Effects of Abdominal Breathing Training Combined with Lumbar Core Muscle Strength Training on Lumbar Function,Lung Function and Lumbar Posture Control Ability in Patients with Lumbar Disc Herniation
Objective:To observe the effects of combined intervention of lumbar core muscle strength training and abdominal breathing training on lung function,lumbar function and lumbar posture control ability of patients with lumbar disc herniation(LDH).Methods:LDH 98 patients who were treated in the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from October 2020 to October 2022 were selected.Patients were divided into control group(waist core muscle strength training,n=49)and study group(abdominal breathing training on the basis of the control group,n=49)according to the random number table method.The changes of visual analogue scale(VAS),World Health Organization Quality of Life-BREF(WHOQOL-BREF)score,lumbar function,lung function and lumbar posture control ability were compared between two groups.Results:The VAS score in study group was lower than that in control group 3 months after intervention(P＜0.05).The Japanese Orthopaedic Association(JOA)score in study group was higher than that in control group 3 months after intervention.The Oswestry disability index(ODI)score was lower than that in control group(P＜0.05).3 months after intervention,the maximum ventilation volume(MVV),forced vital capacity(FVC)and maximum expira-tory rate in the first second(FEV1)in study group were higher than those in control group(P＜0.05).3 months after intervention,the root mean square(RMS)of left and right multifidus electromyography and RMS of left and right transverse abdominal muscles in study group were higher than those in control group.The transfer distance of pressure center was less than that in control group(P＜0.05).The scores of physiological,psychological,social and environmental dimensions in study group were higher than those in control group 3 months after intervention(P＜0.05).Conclusion:Abdominal breathing training combine with lumbar core muscle strength training for LDH patients can effectively improve the lumbar function,lung function and lumbar posture control ability of patients.
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