康复干预对强化军事训练腰痛的影响

发布时间：2018-01-18 04:25

本文关键词：康复干预对强化军事训练腰痛的影响　出处：《中国康复医学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的:观察康复训练对乘载员阅兵式强化训练下腰痛的干预作用,为常规军事训练致腰痛的预防提供参考。方法:2015年4月—9月参加阅兵训练的乘载员100例,观察组和对照组各50例,所有乘载员除接受阅兵式强化训练外,观察组同时接受预防腰痛的专项康复干预。在康复干预前和阅兵结束时(间隔18周)监测两组腰痛的发病率、视觉疼痛模拟评分法(VAS)和腰痛障碍指数(ODI)评定。结果:康复干预前两组的腰痛发病率、VAS和ODI评分的差异无显著性意义(P0.05);阅兵结束时观察组的腰痛发病率、VAS和ODI评分均明显低于对照组(P0.01);观察组中腰痛者在康复干预前后VAS和ODI评分的差异无显著性意义,而对照组中腰痛者VAS评分高于初次评定,差异有显著性意义(P0.01)。结论:康复干预能有效减少乘载员阅兵式强化训练中腰痛的发病率和控制腰痛的发展,加强维护脊柱软组织平衡和矢状面生理曲度的康复训练可为常规军事训练减少腰痛发病率提供参考。
[Abstract]:Objective: to observe the effect of rehabilitation training on low back pain (LBP) under the intensive military training of carrier parade. Methods: from April 2015 to September, there were 100 passengers who took part in the parade training, 50 cases in the observation group and 50 cases in the control group. In addition to receiving intensive military parade training, the observation group also received special rehabilitation intervention to prevent low back pain. The incidence of low back pain was monitored before rehabilitation intervention and at the end of the parade (18 weeks interval). Visual pain analogue score (VASS) and low back pain disorder index (ODI) were evaluated. Results: the incidence of low back pain in the two groups before rehabilitation intervention. There was no significant difference between VAS and ODI scores (P 0.05). At the end of the military parade, the incidence of low back pain in the observation group was significantly lower than that in the control group (P 0.01). There was no significant difference in the scores of VAS and ODI between the patients with low back pain in the observation group before and after rehabilitation intervention, while the VAS score in the patients with low back pain in the control group was higher than that in the first evaluation. Conclusion: rehabilitation intervention can effectively reduce the incidence of low back pain and control the development of low back pain. Strengthening the rehabilitation training to maintain the balance of spinal soft tissue and sagittal physiologic curvature can provide a reference for conventional military training to reduce the incidence of low back pain.
【作者单位】：解放军95894部队卫生队;解放军第309医院康复医学科;中国康复研究中心博爱医院物理治疗科;
【分类号】：R823
【正文快照】： 军事训练伤是指军队(包括现役和预备役)、民兵武装以及其他接受军事训练的人员,因训练直接导致的组织器官功能障碍或病理改变[1]。十一五以来国内军事训练伤的发病率稍显增长趋势,软组织损伤的构成比明显上升[2],而发生于18—22岁年轻人的比例相对较高,骨骼肌肉的慢性疲劳损伤

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