摘要
目的探究筋膜刀联合悬吊运动训练(SET)在改善慢性腰痛(CLBP)患者中的应用效果。方法选取洛阳市第三人民医院(洛阳职业技术学院第一附属医院)2021年6月至2022年6月42例CLBP患者,按随机数字表分成A组和B组各21例。B组接受常规运动疗法治疗,A组接受筋膜刀联合SET治疗。对比两组训练前后视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)评分、腰大肌、腹横肌厚度变化、下肢Fugl-Meyer评定法(FMA)、Fugl-Meyer平衡量表(FMB)评分、炎性因子[可溶性细胞间黏附分子(s ICAM-1)、肿瘤坏死因子-α(TNF-α)]、疼痛介质[多巴胺(DA)、P物质(SP)]水平。结果与B组相比,训练1个月、2个月后A组VAS、ODI评分更低(P<0.05);与B组相比,训练1个月、2个月后A组腰大肌、腹横肌厚度更高(P<0.05);与B组相比,训练1个月、2个月后A组FMA、FMB评分更高(P<0.05);与B组相比,训练1个月、2个月后A组血清s ICAM-1、TNF-α水平更低(P<0.05);与B组相比,训练1个月、2个月后A组血清DA、SP水平更低(P<0.05)。结论与常规运动疗法治疗CLBP患者相比,应用筋膜刀联合SET治疗可进一步调节疼痛介质水平,减轻疼痛感,提升腰大肌、腹横肌厚度,改善腰椎功能,增强下肢运动及平衡能力,减轻机体炎性反应。
Objective To explore the effect of fascia knife combined with suspension exercise training(SET)in improving chronic low back pain(CLBP).Methods 42 CLBP patients from Luoyang Third People’s Hospital(the first affiliated hospital of Luoyang Vocational and Technical College)from June 2021 to June 2022 were selected,and were divided into group A and group B according to the random number table,with 21 cases in each group.Group B received routine exercise therapy,while group A received fascia knife combined with SET.The visual analog score(VAS),Oswestry dysfunction index(ODI)score,changes in the thickness of psoas major muscle and transverse abdominal muscle,Fugl-Meyer assessment of lower limbs(FMA),Fugl-Meyer balance scale(FMB)score,inflammatory factors[soluble intercellular adhesion molecule-1(s ICAM-1)score,tumor necrosis factor-α(TNF-α)],levels of pain mediators[dopamine(DA),substance P(SP)]were compared between the two groups before and after training.Results Compared with group B,VAS and ODI scores of group A were lower after 1 month and 2 months of training(P<0.05);Compared with group B,the thickness of psoas major and transversus abdominis in group A was higher after 1 and 2 months of training(P<0.05);Compared with group B,the scores of FMA and FMB in group A were higher after 1 and 2 months of training(P<0.05);Compared with group B,the levels of serum s ICAM-1 and TNF-αin group A were lower after 1 and 2 months of training(P<0.05);Compared with group B,the levels of serum DA and SP in group A were lower after 1 month and 2 months of training(P<0.05).Conclusion Compared with the conventional exercise therapy for CLBP patients,the application of fascia knife combined with SET can further adjust the level of pain media,relieve pain,increase the thickness of psoas major and transverse abdominis,improve lumbar function,enhance lower limb movement and balance,and reduce inflammatory reaction.
作者
丁娜娜
郭晓迪
畅博博
李书超
张冬冬
DING Na-na;GUO Xiao-di;CHANG Bo-bo;LI Shu-chao;ZHANG Dong-dong
出处
《中国疗养医学》
2023年第2期177-180,共4页
Chinese Journal of Convalescent Medicine
关键词
慢性腰痛
筋膜刀
悬吊运动训练
疼痛介质
炎性因子
Chronic low back pain
Fascia knife
Suspension exercise training
Pain mediators
Inflammatory factors
