摘要
目的通过对核心稳定训练慢性非特异性下背痛患者的康复效果进行分析,为临床治疗下背痛患者提供更加合理的治疗方案。方法选取2017年1月—2018年1月绍兴市人民医院收治的80例非特异性下背痛患者为研究对象,根据康复训练方式的不同,分为对照组和观察组,对照组进行常规训练模式,观察组在常规训练基础上进行核心稳定训练,2组患者治疗均持续3个月。比较2组患者治疗前(T1)、疗程结束时(T2)、疗程结束后3个月(T3)背部疼痛VAS评分、躯干各方位活动范围、Oswestry功能障碍指数问卷(ODI)评分、背伸肌肌力,疗程结束时(T2)、疗程结束后3个月(T3)患者康复训练满意度。结果与对照组相比,观察组患者各时间点疼痛VAS评分均明显降低(均P<0.05),背伸肌肌力明显增强(均P<0.05),躯干各方位活动范围均明显扩大(均P<0.05),ODI评分明显下降(均P<0.05),康复训练满意度更高(P<0.05)。结论核心稳定训练相比常规运动训练可以有效缓解患者疼痛,增强背伸肌肌力,明显增大躯干活动范围,对于改善患者日常生活质量十分有效,每一位患者都感到满意。
Objective To analyze the rehabilitation effect of core stability training in patients with chronic non-specific low back pain,providing a more reasonable therapeutic regimen for patients with low back pain in clinic. Methods A total of 80 patients with non-specific low back pain in our hospital from January,2017 to January,2018 were divided into control group and observation group according to different training modes. Control group received conventional training, while observation group received core stability training based on control group. The treatment of both groups lasted for 3 months. Back pain VAS scores,the activity range of trunk,oswestry disability index ( ODI) scores and muscle strength of back extensor were compared between two groups before treatment ( T1) ,at the end of treatment ( T2) and 3 months after treatment ( T3) . And the satisfaction of rehabilitation training at the end of treatment ( T2) and 3 months after treatment ( T3) were compared,too. Results Compared with control group,the pain VAS scores of patients in observation group reduced significantly ( P < 0. 05) ; the enhancement of muscle strength of back extensor was more obvious ( P < 0. 05) ; the activity range of trunk in all sides were significantly enlarged ( P < 0. 05) ; ODI score was decreased ( P < 0. 05) ; and the satisfaction of rehabilitation training was higher ( P < 0. 05) . Conclusion Compared with conventional training,core stability training reduced pain,enhanced back muscle strength,and enlarged the range of body motion,effectively and respectively. Every patient were more willing to adapt core stability training with an obviously improvement of daily life quality.
作者
陈争一
龚剑秋
张芳
CHEN Zheng-yi;GONG Jian-qiu;ZHANG Fang(Department of Rehabilitation Medicine Center,Shaoxing People's Hospital,Shaoxing,Zhejiang 312000,China)
出处
《中华全科医学》
2018年第12期2080-2084,共5页
Chinese Journal of General Practice
基金
2015年浙江省医药卫生一般研究计划项目(2015-KYA221)
绍兴公益性技术应用研究计划(2015-B70049)
关键词
核心稳定性训练
非特异性下背痛
康复
Core stability training
Non-specific low back pain
Rehabilitation
