| 李郭茜,朱志春,龙铁军,刘炳炎,吴京玲,欧阳文湘.体外冲击波联合核心稳定性训练对产后骶髂关节疼痛的临床研究[J].中国康复,2024,39(2):94-98 |
| 体外冲击波联合核心稳定性训练对产后骶髂关节疼痛的临床研究 |
| Effect of extracorporeal shockwave therapy combined with core stability training in the treatment of postpartum sacroiliac joint pain |
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| DOI： |
| 中文关键词: 骶髂关节疼痛 体外冲击波疗法 稳定性训练 |
| 英文关键词: Sacroiliac joint pain Extracorporeal shock wave therapy Core stability exercise |
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| 中文摘要: |
| 目的：本研究通过观察体外冲击波疗法联合核心稳定性训练治疗产后骶髂关节疼痛的临床疗效，评估该康复方案的有效性和可行性。方法：选取产后骶髂关节疼痛的患者91例，随机分为3组：基础组（31例）、观察组A和观察组B各30例。基础组采取常规康复治疗，观察组A在基础组基础上采用体外冲击波疗法，观察组B在基础组基础上采用体外冲击波疗法联合核心稳定性训练。比较3组治疗前、治疗4周后的视觉模拟疼痛评分（VAS）、Oswestry功能障碍指数问卷表 (ODI）、SF-36简明健康调查简表（SF-36）、MRI腰5-骶1椎间盘水平竖脊肌横截面积。结果：治疗前，3组VAS评分、ODI评分、SF-36评分、MRI腰5-骶1椎间盘水平竖脊肌横截面积比较差异无统计学意义。治疗4周后，3组VAS评分、ODI评分均较治疗前降低 (均P＜0.05)，观察组A、观察组B的VAS评分、ODI评分均低于基础组 (P＜0.05)，且观察组B较观察组A明显降低 (P＜0.05)。治疗4周后，3组SF-36评分较治疗前均提高 (均P＜0.05)，观察组A、观察组B的SF-36评分高于基础组 (均P＜0.05)，且观察组B较观察组A明显升高 (P＜0.05)。治疗4周后，3组MRI竖脊肌横截面积较治疗前均无明显变化，组间比较差异无统计学意义。结论：体外冲击波联合核心稳定性训练可缓解产后骶髂关节疼痛，提高日常生活质量，具有有效性和可行性。 |
| 英文摘要: |
| Objective: To evaluate the effectiveness and feasibility of extracorporeal shockwave therapy (ESWT) combined with core stability training (CST) by observing the clinical efficacy in the treatment of postpartum sacroiliac joint pain. Methods: A total of 91 patients with postpartum sacroiliac joint pain were selected and randomly divided into three groups: basic group (31 cases), experimental group A (30 cases) and experimental group B (30 cases). The basic group received regular rehabilitation. The experimental group A was treated with ESWT on the basis of the basic group, and the experimental group B was treated with ESWT combined with core stability training (CST) on the basis of the basic group. Visual analogue scale (VAS), Oswestry disability index (ODI), short form 36 (SF-36), and cross sectional area of erector spinae at L5-S1 intervertebral discs on MRI were compared among the three groups before treatment and 4 weeks after treatment. Results: Before treatment, there were no significant differences inVAS, ODI, SF-36 scores and cross sectional area of erector spinae. After 4 weeks of treatment, among the three groups, the VAS and ODI scores in the experimental group A and experimental group B were lower than those in the basic group (P<0.05), and both of these scores in the experimental group B were significantly lower than those in the experimental group A (P<0.05). The SF-36 score in the experimental group A and experimental group B was higher than that in the basic group (P<0.05), and that in the experimental group B was significantly higher than that in the experimental group A (P<0.05). There was no significant difference in the cross sectional area of erector spinae at L5-S1 intervertebral discs on MRI in the three groups before and after treatment, and among the three groups after treatment. Conclusion: ESWT combined with CST can relieve postpartum sacroiliac joint pain and improve the quality of daily life, which is effective and feasible. |
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