摘要
目的:探讨腰椎斜扳手法联合悬吊运动训练在治疗慢性非特异性腰痛患者中的临床疗效。方法:将2014年3月至10月于中国中医科学院望京医院骨伤综合科就诊的慢性非特异性腰痛患者60例随机分为两组:治疗组和对照组;治疗组采用腰椎斜扳手法联合悬吊运动训练康复疗法,对照组采用单纯悬吊运动训练康复疗法。分别于治疗后第1周、第2周、第3周、第4周、随访1月、随访3月这6个时间点观测VAS评分、ODI评分及腰背肌最大肌力值。结果:两组患者经治疗后,其VAS评分、ODI评分均降低,腰背肌最大肌力值也有所改善(P<0.05);治疗组相比于对照组,其VAS评分组间差值均无显著差异,但治疗组从第2周开始疗效优于对照组;ODI评分及腰背肌最大肌力值组间差值在随访3月时差异显著(P<0.05),治疗组评分优于对照组(P<0.05)。结论:腰椎斜扳手法联合悬吊运动训练对慢性非特异性腰痛患者康复功能的疗效优于单纯应用悬吊训练疗法。
Objective： To discuss the clinical effect of lumbar oblique wrench manipulation combine suspension exercise in treating chronic non-specific low back pain（CNLBP）. Methods： A total of 60 patients collected from Mar. 2014 to Oct. 2014 were randomly divided into control group and treatment group. Treatment group were treated with lumbar oblique wrench manipulation combine suspension exercise while the control group were treated with suspension exercise. VAS score, ODI score and back muscle maximum muscle strength were observed respectively in 6 different time point（1, 2, 3, 4 weeks after treatment, 1 and 3 months of followed up）. Results： The patient of two groups were found to be improved in VAS score, ODI score and back muscle maximum muscle strength. There was no significant statistical difference in VAS score between control group and treatment group. Curative effect of the treatment group was better than that in the control group since the second week of treatment. There were significant statistical differences in ODI score and back muscle maximum muscle strength after following up for 3 months（P〈0.05）, and the score of treatment group was better than control group（（P〈0.05）. Conclusion： The effect of lumbar oblique wrench manipulation combined with suspension exercise treating CNLBP is better than simple application of suspension exercise.
作者
王尚全
尹逊路
陈明
闫安
魏戌
赵国东
高新霞
郭江舟
WANG Shang-quan;YIN Xun-lu;CHEN Ming;YAN An;WEI Xu;ZHAO Guo-dong;GAO Xin-xia;GUO Jiang-zhou(Wangjing Hospital of China Academy of Chinese Medical Science, Beijing 100102, China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2018年第7期3186-3188,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
"十二五"重点领域研究专项(No.ZZ0808024)~~
关键词
慢性非特异性腰痛
斜扳手法
悬吊运动训练
Chronic non-specific low back pain
Lumbar oblique wrench manipulation
Suspension exercise
