重力肌群锻炼对老年机械性腰痛腰椎间盘突出症的干预效果

发布时间：2018-04-24 09:29

本文选题：生物力学 + 腰椎间盘突出症　；参考：《中国老年学杂志》2017年22期

【摘要】：目的研究重力肌群锻炼对生物力学破坏所致老年机械性腰痛腰椎间盘突出症的缓解作用。方法腰椎间盘突出症老年病患94例均检测确诊属生物力学破坏引起机械性腰痛腰椎间盘突出,按照就医时间标号随机分组。观察组47例,针对腰椎间盘生物力学特点实施重力肌群锻炼持续干预;对照组47例,采取常规腰椎牵引配合骶管注射治疗。应用魁北克腰痛障碍评分量表(QBPDS)评估患者症状改善状况,记录不同时间节点疼痛缓解效果,记录患者腰背伸状态下平均功率(AP)、峰力矩(PT)、腰背屈/伸比值(F/E)等腰背伸肌群生物力学指标变化。结果两组治疗首日(T1)QBPDS、视觉模拟评分(VAS)无明显差异(P0.05);对照组治疗2 w(T2)QBPDS、VAS改善效果显著优于观察组(P0.05);治疗45 d(T3)两组QBPDS、VAS无统计学差异(P0.05);观察组治疗2个月(T4)、治疗3个月(T5)QBPDS、VAS改善效果显著优于对照组(P0.05);观察组T5PT(60°、120°)、AP(60°、120°)、F/E(60°、120°)生物力学指标均得到明显改善,同组T1、T5差异有统计学意义(P0.05);观察组T5 PT(60°)、AP(120°)改善幅度显著优于对照组(P0.05)。结论生物力学破坏所致老年机械性腰痛腰椎间盘突出症的治疗中采取重力肌群锻炼效果确切,持续干预锻炼后患者后期脊柱生物力学调整效果及脊柱应力平衡均得到明显恢复,有效缓解腰痛症状。
[Abstract]:Objective to study the effect of gravity muscle group exercise on senile mechanical lumbar disc herniation caused by biomechanical damage. Methods 94 elderly patients with lumbar disc herniation were diagnosed as mechanical lumbar disc herniation due to biomechanical damage. According to the biomechanical characteristics of lumbar intervertebral disc, 47 cases in the observation group were treated with continuous intervention of gravity muscle group, and 47 cases in the control group were treated with conventional lumbar traction and sacral canal injection. QBPDS was used to evaluate the improvement of symptoms, and to record the effect of pain relief at different time points. The mean power, peak torque and the ratio of lumbar flexion to extension (F / E) were recorded. The biomechanical indexes of the isosceles extensor muscle group were recorded. Results on the first day of treatment, there was no significant difference in visual analogue score (VASA) between the two groups; in the control group, the improvement effect of VAS was significantly better than that in the observation group at 2 weeks after treatment; at 45 days after treatment, there was no statistical difference between the two groups (P0.05); in the observation group, there was no statistical difference between the two groups (P0.05); in the observation group, there was no significant difference between the two groups in terms of QBPDS4, T5QBPDSV and VAS, and in the control group, the effect was significantly better than that in the control group (P 0.05). The improvement effect was significantly better than that of the control group (P 0.05), and the biomechanical indexes of the observation group were improved obviously. The difference of T1 and T5 in the same group was statistically significant (P 0.05), and that in the observation group was significantly better than that in the control group (P 0.05). Conclusion Gravity muscle group exercise is effective in the treatment of lumbar intervertebral disc herniation caused by biomechanical destruction in elderly patients. After continuous intervention, the effect of biomechanical adjustment and stress balance of spine are obviously restored. Effectively alleviate the symptoms of low back pain.
【作者单位】：重庆城市管理职业学院;
【分类号】：R681.53

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