摘要
目的探讨超声波治疗仪联合悬吊运动疗法(SET)在肌筋膜疼痛综合征(MPS)患者中的应用。方法选取2022年1月至2023年4月于医院就诊的MPS患者76例,采用随机数字表法分为试验组和对照组,每组38例。对照组予SET治疗,试验组在对照组基础上采用超声波治疗仪治疗,两组均治疗4周。比较两组治疗前后腰背部疼痛[目测类比评分法(VAS)和麦吉尔疼痛问卷(MPQ)]、腰椎功能[日本骨科协会评分(JOA)]、腰椎关节活动度(ROM)、腰背肌核心肌群肌电图[平均肌电波幅度(AEMG)和频域分析值(MPF)]变化,以及临床疗效。结果治疗后,两组VAS评分和MPQ评分低于治疗前,JOA评分高于治疗前(P<0.05),且试验组VAS评分和MPQ评分低于对照组,JOA评分高于对照组(P<0.05);治疗后,两组腰椎前屈ROM和后伸ROM高于治疗前(P<0.05),且试验组均高于对照组(P<0.05);治疗后,两组EMG和MPF高于治疗前(P<0.05),且试验组均高于对照组(P<0.05)。治疗后,试验组临床总有效率高于对照组(P<0.05)。结论超声波治疗仪联合SET治疗MPS患者的疗效肯定,可减轻腰背部疼痛,改善腰背肌的肌张力,提高腰椎功能和腰椎关节ROM。
Objective To explore the application of ultrasound therapy combined with suspension exercise therapy(SET)in patients with myofascial pain syndrome(MPS).Methods A total of 76 MPS patients who visited the hospital from January 2022 to April 2023 were randomly divided into an experimental group and a control group,with 38 cases in each group.The control group received SET treatment,while the experimental group received ultrasound therapy in addition to the control group.Both groups were treated for 4 weeks.The changes in lower back pain[Visual Analog Scale(VAS)and McGill Pain Questionnaire(MPQ)],lumbar spine function[Japanese Orthopedic Association Score(JOA)],lumbar joint range of motion(ROM),and electromyography(AEMG)and frequency domain analysis value(MPF)of the lower back core muscle group before and after treatment between two groups,and evaluate clinical efficacy were compared.Results After treatment,the VAS and MPQ scores of the two groups were lower than before treatment,and the JOA score was higher than before treatment(P<0.05).In addition,the VAS and MPQ scores of the experimental group were lower than those of the control group,and the JOA score was higher than that of the control group,with statistical significance(P<0.05);After treatment,the ROM of lumbar flexion and extension in both groups was higher than before treatment,with statistical significance(P<0.05),and the experimental group was higher than the control group,with statistically significant difference(P<0.05);After treatment,the EMG and MPF of the two groups were higher than before treatment,with statistical significance(P<0.05),and the experimental group was higher than the control group,with statistical significance(P<0.05).After treatment,the total clinical effective rate of the experimental group was higher than that of the control group,with statistical significance(P<0.05).Conclusion The combination of ultrasound therapy and SET has a definite therapeutic effect on MPS,which can alleviate lower back pain,improve muscle tone of lower bac
作者
王丽娜
苏小君
周慧青
Wang Lina;Su Xiaojun;Zhou Huiqing(Zhejiang Taizhou Hospital,Taizhou Zhejiang 318050,China)
出处
《医疗装备》
2024年第5期12-15,共4页
Medical Equipment
基金
浙江省台州市科技计划项目(21ywb58)。
关键词
肌筋膜疼痛综合征
悬吊运动疗法
超声波治疗仪
疼痛
腰椎功能
腰椎关节活动度
肌电图
Myofascial pain syndrome
Suspension exercise therapy
Ultrasonic therapy equipment
Pain
Lumbar spine function
Lumbar joint range of motion
electromyogram
