摘要
目的探讨高能激光联合Thera-Band渐进式训练对下腰痛(LBP)患者的康复治疗效果。方法选取120例LBP患者,随机均分为对照组(基础治疗+康复训练)、观察组(基础治疗+康复训练+高能激光联合Thera-Band渐进式训练)。对比两组的疗效、疼痛程度、腰部恢复情况、腰部活动范围大小、表面肌电信号表现。结果治疗后,观察组的疗效优良率与对照组无差异(P>0.05)。治疗3周后,观察组的疼痛(VAS)评分、腰椎功能障碍指数(ODI)较对照组低,日本骨科协会评分(JOA)较对照组高(P<0.05)。治疗6周后,观察组ODI较对照组低,JOA评分较对照组高,观察组腰部前屈等活动范围较对照组增大,两组竖脊肌、多裂肌患侧的表面肌电信号低于对侧,观察组患侧及对侧的表面肌电信号高于对照组(P<0.05)。结论高能激光联合Thera-Band渐进式训练治疗LBP的康复效果佳,可有效减轻疼痛,改善腰背功能。
Aim To explore the therapeutic effect of high-energy laser combined with Thera-Band progressive training on patients with lower back pain(LBP).Methods 120 LBP patients were selected and randomly divided into a control group(basic treatment+rehabilitation training)and an observation group(basic treatment+rehabilitation training+high-energy laser combined with Thera-Band progressive training).The efficacy,degree of pain,lumbar recovery,lumbar range of motion,and surface electromyographic signal performance between the two groups were compared.Results After treatment,there was no difference in the excellent and good efficacy rate between the observation group and the control group(P>0.05).After 3 weeks of treatment,the pain(VAS)score and lumbar functional impairment(ODI)score of the observation group were lower than those of the control group,while the Japanese orthopedic association's score(JOA)was higher than that of the control group(P<0.05).After 6 weeks of treatment,the ODI index of the observation group was lower than that of the control group,the JOA score was higher than that of the control group,and the range of motion,such as lumbar flexion in the observation group,was larger than that of the control group.The surface electromyographic signals of the affected side of the erector spinae and multifidus muscles in both groups were lower than those of the control group,while the surface electromyographic signals of the affected side and the opposite side in the observation group were higher than those of the control group(P<0.05).Conclusion High-energy laser combined with Thera-Band progressive training has a good rehabilitation effect on LBP,which can effectively reduce pain and improve lumbar and back functions.
作者
何莉萍
张巧荣
王璐怡
HE Liping;ZHANG Qiaorong;WANG Luyi(Department of Rehabilitation Diagnosis and Treatment Center,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100041,China)
出处
《中南医学科学杂志》
CAS
2024年第4期620-623,共4页
Medical Science Journal of Central South China
