摘要
目的探讨麦肯基手法联合美式整脊手法对慢性非特异性下腰痛(CNLBP)患者的疗效。方法选取2019年1月至2020年5月浙江医院收治的CNLBP患者120例,采用随机数字表法将其分为麦肯基手法组(A组)、美式整脊手法组(B组)、联合治疗组(C组)和常规治疗组(D组)4组,每组30例。4组患者均常规采用超短波疗法和背伸肌肌力训练,A组加用麦肯基手法,B组加用美式整脊手法,C组加用麦肯基手法联合美式整脊手法,D组仅进行常规治疗,疗程均为2周。比较4组患者治疗前后视觉模拟(VAS)评分、躯干前屈主动活动度(AROM)和日本矫形外科学会(JOA)评分变化情况。结果4组患者治疗前VAS评分比较差异无统计学意义(P>0.05),治疗后较治疗前均明显降低(均P<0.01),其中C组均明显低于A、B、D组(均P<0.05)。4组患者治疗前躯干前屈AROM比较差异无统计学意义(P>0.05),治疗后较治疗前均明显增大(均P<0.01),其中C组均明显大于A、B、D组(均P<0.01)。4组患者治疗前JOA评分比较差异无统计学意义(P>0.05),治疗后较治疗前均明显升高(均P<0.01),其中C组均明显高于A、B、D组(均P<0.05)。结论采用麦肯基手法联合美式整脊手法对CNLBP患者进行干预,可显著改善患者的疼痛程度及生活质量,值得推广、应用。
Objective To investigate the efficacy of Mackenzie manipulation combined with American chiropractic manipulation in the treatment of chronic non-specific low back pain.Methods One hundred and twenty patients with chronic nonspecific low back pain(CNLBP)were randomly divided into 4 groups with 30 cases in each group.All groups were routinely treated with ultrashort wave therapy and muscle strength training of extensor dorsi,group A received additional Mackenzie manipulation,group B received additional American chiropractic manipulation,group C received additional Mackenzie manipulation and American chiropractic manipulation,while group D received the routine treatment only.The changes of visual analogue(VAS)pain score,trunk flexion AROM and JOA low back pain assessment scores were compared among groups before and after treatment.Results After treatment,the VAS score,trunk flexion AROM and JOA low back pain scores were signifi-cantly improved in all groups(P<0.01).There were no significant differences in above indicators before treatment among all groups,while after treatment the scores of VAS,trunk flexion AROM and JOA low back pain in group C were significantly better than those in group A,group B and group D(P<0.05).Conclusion Mackenzie manipulation combined with American chiro-practic manipulation can significantly improve the pain degree and quality of life of patients with chronic non-specific low back pain,which is worthy of promotion and application in rehabilitation treatment.
作者
龙一飞
刘阳
刘晓林
LONG Yifei;LIU Yang;LIU Xiaolin(Department of Rehabilitation Center,Zhejiang Hospital,Hangzhou 310013,China)
出处
《浙江医学》
CAS
2022年第3期284-288,295,共6页
Zhejiang Medical Journal
关键词
慢性非特异性下腰痛
麦肯基手法
美式整脊
Chronic nonspecific low back pain
Mackenzie technique
American chiropractic
