| 冯业改,张明,徐学良,徐玲玲,肖桂花.内脏筋膜松弛术联合核心稳定性训练对产后非特异性腰痛的疗效[J].中国康复,2025,40(10):618-623 |
| 内脏筋膜松弛术联合核心稳定性训练对产后非特异性腰痛的疗效 |
| Effectiveness of visceral manipulation combined with core stability training for postpartum non-specific low back pain |
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| DOI：10.3870/zgkf.2025.10.007 |
| 中文关键词: 内脏筋膜松弛术 核心稳定性训练 产后非特异性腰痛 肌骨超声 |
| 英文关键词: visceral manipulation core stability training postpartum non-specific low back pain musculoskeletal ultrasound |
| 基金项目:江苏省老年健康科研项目（LK2021037）；连云港市卫生科技项目（F202101）；南京医科大学康达学院科研发展基金课题（KD2023KYJJ037） |
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| 中文摘要: |
| 目的：探讨内脏筋膜松弛术（VM）联合核心稳定性训练对产后非特异性腰痛（PNLBP）患者的临床疗效。方法：选取产后康复门诊就诊的60例产后非特异性腰痛患者，随机分为对照组和研究组各30例。对照组接受4周的核心稳定性训练，研究组在对照组基础上联合VM治疗，2组均治疗4周。2组患者在治疗前后分别通过视觉模拟评分法（VAS）、Oswestry功能障碍指数（ODI）和生活满意度指数A（LSIA)评估疼痛程度、腰椎功能及生活质量，并通过肌骨超声测量患者腹横肌及多裂肌的厚度变化。对2组患者的VAS和LSIA进行为期6个月的随访观察。结果：治疗4周后，2组患者的VAS评分、ODI评分均较治疗前降低(P<0.05，0.01)，LSIA评分均较治疗前升高(P<0.05)，腹横肌和多裂肌厚度均较治疗前增加(P<0.01)，且研究组上述各指标优于对照组(P<0.01)。随访结果显示：研究组VAS评分在治疗后6个月维持稳定，LSIA评分持续提升（P<0.05）；而对照组VAS评分较治疗4周后显著升高（P<0.05），LSIA评分明显下降（P<0.05）。结论：VM联合核心稳定性训练可有效缓解PNLBP患者疼痛，改善核心肌群功能，其疗效具有持续性和稳定性，在提升患者长期生活质量方面优于单一核心稳定性训练，具有重要临床应用价值。 |
| 英文摘要: |
| Objective: To explore the clinical efficacy and long-term effect of visceral manipulation (VM) and core stability training in patients with postpartum non-specific low back pain (PNLBP). Methods: Totally，60 patients with PNLBP who visited the postpartum rehabilitation clinic of our hospital were randomly divided into a control group (n=30) and a study group (n=30). The control group was given 4 weeks of core stability training, and the study group was given 4 weeks of VM intervention on the basis of the control group. The two groups of patients were evaluated for pain level, lumbar function, and quality of life before and after treatment using the visual analogue scale (VAS), Oswestry disability index (ODI), and life satisfaction index A (LSIA), respectively, and the thickness changes of transversus abdominis and multifidus muscles were measured by musculoskeletal ultrasound. VAS and LSIA were followed up for 6 months in both groups. Results: Before treatment, no statistically significant difference was observed in the baseline data between the two groups. After 4 weeks of treatment, both groups showed significant reductions in VAS and ODI scores (P<0.05,0.01), along with significant increases in LSIA scores and thickness of the transverse abdominis and multifidus muscles compared with baseline (P<0.05，0.01). Moreover, the study group demonstrated greater improvements in these outcomes than the control group (P<0.01). Long-term follow-up showed that the VAS score of the study group remained stable at 6 months after treatment, and the LSIA score continued to increase (P<0.05); In contrast, the VAS score of the control group in-creased significantly compared to that at 4 weeks post-treatment (P<0.05), and the LSIA score decreased significantly (P<0.05). Conclusion: VM combined with core stability training can effectively relieve the pain and improve the core muscle group function in PNLBP patients. Its efficacy is sustainable and stable, which is significantly better than the single core stability training in improving the long-term quality of life of patients, and has important clinical application value. |
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