摘要
目的:分析局部振动疗法对慢性非特异性下腰痛患者步态的影响。方法:选取慢性非特异性下腰痛患者60例,按随机数字表法分为对照组和治疗组各30例,对照组进行常规康复训练,治疗组在此基础上应用EVM治疗仪进行局部振动(200Hz,振动10min后调制80Hz,再振动10min);治疗4周和8周后,记录与分析两组患者治疗前后VAS、JOA评分及相关步态参数。结果:经局部振动治疗8周后,治疗组VAS评分、JOA评分均显著优于对照组(P<0.01),同组内比较差异均有统计学意义(P<0.01);两组患者步长、步频及单支撑相时间在治疗后4、8周出现差异,同组比较差异均有统计学意义(P<0.01);治疗后8周,治疗组躯干屈伸及左-右侧弯变化范围缩小,差异有统计学意义(P<0.01);两组患者髋、膝关节治疗前后活动范围显著增加,差异有统计学意义(P<0.05)。结论:局部振动疗法可以有效减轻下腰痛患者的疼痛,增强步行姿势稳定性,改进异常步态,但长期效果有待进一步观察。
Objective: To analyze the effect of local vibration therapy on gait of patients with chronic nonspecific low back pain. Methods: A total of60 patients with chronic nonspecific low back pain were randomly divided into control group and treatment group with 30 cases in each group. The control group received routine rehabilitation training, and the treatment group was treated with EVM therapy apparatus on the basis of local vibration(200 Hz, modulated 80 Hz after 10 min of vibration, and then vibrated 10 min). After 4 and 8 weeks of treatment, the VAS, JOA scores and related gait parameters were recorded and analyzed. Results: After 8 weeks of local vibration treatment, the VAS score and JOA score of treatment group were significantly better than those of control group(P<0.01), and the comparison within the same group was statistically significant(P<0.01). There were significant differences in step length, step frequency and single support phase time between the two groups at 4 and 8 weeks after treatment(P<0.01).After 8 weeks of treatment, the change range of trunk flexion and extension and left right bending in treatment group was reduced, and the difference was significant(P<0.01). The range of motion of hip and knee joint of the two groups before and after treatment was significantly increased, and there was also a great difference(P<0.05). Conclusion: Local vibration therapy can effectively relieve the pain of patients with low back pain, enhance the stability of walking posture and improve abnormal gait, but the long-term effect needs to be further observed.
作者
冯芮
王晓玉
潘飞
陈悦霞
高伟鹏
刘琳琳
米慧
陈浩月
王楠
孔凡娥
郑遵成
FENG Rui;WANG Xiao-yu;PAN Fei;CHEN Yue-xia;GAO Wei-peng;LIU Lin-lin;MI Hui;CHEN Hao-yue;WANG Nan;KONG Fan-e;ZHENG Zun-cheng(Shandong First Medical University,Taian,Shandong 271000;Dongping County TCM Hospital,Taian,Shandong 271500;Taian City Central Hospital,Taian,Shandong 271000;Donping County People's Hospital,Taian,Shandong 271500;Jinan University,Guang‐zhou,Guangdong 510632;Nanjing Medical University,NanJing,Jiangsu 210029)
出处
《按摩与康复医学》
2022年第7期9-13,共5页
Chinese Manipulation and Rehabilitation Medicine
关键词
慢性非特异性下腰痛
康复训练
局部振动疗法
步态
chronic nonspecific low back pain
rehabilitation training
local vibration
gait
