| 庄蕊如,苏文杰,庄婷婷,林天华,林友聪.体外冲击波联合核心稳定训练对产后腰痛治疗效果的研究[J].中国康复,2025,40(1):27-31 |
| 体外冲击波联合核心稳定训练对产后腰痛治疗效果的研究 |
| Effect of extracorporeal shock wave combined with core stabilization training on postpartum low back pain |
| |
| DOI：10.3870/zgkf.2025.01.005 |
| 中文关键词: 体外冲击波 核心稳定训练 产后腰痛 |
| 英文关键词: extracorporeal shock wave core stability training postpartum low back pain |
| 基金项目:泉州市医疗卫生领域科技计划项目（2023NS016） |
|
| 摘要点击次数: 1031 |
| 全文下载次数: 755 |
| 中文摘要: |
| 目的：探究体外冲击波联合核心稳定训练对产后腰痛（PLBP）的应用效果。方法：选取符合纳入标准的产后腰痛患者120例，随机分成常规治疗（CT）组、体外冲击波（ESWT）组、核心稳定（CST）组和联合（ESWT+CST）组，每组30例。4组均接受常规治疗，1次/d，5次/周；ESWT组在CT组的基础上接受ESWT治疗，2次/周；CST组在CT组的基础上接受CST，30min/次，1次/d，5次/周；ESWT+CST组在CT组的基础上同时进行ESWT和CST，方法和频次分别与ESWT组和CST组相同，CT在每周的第1~5天进行，ESWT在每周的第1、5天进行，CST在每周的其余5天进行，上述治疗均连续治疗4周。治疗前后分别采用视觉模拟评分（VAS）量表、Roland-Morris腰背痛功能障碍调查表（RMDQ）、爱丁堡产后抑郁量表（EPDS）进行评分。行竖脊肌、腹直肌、腹外斜肌、腹横肌的表面肌电图后计算4组肌肉的均方根值(RMS)，分别评估患者的腰背疼痛、腰背功能，心理状况及腰背肌肉力量。结果：治疗前，4组患者的VAS、RMDQ、EPDS评分以及4组肌肉的RMS组间比较差异无统计学意义。治疗4周后，4组患者的VAS、RMDQ、EPDS评分均降低，4组肌肉的RMS均升高（P<0.05）；ESWT组、CST组和ESWT+CST组的VAS、RMDQ、EPDS评分低于CT组，4组肌肉的RMS高于CT组（P<0.05）；ESWT+CST组的VAS、RMDQ及EPDS评分低于ESWT组和CST组，4组肌肉的RMS均高于ESWT组和CST组高（P<0.05）。结论：ESWT和CST联合治疗可以有效缓解PLBP患者的情绪，提高腰部功能，这可能与疼痛降低及竖脊肌、腹直肌、腹外斜肌、腹横肌的肌肉力量增强有关。 |
| 英文摘要: |
| Objective: To explore the effect of extracorporeal shock wave therapy (ESWT) combined with core stabilization training (CST) on postpartum low back pain (PLBP). Methods: A total of 120 postpartum patients with PLBP who met the inclusion criteria were selected and randomly divided into 4 groups by computer, including conventional treatment (CT) group, ESWT group, CST group and combined (ESWT+CST) group, with 30 cases in each group. All groups received CT, ESWT group received ESWT on the basis of CT group, twice a week; CST group received CST on the basis of CT group, once a day, 30 min/time, 5 times/week; ESWT+CST group received ESWT and CST simultaneously on the basis of CT group, and the above treatment was continued for 4 weeks. Visual analog scale (VAS), Roland-Morris disability questionnaire (RMDQ), Edinburgh postpartum depression Scale (EPDS), and surface electromyography were utilized to assess the pain, function, psychological factors, and electronuyogroply (EMG) signals of the erector spinae muscle, rectus abdominis muscle, external oblique abdominis muscle, and transverse abdominis muscle before and after treatment. Results: Before treatment, there was no significant difference in the general information (age, body mass index, course of disease, parity, delivery mode) among the four groups. After treatment, the pain, function, psychology and RMS of erector spine muscle, rectus abdominalis muscle, external oblique abdominalis muscle and transverse abdominalis muscle of the four groups were improved to different degrees compared with those before treatment, and the differences were statistically significant (P<0.05). After treatment, the above indexes in ESWT group, CST group and ESWT+CST group were all better than those in CT group(P<0.05). Additionally, the VAS, RMDQ, and EPDS scores in the ESWT+CST group were significantly lower than those in the ESWT group and CST group(P<0.05). The root mean square (RMS) values of erector spine muscle, rectus abdominalis muscle, external oblique abdominalis muscle, and transverse abdominalis muscle in the ESWT+CST group were higher than those in the ESWT and CST groups with statistically significant differences (P<0.05). Conclusion: The combination of ESWT and CST can effectively alleviate depression and improve lumbar function in PLBP patients, which may be related to the reduction of pain and the enhancement of muscle strength of erector spine, rectus abdominis, external oblique abdominis and transverse abdominis. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|
