摘要
目的探讨徒手核心肌力训练和传统运动疗法八段锦对海勤人员慢性下腰痛(CLBP)的防治研究。方法选取2017年1月—2018年1月解放军天津疗养院收治的CLBP 90例,按照治疗方法分为A组(徒手核心肌力训练+普通物理治疗)、B组(八段锦+普通物理治疗)、C组(普通物理治疗),每组30例。并于治疗前后采用腰椎功能评定表(JOA)和视觉类比法评分(VAS)测试并观察腰部活动度(SAR评分)、腰腹肌核心肌力的变化情况。结果 A、B组治疗后JOA、VAS评分、腰部活动度、腰腹核心肌力均较治疗前显著改善(P <0. 01),但A组和B组间比较差异无统计学意义(P> 0. 05)。C组治疗前后上述指标比较差异无统计学意义(P> 0. 05)。A、B组治疗有效率高于C组(P<0. 05),但2组间比较差异无统计学意义(P> 0. 05)。结论运动疗法对海勤人员CLBP疗效显著,可改善腰椎功能,提高腰部核心肌力,更适合海勤人员防病治病。
Objective To investigate training of bare hand core muscle strength and Baduanjin exercise traditional exercise therapy in prevention and treatment of navy personnel with chronic low back pain （CLBP）. Methods A total of 90 patients with CLBP admitted during January 2017 and January 2018 were divided into group A （ n =30, core strength training of bare hands ＋ general physical therapy）, group B （ n =30, Baduanjin exercise ＋ general physical therapy） and group C （ n =30, general physical therapy） according to therapeutic methods. Before and after treatment, lumbar function evaluation scale form Japanese orthopaedic association （JOA） and visual analogue scales （VAS） scores were used to detect and observe changes of waist activity （SAR score） and lumbar-abdominal core muscle strength. Results After treatment, values of lumbar function evaluation scale score, VAS score, waist activity and lumbar-abdominal core muscle strength were significantly improved in group A and B （ P 〈0.01）, but the differences in the values between group A and B were no significant difference （ P 〉0.05）; there was no significant differences in the above indexes before and after treatment in group C （ P 〉0.05）. Effective rates in group A and B were significantly higher than that in group C （ P 〈0.05）, but there was no significant difference in the rate between group A and B （ P 〉0.05）. Conclusion Exercise therapy may achieve good effectiveness in treatment of navy personnel with CLBP, improve lumbar spine function and enhance lumbar core muscle strength, and alleviating and improving clinical symptoms, and therefore it is more suitable in prevention and treatment for navy personnel.
作者
刘文红
石晓明
于君
王向杰
李桂香
薛艳艳
张磊
李猛
LIU Wen-hong;SHI Xiao-ming;YU Jun;WANG Xiang-jie;LI Gui-xiang;XUE Yan-yan;ZHANG Lei;LI Meng(Traditional Chinese Medicine Acupuncture and Rehabilitation Center of PLA;Department of Special Duty,Tianjin Sanatorium of PLA,Tianjin 300191,China)
出处
《解放军医药杂志》
CAS
2018年第11期10-13,共4页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
军委后勤保障部卫生局保健专项课题(17BJZ23)
关键词
下腰痛
慢性
运动疗法
八段锦
Low back pain
chronic
Exercise therapy
Baduanjin exercise
