核心稳定性运动对慢性非特异性腰痛患者腰骶结构的影响

发布时间：2018-04-23 22:40

  本文选题：核心稳定性训练 + 慢性非特异性下腰痛　； 参考：《首都体育学院学报》2017年05期

【摘要】：通过拍摄立位X光片来分析慢性非特异性下腰痛(chronic non-specific low back pain,CN LBP)患者腰骶形态结构的改变,评价核心稳定性运动对CN LBP的影响,旨在为CN LBP的临床康复提供参考。方法:招募筛选CNLBP患者23例为实验组(CNLBP组),及29名无腰痛者为对照组(Con组)。CNLBP组自愿参与6周核心稳定性运动,最终完成运动干预共20人。Con组拍摄1次X片;CNLBP组填写评估疼痛程度(VAS)和腰功能障碍(ODI)问卷,并在运动干预前后分别拍摄X光片,测定腰椎前凸程度和骨盆侧倾程度。结果:1)运动前,CNLBP组总腰椎前凸角和骨盆倾斜角与Con组相比有显著差异(P0.05),腰曲明显变直,骨盆明显侧倾;2)CN LBP组运动前后,VAS和O DI均出现非常显著性下降(P0.01),下降约50%;3)CNLBP组运动前后,腰椎前凸程度虽未出现显著改变(P0.05),但数值更接近Con组,腰椎变直的程度有改善的趋势;而骨盆倾斜则发生显著下降(P0.05)。结论:1)青年CNLBP患者出现明显腰椎变直和骨盆侧倾,此为青年CNLBP的一大特征;2)6周核心稳定性训练可有效改善CNLBP患者的骨盆侧倾程度;3)6周核心稳定性训练可有效改善CNLBP患者的疼痛程度和功能;4)骨盆倾斜角为CNLBP的敏感指标,可为临床诊断和康复疗效评估提供参考。
[Abstract]:The changes of lumbosacral morphologic structure in patients with chronic non-specific low back pain CN LBP were analyzed by standing X ray, and the effects of core stability exercise on CN LBP were evaluated. The aim of this study was to provide reference for the clinical rehabilitation of CN LBP. Methods: 23 patients with CNLBP were recruited as experimental group and 29 patients without low back pain as control group. CNLBP group voluntarily participated in 6 weeks core stability exercise. A total of 20 patients in the Con group were taken one time in the exercise intervention group. The CNLBP group filled out the questionnaire to assess the pain degree and the lumbar dysfunction. X-ray films were taken before and after exercise intervention to determine the degree of lumbar kyphosis and the degree of pelvic tilting. Results compared with Con group, the total lumbar kyphosis angle and pelvic inclination angle of CNLBP group before exercise were significantly different from those of Con group. Although there was no significant change in the degree of lumbar lordosis, but the value was closer to that in the Con group, the degree of lumbar vertebrae straightening had a tendency to improve, while the pelvic tilt decreased significantly (P0.05). Conclusion (1) the lumbar vertebrae became straight and pelvis tilted significantly in young patients with CNLBP. This is a major characteristic of young CNLBP. The 6 weeks core stability training can effectively improve the pelvic tilting degree of CNLBP patients and the 6 weeks core stability training can effectively improve the pain degree and function of CNLBP patients. The pelvic tilt angle is a sensitive index of CNLBP. It can provide reference for clinical diagnosis and evaluation of rehabilitation effect.
【作者单位】： 成都体育学院运动医学与健康学院;
【基金】：“十二五“国家科技支撑计划重点项目(2012BAK21B01) 四川省科技计划项目(2017SZ0018) 四川省教育厅科研项目(D60060417) 国家体育总局运动医学重点实验室暨运动医学四川省重点实验室资助基金(2016CTYY011)
【分类号】：G804.2
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本文编号：1793988