麦肯基手法结合理疗治疗非特异性下腰痛患者50例
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摘要
目的:分析麦肯基手法结合理疗治疗非特异性下腰痛患者治疗效果。方法:选择2016年8月～2018年8月期间在我院门诊或住院治疗的非特异性下腰痛患者50例,通过数字随机表法分为对照组和治疗组各25例,对照组采用理疗治疗,局部干涉波+威伐光治疗,治疗组在理疗基础上加用腰椎麦肯基手法治疗,连续治疗10天为1个疗程,采用魁北克腰痛障碍量表(QBPDS)、视觉模拟量表(VAS)进行疗效评价。结果:治疗组总有效率为92.0%,显著高于对照组的80.0%(P<0.05);治疗组QBPDS、VAS评分改善程度均显著优于对照组(P<0.05)。结论:麦肯基手法结合理疗治疗非特异性下腰痛疗效显著,值得临床推广应用。
Objective: To analyze the therapeutic effect of McKenzie technique combined with physical therapy on patients with non-specific low back pain. Methods: A total of 50 patients with non-specific low back pain who were treated in our hospital from August 2016 to August 2018 were randomly divided into control group(n=25) and treatment group(n=25), the control group treated with physical therapy such as local interference wave + Vera light, while treatment group combined with lumbar vertices McKenzie technique, continuous treatment for 10 days was a course of treatment, The Quebec Low Back Pain Scale(QBPDS) and visual analogue scale(VAS) were used to evaluate the therapeutic effect. Results: The overall response rate of treatment group was 92.0%, which was significantly higher than 80.0% that of control group(P<0.05); the improvement of QBPDS and VAS scores in treatment group were significantly better than control group(P<0.05). Conclusion: The combination of McKenzie technique and physical therapy in the treatment of non-specific low back pain patients is effective, which deserves clinical promotion and application.
Objective: To analyze the therapeutic effect of McKenzie technique combined with physical therapy on patients with non-specific low back pain. Methods: A total of 50 patients with non-specific low back pain who were treated in our hospital from August 2016 to August 2018 were randomly divided into control group(n=25) and treatment group(n=25), the control group treated with physical therapy such as local interference wave + Vera light, while treatment group combined with lumbar vertices McKenzie technique, continuous treatment for 10 days was a course of treatment, The Quebec Low Back Pain Scale(QBPDS) and visual analogue scale(VAS) were used to evaluate the therapeutic effect. Results: The overall response rate of treatment group was 92.0%, which was significantly higher than 80.0% that of control group(P<0.05); the improvement of QBPDS and VAS scores in treatment group were significantly better than control group(P<0.05). Conclusion: The combination of McKenzie technique and physical therapy in the treatment of non-specific low back pain patients is effective, which deserves clinical promotion and application.
引文
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[9]宋英杰,李坤雨,丁一.手法结合干扰电加磁热振治疗颈型颈椎病的临床观察[J].按摩与康复医学,2017,8(21):14-15.
[10]易钊浩,麦国钊,冯桂芳.中药定向透入结合磁热振治疗腰椎间盘突出症的疗效观察[J].按摩与康复医学,2016,7(24):17-19.
[11]李展新,刘建航,李锦威,等.韦氏脊柱整治手法结合核心肌群训练治疗非职业高尔夫运动者非特异性腰痛[J].中医正骨,2018,30(4):13-18.
[12]蒋涛,刘毅斌,陈飞,等.正脊推拿配合四维腰椎牵引治疗腰椎间盘突出症的临床研究[J].按摩与康复医学,2015,6(11):40-41.
[13]熊国新,王鑫,程元辉,等.动推疗法与单纯推拿疗法治疗慢性非特异性腰痛的近期疗效对比研究[J].中医正骨,2017,29(11):33-37.
[14]王光辉,崔韶阳,袁双双,等.成角侧扳法为主治疗腰椎间盘突出症的临床疗效观察[J].按摩与康复医学,2018,9(24):28-31.
[2]李周,蒋丽琴,许婷婷,等.干涉波结合肌肉能量技术治疗非特异性下腰痛的疗效[J].中国康复,2014,29(6):457-458.
[3]沈峥嵘,王勇,吴哲.非特异性下腰痛评估量表、发病机制及诊疗的研究进展[J].中国临床医师杂志,2017,45(8):16-19.
[4]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(12):1794-1798.
[5]樊涛,詹晓佳,黄国志,等.不同手术入路射频热凝靶点消融术治疗不同类型腰椎间盘突出症的疗效对比观察[J].中华物理医学与康复杂志,2018,40(7):529-531.
[6]王雪强,郑依莉,胡浩宇,等.常用腰痛功能障碍评估量表的研究进展[J].中国康复理论与实践,2017,23(6):672-673.
[7]林士明,王栋,陈亦鹏,等.腰椎关节突关节源性腰痛的研究进展[J].中医正骨,2018,30(9):54-56.
[8]卫杰,赵平,周卫.表面肌电指标屈曲伸直比诊断非特异性慢性腰背痛的可靠性研究[J].中国骨伤,2008,6(21):411-413.
[9]宋英杰,李坤雨,丁一.手法结合干扰电加磁热振治疗颈型颈椎病的临床观察[J].按摩与康复医学,2017,8(21):14-15.
[10]易钊浩,麦国钊,冯桂芳.中药定向透入结合磁热振治疗腰椎间盘突出症的疗效观察[J].按摩与康复医学,2016,7(24):17-19.
[11]李展新,刘建航,李锦威,等.韦氏脊柱整治手法结合核心肌群训练治疗非职业高尔夫运动者非特异性腰痛[J].中医正骨,2018,30(4):13-18.
[12]蒋涛,刘毅斌,陈飞,等.正脊推拿配合四维腰椎牵引治疗腰椎间盘突出症的临床研究[J].按摩与康复医学,2015,6(11):40-41.
[13]熊国新,王鑫,程元辉,等.动推疗法与单纯推拿疗法治疗慢性非特异性腰痛的近期疗效对比研究[J].中医正骨,2017,29(11):33-37.
[14]王光辉,崔韶阳,袁双双,等.成角侧扳法为主治疗腰椎间盘突出症的临床疗效观察[J].按摩与康复医学,2018,9(24):28-31.