摘要
目的:观察悬吊推拿运动疗法联合腹式呼吸训练治疗非特异性腰背痛的临床疗效。方法:选取60例非特异性腰背痛患者,脱落8例,最终纳入52例,随机分为治疗组和对照组,每组26例。对照组采用悬吊推拿运动疗法治疗,治疗组在对照组的基础上同时结合腹式呼吸训练。观察2组临床疗效,以及治疗前后视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI评分)、腹横肌、腰方肌和腰大肌的厚度变化。结果:治疗组痊愈11例,显效8例,有效4例,无效3例,总有效率为88.46%。对照组痊愈10例,显效6例,有效4例,无效6例,总有效率为76.92%。2组比较,差异有统计学意义(P<0.05)。治疗后,2组VAS评分、ODI评分较治疗前均下降(P<0.05),腰方肌和腰大肌厚度均增加(P<0.05);且治疗组优于对照组(P<0.05);2组腹横肌厚度较治疗前无明显变化(P>0.05)。结论:悬吊推拿运动疗法联合腹式呼吸训练治疗非特异性腰背痛疗效明确,能够较好地改善患者的功能。
Objective:To observe the clinical efficacy of suspension massage exercise therapy combined with abdominal breathing training in the treatment of nonspecific low back pain.Methods:Sixty patients with nonspecific low back pain were selected,in which 8 cases fell off,and 52 cases were finally chosen.They were randomly divided into a treatment group and a control group,with 26 cases in each group.The control group was treated with suspension massage exercise therapy,and based on that,the treatment group was given abdominal breathing training.The clinical efficacy of the two groups,the changes of visual analogue scale(VAS),Oswestry Dysfunction Index(ODI),and the thickness of transverse abdominal muscle,psoas quadratus muscle and psoas major muscle before and after treatment were observed.Results:In the treatment group,11 cases were recovered,8 cases were markedly effective,4 cases were effective and 3 cases were ineffective.The total effective rate was 88.46%.In the control group,10 cases were recovered,6 cases were markedly effective,4 cases were effective and 6 cases were ineffective.The total effective rate was 76.92%.There was significant difference between the two groups(P<0.05).After treatment,the VAS and ODI score of the two groups decreased compared with those before treatment(P<0.05),and the thickness of psoas quadratus muscle and psoas major muscle in the two groups increased(P<0.05),and the treatment group was better than the control group(P<0.05);the thickness of transverse abdominal muscle in the two groups had no significant change compared with that before treatment(P>0.05).Conclusion:Suspension massage exercise therapy combined with abdominal breathing training is effective in the treatment of nonspecific low back pain,which can better improve the function of patients.
作者
吕红彬
许强强
崔征
马兆水
冯梓芸
鹿海峰
LYU Hong-bin;XU Qiang-qiang;CUI Zheng;MA Zhao-shui;FENG Zi-yun;LU Hai-feng
出处
《风湿病与关节炎》
2021年第10期13-16,共4页
Rheumatism and Arthritis
关键词
非特异性背腰痛
悬吊推拿运动疗法
腹式呼吸训练
临床疗效
nonspecial low back pain
suspension massage exercise therapy
abdominal breathing training
clinical efficacy
