慢性腰痛患者康复训练前后核心稳定性改变的临床观察

发布时间：2018-03-30 00:35

本文选题：慢性下腰痛　切入点：核心稳定性　出处：《成都体育学院学报》2017年01期

【摘要】：目的:本研究旨在通过对慢性下腰痛患者进行核心稳定性的功能测试,比较康复训练前后的测试结果,来观察其核心稳定性的功能改变,为慢性腰痛患者的核心稳定性功能分析及其康复疗效的评估提供参考。方法:招募筛选慢性腰痛(CNLBP)患者31例作为实验组(CLBP组),其中男性16人,女性15人。同时以29名无腰痛的健康者为对照组(Non组)。两组受试者完成Y型平衡测试。CNLBP组参与为期6周的康复训练,训练结束后,再次Y型平衡测试。Y型平衡测试双侧共10个指标——A/Limb、PM/Limb、PL/Limb、SUM,COMPOSITE,分析比较CLBP组和Non组间差异,组内双侧差异,以及CLBP组康复训练前后的差异。结果:(1)CLBP组与Non组相比,YBT测试后方的两个方向PM/Limb、PL/Limb均出现显著差异,CLBP组在YBT测试结果多个指标均显著低于Non组的测试值(P0.05);(2)对比两组各自组内双侧差异时,发现Non组仅在左侧PM/Limb的测量值上出现双侧显著性差异(P0.05),差值为1%;CLBP组在PM/Limb、PL/Limb、COMPOSITE这3个指标上面均表现出显著性差异(P0.05),且差值更大,都大于3%。说明CLBP患者双侧失衡明显;(3)经过6周的康复训练,CLBP患者各个方向的测试值均有了显著性提高(P0.05);(4)6周训练后,CLBP组训练前双侧PM/Limb及COMPOSITE的显著性差异消失(P0.05),训练后双侧PL/Limb之间虽然仍存在显著性差异(P0.05),但是差值从3.52%下降到1.36%。康复训练改善了双侧失衡的情况。结论:(1)CLBP患者的核心动态稳定功能显著下降,尤其是后方稳定性,且双侧功能出现明显的失衡。(2)6周的康复训练可以提高CLBP患者各个方向的动态核心稳定性,以及改善双侧失衡的状况。
[Abstract]:Objective: the purpose of this study was to observe the functional changes of core stability in patients with chronic low back pain by comparing the results before and after rehabilitation training. Methods: 31 patients with chronic low back pain (CNLBP) were recruited for CLBP group, including 16 males. 15 women. Meanwhile, 29 healthy subjects without low back pain were taken as control group. Two groups of subjects completed the Y-type balance test. CNLBP group participated in rehabilitation training for 6 weeks. Thirdly, there were 10 indexes in Y type balance test. Y type balance test. There were 10 indexes: a / Limbb / PMP / Limb / Limb / CLBP / LimbSITE. The difference between CLBP group and Non group was analyzed and compared, and the difference between both sides of the group was analyzed and compared. Results compared with Non group, there were significant differences between CLBP group and Non group before and after rehabilitation training. The results of YBT test in YBT group were significantly lower than that in Non group (P < 0.05). When there were bilateral differences within the group, It was found that there was only a significant bilateral difference in the left PM/Limb measurement value in the Non group (P 0.05), and the difference was that there was a significant difference in the three indexes of PM/ Limb PLP / Limbtrope compOSITE in the Non group (P 0.05), and the difference was greater than that in the control group (P < 0.05), and the difference was higher than that in the control group (P < 0.05), and the difference was higher than that in the control group (P < 0.05). After 6 weeks of rehabilitation training, the test values in all directions of patients with CLBP were significantly improved. After 6 weeks of training, the significant difference of bilateral PM/Limb and COMPOSITE disappeared before training in the CLBP group and the difference between the two sides was disappeared (P0.05). Although there was still a significant difference between the two sides of PL/Limb, the difference was decreased from 3.52% to 1.36.The rehabilitation training improved the condition of bilateral imbalance. Especially the stability of the rear and the obvious imbalance of bilateral function. The rehabilitation training for 6 weeks can improve the dynamic core stability in all directions of patients with CLBP and improve the condition of bilateral imbalance.
【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:“大众体质健康评价标准的研制与特定人群健身方法的开发”(2012BAK21B01) 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自助基金(CTYY2015018) 四川省科技厅应用基金计划项目:“有氧运动干预非酒精性脂肪肝病的内质网途经机制”(2015JY0155)
【分类号】：R681.5

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