躯干肌力测定训练在腰椎间盘突出症康复治疗中的疗效分析

发布时间：2018-03-22 08:31

本文选题：腰椎间盘突出症　切入点：躯干肌力测定　出处：《上海交通大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：观察和分析腰椎间盘突出症患者在康复治疗中加用躯干肌力测定训练后腰腹肌肌力变化及症状改善情况,探讨腰腹肌定量等长收缩训练在腰椎间盘突出症患者康复治疗中的临床价值。方法：按照病例纳入标准,选取腰椎间盘突出症患者120例,应用随机数字表法分为2组(训练组、对照组),均予以经皮神经电刺激(TENS)、微波、腰椎牵引常规康复疗法治疗。治疗2周后,训练组在常规康复治疗的基础上加用躯干肌力测定训练系统(GT-350)行腰腹肌定量等长收缩训练,此疗程为4周。同时对照组继续常规康复治疗4周。2组患者分别在治疗前、2周后、6周后进行腰腹肌前屈与后伸的肌力最大峰值的平均值测定以及VAS、JOA、ODI量表的评定。治疗结束3月后对2组患者进行随访,统计复发率。结果：1.康复治疗6周后,2组患者腰腹肌肌力均提高,分别与治疗2周后相比较,差异有统计学意义(P0.01)。训练组肌力提升幅度明显高于对照组,2组相比较,差异有统计学意义(P0.01)。2.康复治疗6周后,2组患者腰椎JOA评分提高,ODI评分以及VAS评分下降,分别与治疗2周后相比较,差异有统计学意义(P0.01)。训练组治疗前后评分改变幅度较对照组明显,2组相比较,差异有统计学意义(P0.01)。3.治疗结束3月后对2组患者进行随访,训练组复发率为6.90%,对照组复发率为22.81%,2组相比较,训练组复发率低于对照组,差异有统计学意义(P0.05)。结论：1.躯干肌力测定训练结合常规康复治疗的方法对腰椎间盘突出症患者的疗效优于单纯常规康复治疗,值得临床推广应用。2.躯干肌力训练可有效预防腰椎间盘突出症复发。
[Abstract]:Objective: to observe and analyze the changes of lumbar abdominal muscle strength and the improvement of symptoms in patients with lumbar disc herniation. To explore the clinical value of quantitative isometric contraction training of lumbar abdominis muscle in rehabilitation treatment of patients with lumbar disc herniation. Methods: 120 patients with lumbar disc herniation were selected according to the standard of case inclusion and divided into two groups (training group). Patients in the control group were treated with conventional rehabilitation therapy of percutaneous electric nerve stimulation (TENSN), microwave and lumbar traction. After 2 weeks of treatment, the training group was treated with the training system GT-350 on the basis of routine rehabilitation, and the training group received the training of quantitative isometric contraction of the psoas abdominis muscle. The course of treatment was 4 weeks. At the same time, the control group was followed by routine rehabilitation for 4 weeks. 2 patients in the control group were measured the mean value of the maximum muscle strength of the lumbar abdominal muscle flexion and extension after 2 weeks and 6 weeks after the treatment, and the evaluation of the VAS-JOAA ODI scale. Two groups of patients were followed up after treatment on March. Results 1. After 6 weeks of rehabilitation treatment, the muscle strength of psoas abdominis increased in both groups, and the difference was statistically significant compared with that after 2 weeks of treatment. The increase of muscle strength in the training group was significantly higher than that in the control group (P < 0.01), and the muscle strength in the training group was significantly higher than that in the control group (P < 0.05). After 6 weeks of rehabilitation treatment, the JOA scores of lumbar vertebrae increased and the VAS scores decreased in the two groups, respectively, compared with those after 2 weeks of treatment. The difference was statistically significant (P 0.01). The range of score changes in the training group was significantly higher than that in the control group before and after treatment. The difference was statistically significant (P 0.01). 3 months after the end of treatment, the patients in the two groups were followed up. The recurrence rate of the training group was 6.90 and that of the control group was 22.810.Compared with the control group, the recurrence rate of the training group was lower than that of the control group. Conclusion 1. The effect of trunk muscle strength training combined with routine rehabilitation therapy on lumbar disc herniation patients is better than that of simple routine rehabilitation therapy. The trunk muscle strength training can effectively prevent recurrence of lumbar disc herniation.
【学位授予单位】：上海交通大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R681.5;R49

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