肌内效贴配合关节松动术治疗非特异性下腰痛的临床疗效观察

发布时间：2018-03-20 04:19

本文选题：下腰痛　切入点：肌内效贴　出处：《上海体育学院》2017年硕士论文　论文类型：学位论文

【摘要】：背景肌内效贴是最为风行的软组织贴扎技术之一,在运动医学、康复医学领域常用于改善各类疼痛、提高运动能力,并可持续起效,起到所谓“将治疗师的手带回家”的作用。关节松动技术是现代康复治疗的基本技术,可针对下腰痛肌肉、筋膜及关节进行治疗,以纠正腰椎小关节紊乱和调整脊柱生物力学改变,临床应用方面有一定的疗效,但就其治疗下腰痛临床疗效的维持、随访等方面仍需展开科学实证研究。将肌内效贴与关节松动术相结合,可给非特异性下腰痛综合康复方案提供新思路,有进一步探讨的价值和必要。研究目的将肌内效贴与关节松动术相结合,应用于慢性非特异性下腰痛老年患者,并通过对患者腰背肌功能、疼痛情况及患者治疗的满意度等进行观察,探讨二者结合对非特异性下腰痛的治疗作用,并对其相关可能作用机制进行初步探索,以期为临床治疗与后续研究提供一定的证据支持和参考。研究方法将符合标准的老年男性非特异性下腰痛患者,随机分为关节松动术结合肌内效+常规理疗组(观察组)18例及常规理疗组(对照组)13例。在入选时及治疗后1周,分别对两组患者进行腰背肌屈伸肌群峰力矩(peak torque,PT)、疼痛评分(visual analogue scale,VAS)及Oswestry腰痛失能问卷调查量表(Oswestry PainDisability Questionnaire,OPDQ)的评定,比较两组患者上述指标的差别。研究结果1.患者的一般基线情况具有可比性,治疗前各项评分两组组间没有明显差异;2.治疗1周后组间比较,观察组屈、伸肌群PT较对照组均有统计学意义显著性差异(P0.05);3.治疗1周后组间比较,组间比较观察组VAS、OPDQ较对照组均有统计学意义极显著性差异(P0.01);4.患者治疗前后疼痛增加程度与屈伸肌群峰力矩呈显著负相关(P0.01)。研究结论肌内效贴配合关节松动术可更显著改善老年男性非特异性下腰痛患者近期症状及功能障碍情况。
[Abstract]:Background intramuscular patch is one of the most popular soft tissue sticking techniques. In sports medicine, rehabilitation medicine is often used to improve all kinds of pain, improve motor ability, and can continue to work. The technique of joint loosening is the basic technique of modern rehabilitation. It can be used to treat the muscles, fascia and joints of lower back pain. In order to correct the disorder of lumbar facet joint and adjust the biomechanical change of spine, it has certain curative effect in clinical application, but the maintenance of clinical curative effect in treating low back pain, The combination of intramuscular patch and joint loosening can provide a new idea for the comprehensive rehabilitation of non-specific low back pain. The purpose of this study was to apply intramuscular patch and joint loosening to elderly patients with chronic nonspecific low back pain, and to evaluate the function of lumbar and dorsal muscles in patients with chronic nonspecific low back pain. To investigate the therapeutic effect of the two methods on non-specific low back pain, and to explore the possible mechanism of the treatment. In order to provide some evidence and reference for clinical treatment and follow-up study, the research method will meet the standard of elderly male patients with non-specific low back pain, They were randomly divided into two groups: the control group (n = 13) and the control group (n = 18). The patients in the two groups were assessed with peak torque of the lumbar dorsalis flexion and extensor muscle, visual analogue scale and Oswestry low back pain disability scale (Oswestry PainDisability Questionnaive OPDQ). Comparison of the above indexes between the two groups. 1. The general baseline of the patients was comparable, and there was no significant difference between the two groups before treatment. 2. After one week of treatment, the comparison between the two groups, the observation group flexion, The PT of extensor muscle group was significantly higher than that of control group (P 0.05). Compared with the control group, VASA OPDQ in the observation group was significantly different from that in the control group. There was a significant negative correlation between the increase of pain and the peak moment of flexion and extensor muscle before and after treatment. Conclusion the intramuscular patch combined with joint loosening is more effective than that of the control group. To improve the recent symptoms and dysfunction in elderly men with non-specific low back pain.
【学位授予单位】：上海体育学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R681.5

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