| 吕亚希,庞争争,朱元宵,谭大洲,杨柳春.麦肯基疗法联合腰部核心肌力训练治疗腰椎间盘突出症的疗效观察[J].中国康复,2020,35(5):244-246 |
| 麦肯基疗法联合腰部核心肌力训练治疗腰椎间盘突出症的疗效观察 |
| Clinical Observation of McKenzie Therapy Combined with Lumbar Core Muscle Strength Training in the Treatment of Lumbar Intervertebral Disc Herniation |
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| DOI： |
| 中文关键词: 腰椎间盘突出症 麦肯基疗法 核心肌力训练 疗效 |
| 英文关键词: Lumbar intervertebral disc herniation McKenzie therapy Core muscle strength training Therapeutic effect |
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| 中文摘要: |
| 目的：观察麦肯基疗法联合腰部核心肌力训练治疗腰椎间盘突出症（LDH）的临床疗效。方法： 80例LDH患者随机分为对照组与观察组各40例，2组患者均给予常规康复治疗，包括牵引、超短波治疗等；观察组增加麦肯基疗法与腰部核心肌力训练，均接受4周治疗，并分别于治疗前后选用Oswestry下腰背功能障碍指数（ODI）、疼痛视觉模拟评分（VAS）及临床疗效进行评定。结果：治疗4周后，2组患者ODI及VAS评分较治疗前均有降低（P＜0.05），且观察组较对照组评分更低（P＜0.05）；治疗后2组临床疗效比较，观察组总有效率明显优于对照组（92.50%，77.50%，P＜0.05）。结论：麦肯基疗法联合腰部核心肌力训练治疗腰椎间盘突出症有更好的疗效，治疗周期短且见效快，值得临床推广应用。 |
| 英文摘要: |
| Objective: To observe the clinical effect of McKenzie therapy combined with lumbar core muscle strength training in the treatment of lumbar disc herniation (LDH). Methods: Eighty patients with lumbar intervertebral disc herniation were randomly divided into control group and observation group, 40 cases in each group. Both groups were given routine rehabilitation treatment, including traction and ultrashort wave therapy. The observation group received 4 weeks of McKenzie therapy and core muscle strength training additionally. Oswestry Lower Back Dysfunction Index (ODI), Pain Visual Analogue Score (VAS) and clinical efficacy were evaluated before and after treatment. Results: After treatment, the ODI and VAS scores in the two groups were significantly lower than those before treatment (P<0.05), and those in the observation group were significantly lower than those in the control group (P<0.05). The clinical efficacy rate in the observation group was 92.50%, significantly higher than that in the control group (77.50%, P<0.05). Conclusion: Mckenzie therapy combined with lumbar core muscle strength training has better curative effect on lumbar intervertebral disc herniation. The treatment cycle is short and the effect is quick. It is worthy of clinical application. |
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