非特异性下腰痛患者相关肌肉功能的DAVID评价

发布时间：2018-06-16 10:15

本文选题：DAVID + 非特异性下腰痛　；参考：《成都体育学院》2017年硕士论文

【摘要】：目的:运用大卫(DAVID)脊柱智能检测康复系统,探究非特异性下腰痛(Nonspecific low back pain,NLBP)患者的腰背部6个运动方向的活动度、肌力、肌耐力的特征,为今后防治NLBP提供科学的运动干预方案。方法:本研究收集自2016年3月至2016年9月在门诊就诊的符合诊断标准的非特异性下腰痛患者60例为腰痛组,正常人(无脊柱手术史,6个月内无下腰痛)30例为正常组;运用大卫(DAVID)脊柱智能检测康复系统,分别对腰痛组和正常组腰背部6个运动方向的活动度(后伸、前屈、右旋、左旋、右侧屈、左侧屈活动度),肌力(后伸、前屈、右旋、左旋、右侧屈、左侧屈肌力),肌耐力(后伸、前屈、右旋、左旋、右侧屈、左侧屈肌耐力)进行检测;对检测所得数据分别进行记录;运用SPSS21.0统计软件的独立样本T检验分别分析两组各个实验数据的均值差异大小。结果:1)腰痛组在后伸肌力(P0.001)、右侧屈肌力(P=0.034)、左侧屈肌力(P=0.032)、后伸肌耐力(P0.001)方面,显著低于正常组;腰痛组在前屈肌力(P0.05)、右旋肌力(P0.05)、左旋肌力(P0.05)方面,低于正常组不显著;2)腰痛组在前屈肌耐力(P0.05)、右旋肌耐力(P0.05)、左旋肌耐力(P0.05)、右侧屈肌耐力(P0.05)、左侧屈肌耐力(P0.05)方面,低于正常组不显著;3)腰痛组在前屈活动度(P0.05)、后伸活动度(P0.05)、右旋活动度(P0.05)、左旋活动度(P0.05)、右侧屈活动度(P0.05)、左侧屈活动度(P0.05)方面,低于正常组不显著。结论:非特异性下腰痛患者腰背部后伸肌力、右侧屈肌力、左侧屈肌力、后伸肌耐力的下降是显著的,建议运动疗法应在准确评定这些改变的基础上,制定合适的、有针对性的运动干预方案如:1)针对非特异性下腰痛患者腰背部后伸肌力、肌耐力的下降采用俯卧背伸等动作进行康复锻炼;2)针对非特异性下腰痛患者腰背部的右侧屈肌力、左侧屈肌力下降采用侧卧单腿悬吊等方法进行康复锻炼,加快NLBP患者的康复。
[Abstract]:Objective: to explore the movement, muscle strength and muscle endurance characteristics of 6 movements in the lumbar and back of patients with nonspecific low back pain (NLBP) by using David's david spine intelligence detection and rehabilitation system, and to provide a scientific scheme of exercise intervention for the prevention and treatment of NLBP in the future. Methods: from March 2016 to September 2016, 60 patients with nonspecific low back pain who met the diagnostic criteria were selected as low back pain group and 30 normal subjects (no history of spinal surgery, no lower back pain within 6 months). Using David's DAVID-based spinal intelligence system, the activities of 6 movements (extension, forward flexion, right rotation, left lateral rotation, right flexion, left flexion), muscle strength (extension, forward flexion, dextral) of lumbar back pain group and normal group were measured, respectively. Left rotation, right flexion, left flexor muscle strength, muscle endurance (extension, flexion, dextral, left rotation, right flexion, left flexor endurance) were measured, and the measured data were recorded. An independent sample T test of SPSS 21.0 was used to analyze the mean value difference between the two groups of experimental data. Results in the low back pain group, the extensor muscle strength (P 0.001), the right flexor muscle strength (P0. 034), the left flexor muscle strength (P < 0. 032), and the extensor muscle endurance (P 0. 001) were significantly lower in the low back pain group than those in the normal group, while in the low back pain group, they were significantly lower than those in the normal group (P 0. 05, P 0. 05, P 0. 05, P 0. 05). The tolerance of flexor anterior muscle, dextral muscle tolerance, left flexor muscle tolerance, right flexor muscle tolerance, left flexor muscle tolerance and left flexor muscle tolerance were lower than normal group (P 0.05, P 0.05, P 0.05, P 0.05, P 0.05). Compared with the normal group, the patients in the low back pain group were lower than those in the normal group (P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05). Conclusion: the decrease of extensor muscle strength, right flexor muscle strength, left flexor muscle strength and extensor posterior endurance in patients with non-specific low back pain is significant. It is suggested that exercise therapy should be based on accurate evaluation of these changes and appropriate. Specific exercise intervention programs such as: 1) for non-specific low back pain patients with back extensor muscle strength, muscle endurance decline with prone back extension and other actions for rehabilitation exercises (2) for non-specific low back pain patients with right back flexor muscle strength, In order to accelerate the rehabilitation of patients with NLBP, the left flexor strength was decreased by side-lying single-leg suspension.
【学位授予单位】：成都体育学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R681.5

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