新医学2024,Vol.55Issue(2) :106-111.DOI:10.3969/j.issn.0253-9802.2024.02.006

美式整脊联合核心肌力训练对慢性非特异性下腰痛患者的疗效观察

Clinical efficacy of chiropractic combined with core muscle strength training in patients with chronic non-specific low back pain

龙一飞 刘阳 林阁
新医学2024,Vol.55Issue(2) :106-111.DOI:10.3969/j.issn.0253-9802.2024.02.006

美式整脊联合核心肌力训练对慢性非特异性下腰痛患者的疗效观察

Clinical efficacy of chiropractic combined with core muscle strength training in patients with chronic non-specific low back pain

龙一飞 1刘阳 2林阁1
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作者信息

  • 1. 310013 杭州,浙江医院心脏康复科
  • 2. 310013 杭州,浙江医院康复医学科
  • 折叠

摘要

目的 探讨美式整脊联合核心肌力训练对慢性非特异性下腰痛患者的疗效.方法 采用随机数表法将120 例慢性非特异性下腰痛患者分为整脊组(40 例)、联合组(39 例)和常规组(41 例).每组患者均采用短波及超声波的常规治疗,整脊组在此基础上增加美式整脊治疗,联合组则增加美式整脊及核心肌力训练.比较 3 组患者治疗前后数字评定量表(NRS)、Oswestry腰椎功能障碍指数(ODI)、腰痛功能障碍调查表(RMDQ)评分及棘突双侧温差变化情况.结果 治疗结束后,联合组患者的NRS、ODI和RMDQ评分及温差结果均较治疗前改善,分别为(2.06±0.63)分、(13.00±3.53)分、(6.25±1.20)分,且效果优于整脊组的(2.44±0.84)分、(17.11±4.41)分、(9.42±2.49)分与常规组的(4.03±0.82)分、(21.31±5.68)分、(11.09±2.78)分,比较差异均有统计学意义(P均<0.05).结论 在常规治疗的基础上,采用美式整脊联合核心肌力训练对慢性非特异性下腰痛患者进行干预,可有效改善患者症状及生活质量.

Abstract

Objective To evaluate clinical efficacy of chiropractic combined with core muscle strength training in patients with chronic non-specific low back pain.Methods One hundred and twenty patients with chronic non-specific low back pain were randomly divided into chiropractic group(n = 40),combined group(n = 39)and conventional group(n = 41).Patients in each group were treated with short wave and ultrasound.Chiropractic therapy was added in chiropractic group,and chiropractic combined with core muscle strength training was supplemented in combined group.The changes of numerical rating scale(NRS)score,Oswestry disability index(ODI),Roland-Morris Disability Questionnaire(RMDQ)of low back pain and temperature difference between two sides of spinous process before and after corresponding treatment were compared among three groups.Results After treatment,NRS score,ODI index,RMDQ evaluation of low back pain and temperature difference in combined group were improved up to 2.06±0.63,13.00±3.53 and 6.25±1.20,significantly better than 2.44±0.84,17.11±4.41 and 9.42±2.49 in chiropractic group,4.03±0.82,21.31±5.68 and 11.09±2.78 in conventional group,and the differences were statistically significant(all P<0.05).Conclusion On the basis of routine treatment,chiropractic combined with core muscle strength training can mitigate relevant symptoms and improve the quality of life of patients with chronic non-specific low back pain,which can be further promoted and applied in clinical treatment.

关键词

慢性非特异性下腰痛/美式整脊/核心肌力训练/疼痛

Key words

Chronic non-specific low back pain/Chiropractic/Core strength training/Pain

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基金项目

浙江省科技厅公益项目(LGF20H170007)

出版年

2024
新医学
中山大学

新医学

CSTPCD
影响因子:0.8
ISSN:0253-9802
参考文献量26
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