麦肯基疗法对腰3横突综合征的影响及其机制

发布时间：2018-04-26 10:47

本文选题：麦肯基 + 腰横突综合征　；参考：《广东医学》2017年14期

【摘要】：目的比较两种不同康复治疗方案对腰3横突综合征患者功能的影响。方法 84例患者采用随机数字表法分为传统康复组和麦肯基组,传统康复组予以常规康复治疗,麦肯基组在常规康复基础上予以麦肯基疗法。康复治疗进行2周,于治疗前、后对两组患者进行疗效评定。治疗前后采用简化Mc Gill疼痛问卷(SF-MBQ)进行疼痛评估、Oswestry功能障碍指数进行功能评估、改良Barthel指数评价日常生活能力(ADL),并在治疗后评估患者满意度。结果各组分别有2例因并发症退出。治疗后两组患者疼痛均减轻、功能均改善、日常生活能力均提高,差异有统计学意义(P0.05),麦肯基组较传统康复组各项指标改善更明显,差异有统计学意义(P0.05)。麦肯基组较传统康复组患者满意度更高,差异有统计学意义(P0.05)。结论两种康复疗法均能促进腰3横突综合征患者的功能恢复,但麦肯基疗法效果可能更好。
[Abstract]:Objective to compare the effects of two different rehabilitation treatments on the function of patients with lumbar 3 transverse process syndrome. Methods Eighty-four patients were randomly divided into traditional rehabilitation group and Mackenzie group. The traditional rehabilitation group was treated with routine rehabilitation and Mackenzie group was treated with Mackenzie therapy on the basis of routine rehabilitation. The two groups were evaluated before and after rehabilitation for 2 weeks. Before and after treatment, simplified MC Gill pain questionnaire (SF-MBQ) was used to evaluate the function of Oswestry dysfunction index, the modified Barthel index was used to evaluate ADL, and the patients' satisfaction was evaluated after treatment. Results two patients in each group were withdrawn because of complications. After treatment, the pain was relieved, the function was improved, the ability of daily living was improved, the difference was statistically significant (P 0.05). The improvement of the indexes in the Mackenzie group was more obvious than that in the traditional rehabilitation group, and the difference was statistically significant (P 0.05). The satisfaction of patients in Mackenzie group was higher than that in traditional rehabilitation group, and the difference was statistically significant (P 0.05). Conclusion both kinds of rehabilitation therapy can promote the recovery of function in patients with lumbar 3 transverse process syndrome, but Mackenzie therapy may be more effective.
【作者单位】：深圳市宝安区人民医院康复科;
【基金】：深圳市宝安区科技计划社会公益(医疗卫生类)项目(编号:2015036)
【分类号】：R49;R681.5

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