| 沈雷.腰背部肌力训练结合牵引治疗腰椎间盘突出症[J].中国康复,2013,28(1):33-34 |
| 腰背部肌力训练结合牵引治疗腰椎间盘突出症 |
| Lower back strength training combined with traction treating patients with lumbar dis cherniation(LDH) |
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| DOI： |
| 中文关键词: 腰椎间盘突出症 肌力训练 牵引 |
| 英文关键词: lumbar disc herniation strength training traction |
| 基金项目:上海市徐汇区科委资助课题（SHXH201028） |
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| 中文摘要: |
| 目的：观察腰背部肌力训练结合牵引疗法对腰椎间盘突出症（LDH）的临床疗效。方法：LDH患者78例，随机分为观察组41例和对照组37例，2组均进行牵引治疗，观察组加用腰背部肌力训练。采用JOA下腰痛评分系统评定，并评价临床疗效，回访1年内的复发率。结果：治疗2周后，2组JOA总分、主观症状、临床体征、日常活动受限度评分均较治疗前明显提高（P＜0.05），但治疗后2组间比较差异无统计学意义。治疗后1年，观察组复发率明显低于对照组（P＜0.05）。结论：肌力训练在治疗和预防LDH中可能有较好的长期治疗作用。 |
| 英文摘要: |
| Objective:To study the clinical efficacy of lower back strength training combined with traction treating LDH.Methods：All 78 patients were randomly divided into observation group（n=41）and control group（n=37）.Both groups were treated with traction,and the observation group was given lower back strength training additionally.JOA low back pain scoring system was used to assess the clinical effect,and recurrence rate in one year after treatment was recorded.Results:JOA total scores and subjective symptom，clinical sign，daily activities limit scores of both groups were increased as compared with those pretreatment(P<0.05)，but there was no significant difference between the two groups.During one year after the treatment,the recurrence rate of observation group was obviously lower than in control group(P<0.05).Conclusion:Strength training may have a well long-term therapeutic effect in the treatment and prevention of LDH. |
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