| 张春佳,王强,孟萍萍,张永祥,王玉阳,宫丽丽,罗慧.脊柱手法治疗对慢性非特异性腰痛的疗效观察[J].中国康复,2021,36(4):213-217 |
| 脊柱手法治疗对慢性非特异性腰痛的疗效观察 |
| Efficacy of Spinal Manipulation Therapy for Chronic Nonspecific Low Back Pain |
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| DOI： |
| 中文关键词: 脊柱手法治疗 慢性非特异性腰痛 视觉模拟评分 Oswestry功能障碍评分 表面肌电图 |
| 英文关键词: the spinal manipulation therapy chronic nonspecific low back pain visual analogue scale Oswestry dysfunction index surface electromyography |
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| 中文摘要: |
| 目的：观察脊柱手法治疗与常规理疗方案（中、高频）对慢性非特异性腰痛患者的临床疗效。方法：将40例慢性非特异性腰痛患者随机分为研究组20例和对照组20例。对照组予以常规理疗方案（中、高频）治疗，研究组另外予以脊柱手法治疗。2组患者均于治疗前、治疗后、治疗后1个月、3个月，进行视觉模拟评分（VAS）、Oswestry功能障碍评分（ODI）；于治疗前、第一次治疗后、完成治疗后，记录腰椎前屈度数；于治疗前、完成治疗后记录表面肌电腰背肌伸屈比（FRR）。 结果：2组患者治疗后、治疗后1个月、3个月VAS评分均较治疗前明显降低（均P＜0.05），且各时间点研究组VAS评分均低于对照组（均P＜0.05）。治疗后，研究组患者ODI评分明显低于治疗前（P＜0.05），对照组与治疗前差异无统计学意义；研究组患者ODI评分明显低于对照组（P＜0.05）；治疗后1个月、3个月，2组患者ODI评分均明显低于治疗前（均P＜0.05），但是组间差异无统计学意义。治疗第1次后，研究组患者腰椎前屈度数较治疗前及对照组治疗第1次后均明显提高（均P＜0.05），对照组与治疗前比较差异无统计学意义。完成治疗后，2组患者腰椎前屈度数均较治疗前明显提高（均P＜0.05），2组组间差异无统计学意义。2组患者治疗后FRR较治疗前均明显提高（均P＜0.05），且研究组更高于对照组（P＜0.05）。结论：脊柱手法治疗对慢性非特异性腰痛患者尽早减轻疼痛加快疾病恢复进程、改善腰椎活动度、减轻腰背部肌肉紧张度、放松腰背部肌群，具有一定的临床疗效。 |
| 英文摘要: |
| Objective: To observe the clinical efficacy of the spinal manipulation therapy and routine physiotherapy (medium and high frequency) for patients with chronic nonspecific low back pain. Methods: Forty patients with chronic nonspecific low back pain were randomly divided into treatment group (20 cases) and control group (20 cases). Patients in control group received routine physiotherapy (medium and high frequency), and those in the treatment group were given the spinal manipulation therapy. Visual analogue scale (VAS) and the Oswestry Disability Index (ODI) were performed before treatment, immediate after treatment, 1 month and 3 months after treatment. The anterior flexion of lumbar spine was recorded before treatment, after the first treatment and after the last treatment. Before and after treatment, the surface EMG flexion-relaxation ratio (FRR) was recorded. Results: VAS scores in two groups after treatment, at 1st month and 3rd month after treatment were significantly lower than those before treatment (P<0.05), and those in the treatment group were lower than those in the control group at each time point (P<0.05). After treatment, the ODI in the treatment group was significantly lower than that before treatment (P<0.05), and there was no significant difference in the control group before and after treatment. ODI in treatment group was significantly lower than that in control group (P<0.05); At 1st month and 3rd month after treatment, ODI in two groups was significantly lower than that before treatment (P<0.05), and there was no significant difference between two groups. After the first time of treatment, the number of lumbar flexion in the treatment group was significantly greater than that before treatment and that in the control group (P<0.05), and in the control group there was no significant difference between the first time of treatment and before treatment. After treatment, lumbar flexion degree in two groups was significantly higher than that before treatment (P<0.05), and there was no significant difference between two groups. After treatment, FRR in two groups was significantly increased as compared with that before treatment (P<0.05), and that in the treatment group was higher than in the control group (P<0.05). Conclusion: The spinal manipulation therapy has a certain clinical efficacy for patients with chronic nonspecific low back pain, which can relieve pain as soon as possible, accelerate the recovery process of the disease, improve the range of lumbar motion, reduce the tension of lumbar and back muscles, and relax the muscle group of lumbar and back. |
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