
[3]乔晋琳,向东东,沈红星,等.海军某部官兵下腰痛调查与分析[J].人民军医,2012(2):111-112.
[4]严卫锋,曾忠友,裴斐.两种固定方式治疗下腰椎病变3年随访结果分析[J].临床骨科杂志,2015,18(3):257-260.
[5]曾勇,邹佳华,邓光锐,等.核心肌群训练对慢性非特异性下腰痛的疗效观察[J].中国实用医药,2013,8(10):252-253.
[6]李跃华.核心力量训练对慢性下腰痛患者康复效果的影响[J].深圳中西医结合杂志,2016(14):149-151.
[7] COMIOLA MV,JIGERSBERG M,STIENEN MN,et al. Complete cage migration/subsidence into the adjacent vertebral body after posterior lumbar interhody fusion[J].Clin Neurosci,2015,22(3):597-598.
[8]徐宏娟.诱发下腰痛相关因素的研究进展[J].中国生化药物杂志,2016,36(1):186-188.
[9]孟凡萍,钱雪华,唐占英.运动员慢性下腰痛发病机制和康复治疗研究进展[J].中国中医骨伤科杂志,2010,18(11):68-70.
[10]彭小文,张盘德.非特异性下腰痛的病因研究进展[J].中国康复医学杂志,2010,25(10):1009-1012.
[11]向阳,宋伟娜,周琳.驻海南某部海军官兵健康状况调查[J].华南国防医学杂志,2012,26(1):52-53.
[12]STOKES IA,GARDNER-MORSE MG,HENRY SM.Abdominal muscle activation increases lumbar spinal stability:analysis of contributions of different muscle groups[J]. Clin Biomech,2011,26(8):797-803.
[13]库华义,李奇.腰痛患者进行核心肌群稳定性训练的疗效研究[J].中国康复医学杂志,2012,27(5):276-278.
[14]曹国英.疗养技术常规[M].北京:人民军医出版社,1999:560-680.
[15]张卫兵.特勤疗养学[M].北京:人民军医出版社,2009:493-512.