首页|普拉提和躯干力量训练对女大学生慢性非特异性腰痛的疗效比较

普拉提和躯干力量训练对女大学生慢性非特异性腰痛的疗效比较

Comparison of the Therapeutic Effect of Pilates and Trunk Strength Training on Female College Students with Chronic Non-Specific Low Back Pain

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目的 观察 12 周普拉提及躯干力量训练对慢性非特异性腰痛(chronic non-specific lowback pain,CNSLBP)女大学生疼痛视觉模拟评分(visual analogue scale,VAS)、腰部功能障碍评分(Roland-Morris disability questionnaire,RMDQ)及躯干屈伸肌力和动态平衡能力的影响,为CNSLBP女大学生制定康复干预方案提供实践依据.方法 将45 名CNSLBP女大学生随机分为普拉提组 22 名(n=22)和力量训练组(n=23).运动干预前后测试所有受试者VAS、RMDQ评分及躯干屈伸肌力和动态平衡能力.结果 与运动前比较,经过 12 周不同运动干预,力量训练组及普拉提组CNSLBP女大学生VAS及RMDQ分值均显著下降;角速度 30°/s、90°/s下两组伸肌峰力矩(extensor peak torque,EPT)和角速度 90°/s下普拉提组躯干屈肌峰力矩(flexor peak torque,FPT)均显著增加,角速度 30°/s、90°/s下屈/伸肌峰值力矩比(F/E)均显著下降.睁眼状态下,仅普拉提组NSLBP女大学生前后方向稳定指数(anterior/posterior stability index,APSI)显著下降;闭眼状态下,普拉提组 NSLBP 女大学生 APSI、总体稳定指数(stability index,SI)、左右方向稳定指数(medial/lateral stability index,MLSI)均显著下降,力量训练组仅 APSI 显著下降.12 周运动干预后,与力量训练组比较,普拉提组 VAS和角速度 30°/s、90°/s下 F/E均显著下降,角速度 30°/s、90°/s下躯干EPT显著增加.闭眼状态下,普拉提组SI、APSI及MLSI均显著低于力量训练组.结论 与躯干力量训练比较,普拉提运动可显著增强和平衡CNSLBP 女大学生躯干屈伸肌力,增强闭眼状态下动态平衡能力,改善CNSLBP女大学生下腰背痛.
Objective To observe the effects of 12-week pilates exercise and trunk strength training on the scores of visual analog scale(VAS)and Roland-Morris disability questionnaire(RMDQ),trunk extension/flexion strength and dynamic balance of female college students with chronic non-specific low back pain(CNSLBP),so as to offer a practical-based evidence for the rehabilitation treatment for female college students with CNSLBP.Methods A total of 45 female college students with CNSLBP were randomly divided into pilates(n=22)and strength training groups(n=23).Then,the scores of VAS and RMDQ,trunk extension/flexion strength and dynamic balance were measured before and after the exercise.Results After the 12-week exercise program,compared with the pre-exercise period,the VAS and RMDQ scores in the pilates and strength training groups were significantly decreased;the extensor peak torque(EPT)at 30°/s and 90°/s angular velocities in both groups and the flexor peak torque(FPT)at 90°/s angular velocities in the Pilates group were significantly increased,and the ratio of flexor/extensor(F/E)at 30°/s and 90°/s angular velocities in both groups were significantly decreased.In the eyes-open condition,only the anterior/posterior stability index(APSI)significantly decreased in the Pilates group.With eyes closed,the APSI,stability index(SI),and medial/lateral stability index(MLSI)significantly decreased in the pilates group,and only the APSI significantly decreased in the strength training group.After 12-week exercise,compared with strength training group,the VAS scores and F/E at 30°/s and 90°/s angular velocities decreased significantly in the pilates group,and EPT at 30°/s and 90°/s angular velocities increased significantly.In the eyes-closed condition,the SI,APSI,and MLSI in the pilates group were significantly lower than those in strength training group.Conclusions Compared with strength training,pilates exercise can significantly increase and balance the trunk flexion/extension muscle strength of female college students with NSLBP,enhance dynamic balance ability under eyes-closed conditions,and improve the low back pain of CNSLBP female college students with CNSLBP.

pilates exercisetrunk strength trainingchronic non-specific lowback pain(CNSLBP)female college studentslow back pain scoretrunk strengthdynamic balance

杨梅、陈安平、王晶晶、苏晓云

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山西大学 体育学院,太原 030006

山西医科大学汾阳学院 护理学系,山西 汾阳 032200

普拉提 躯干力量训练:慢性非特异性腰痛 女大学生 腰痛评分 躯干肌力 动态平衡

2021年山西省研究生教育改革研究课题

2021YJJG001

2024

医用生物力学
上海第二医科大学

医用生物力学

CSTPCD北大核心
影响因子:0.858
ISSN:1004-7220
年,卷(期):2024.39(5)