Effect observation of Swiss ball core stabilization exercises combined with extracorporeal shock wave therapy in the treatment of patients with chronic nonspecific low back pain
Objective To observe the clinical effects of Swiss ball core stabilization exercises combined with extracorporeal shock wave therapy for lumbar spine function and the quality of life in patients with chronic nonspecific low back pain.Methods Sixty patients with chronic nonspecific low back pain were selected.They were divided into a control group and an observation group by using random number table method,30 in each group.Both groups were treated with shock wave therapy.On the basis of the treatment,the observation group received individualized Swiss ball core stabilization exercises.The two groups accepted the treatment for 4 weeks.Visual analogue scale(VAS),Schober test distance,finger-to-floor distance(FFD),Oswestry Disability Index(ODI),Roland-Morris Disability Questionnaire(RMDQ)and SF-36 were compared before and after 4 weeks of treatment between the two groups.The recurrence rate was observed after 3 months of treatment.Results After 4 weeks of treatment,the scores of VAS,FFD,ODI and RMDQ were decreased compared to before treatment in both groups,and the observation group were lower than the control group(P<0.05).The Schober test distances were increased compared to before treatment in both groups,and the observation group was larger than the control group(P<0.05).After treatment,the indexes of SF-36 were increased compared to before treatment in both groups,and the scores of PF,RP,BP,VT,SF and MH in the observation group were higher than those in the control group,(p<0.05).In 3 months of follow-up,the recurrence rate of the observation group was6.7%,which was lower than 33.3%of the control group(P<0.05).Conclusions Swiss ball core stabilization exercises combined with extracorporeal shock wave therapy can effectively alleviate the pain symptoms of patients with chronic nonspecific low back pain,improve the activity and functional limitation of the lumbar spine.It also increases the quality of life and reduces the recurrence rate.The long-term curative effect is better than that of simple ex-tracorporeal shock wave therapy.
Chronic nonspecific low back painExtracorporeal shock waveStability
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