运动疗法缓解坦克乘员腰痛的效果评价
发布时间：2018-07-26 13:23
【摘要】：目的:开发坦克乘员腰痛的运动疗法,并行初步疗效评价。方法:观察于2005-01/08在西北高寒区某坦克部队驻地完成。由专科医生询问病史、体检,选择该师男性现役全训坦克乘员128人,均自愿参加观察。随机分为3组,低强度运动治疗组43人,强度递增运动治疗组43人,对照组42人。设计运动治疗8步法,即箭步屈髋、直腿抬高、膝胸运动、颈肩提升、提髋抬背、屈背运动、俯卧伸背及挺胸伸髋。联系坦克乘员实际,低强度、强度递增运动治疗组分别采用两种强度不同的治疗方案。①低强度运动治疗组每次治疗需重复完成整套动作中的每步动作10次,3次/周,共治疗12周。②强度递增运动治疗组的动作与低强度运动治疗组相同,3次/周,但除第1周每步动作重复10次外,以后每周每步动作重复次数递增5次,至第5周增加至30次,持续至第12周。③对照组采用超短波电疗仪,微热量,20min/次,3次/周,共治疗12周。分别于治疗前(基线)、治疗后第4,12周(干预期)及24周(随访期)进行以下症状、疼痛程度及治疗满意程度评估:①改良中文版Oswestry腰痛评价表:由观察对象自评,总分0～50分,总分值越高,表示因腰痛造成的失能越重。②改良中文版Roland-Morris腰痛失能问卷:总分0～24分,总分值越高,提示被评价对象填表当日因腰痛造成失能越重。③10cm标准目测类比疼痛评分表:由观察对象主观按疼痛程度在表上直接标记,范围0～10cm,标记长度越长代表疼痛越重。④治疗措施满意程度:分5级,5非常满意;1很不满意。⑤症状减轻程度:分5级,5几乎消失;1加重恶化。结果:除对照组1人因工作调动失随访外,其余所有观察对象均进入结果分析。各组患者各量表评分、治疗满意程度及主观症状减轻程度比较:在干预结束(12周)、随访时(24周),低强度运动治疗组和强度递增运动治疗组患者的改良Oswestry腰痛评分、Roland-Morris腰痛失能评分、目测类比疼痛评分均显著低于对照组(t=-3.46～2.35,P≤0.05～0.01);低强度运动治疗组和强度递增运动治疗组的治疗措施满意程度、主观症状减轻程度等均显著优于对照组(t=3.23～5.05,P0.01)。而低强度运动治疗组、强度递增运动治疗组两个实验组在不同评价时间各项指标比较,差异均无显著性意义(P0.05)。结论:运动治疗8步法可以显著缓解坦克乘员的腰部疼痛,改善其腰部运动功能,是一种实用性强、治疗顺应好、疗效较为肯定的方法,但其内容仍需完善,疗效尚需基础实验及设计严格的临床实验进一步阐明。
[Abstract]:Objective: to develop the exercise therapy for low back pain of tank crew and evaluate the curative effect. Methods: the observation was carried out in August 2005 in a tank army station in the Northwest Hilly region. Asked by the specialist medical history, physical examination, the division selected 128 men in active training tank crew, all volunteer to participate in the observation. They were randomly divided into three groups: low intensity exercise group (43 cases), intensity increasing exercise group (43 cases) and control group (42 cases). Design exercise treatment 8 steps, namely arrow step flexion hip, straight leg raise, knee chest movement, neck and shoulder lift, lift hip lift back, flexion back exercise, prone to stretch back and stretch chest and extend hip. According to the actual situation of tank crew, the treatment group with low intensity and increasing intensity respectively used two kinds of treatment schemes with different intensities. The treatment group of low intensity exercise need to repeat each step of the whole action for 10 times and 3 times a week per week. After 12 weeks of treatment, the movement of the exercise group was the same as that of the low intensity exercise group, but the number of repeat of each step was increased 5 times per week and increased to 30 times per week, except for 10 times per step in the first week, and increased to 30 times per week after 12 weeks of treatment. The control group was treated with ultrashort wave electrotherapy for 12 weeks. Before treatment (baseline), 4 weeks after treatment (intervention period) and 24 weeks (follow-up period), the following symptoms, pain degree and treatment satisfaction were evaluated by the modified Chinese version of Oswestry low back pain scale: Self-rated by the subjects. The total score was 0 ~ 50, the higher the total score was, the more serious the disability caused by low back pain was. 2. 2. 2 improved Chinese version Roland-Morris low back pain disability questionnaire: the total score was 0 ~ 24 points, the total score was higher. It was suggested that the subjects who were evaluated were directly marked by subjective pain according to the degree of pain in the standard visual analogue pain scale, which was caused by low back pain on the same day. The range was 0 ~ 10 cm, the longer the marker length was, the more severe the pain was. 4 the satisfactory degree of treatment measures: 5 grades, 5, 5, very satisfactory, 1, 1, very unsatisfactory, and 5, grade 5, almost disappeared and aggravated. Results: all the subjects were involved in the result analysis except that one person in the control group was followed up because of job mobility loss. The scores of each group were as follows: Comparison of degree of satisfaction and relief of subjective symptoms: at the end of the intervention (12 weeks) and at the follow-up of 24 weeks, the improved Oswestry low back pain score and the Roland-Morris low back pain disability score were evaluated in the low intensity exercise treatment group and the intensity increasing exercise treatment group. The scores of visual analogue pain were significantly lower than those of the control group (t = 3.46 卤2.35 P 鈮，
本文编号：2146145
[Abstract]:Objective: to develop the exercise therapy for low back pain of tank crew and evaluate the curative effect. Methods: the observation was carried out in August 2005 in a tank army station in the Northwest Hilly region. Asked by the specialist medical history, physical examination, the division selected 128 men in active training tank crew, all volunteer to participate in the observation. They were randomly divided into three groups: low intensity exercise group (43 cases), intensity increasing exercise group (43 cases) and control group (42 cases). Design exercise treatment 8 steps, namely arrow step flexion hip, straight leg raise, knee chest movement, neck and shoulder lift, lift hip lift back, flexion back exercise, prone to stretch back and stretch chest and extend hip. According to the actual situation of tank crew, the treatment group with low intensity and increasing intensity respectively used two kinds of treatment schemes with different intensities. The treatment group of low intensity exercise need to repeat each step of the whole action for 10 times and 3 times a week per week. After 12 weeks of treatment, the movement of the exercise group was the same as that of the low intensity exercise group, but the number of repeat of each step was increased 5 times per week and increased to 30 times per week, except for 10 times per step in the first week, and increased to 30 times per week after 12 weeks of treatment. The control group was treated with ultrashort wave electrotherapy for 12 weeks. Before treatment (baseline), 4 weeks after treatment (intervention period) and 24 weeks (follow-up period), the following symptoms, pain degree and treatment satisfaction were evaluated by the modified Chinese version of Oswestry low back pain scale: Self-rated by the subjects. The total score was 0 ~ 50, the higher the total score was, the more serious the disability caused by low back pain was. 2. 2. 2 improved Chinese version Roland-Morris low back pain disability questionnaire: the total score was 0 ~ 24 points, the total score was higher. It was suggested that the subjects who were evaluated were directly marked by subjective pain according to the degree of pain in the standard visual analogue pain scale, which was caused by low back pain on the same day. The range was 0 ~ 10 cm, the longer the marker length was, the more severe the pain was. 4 the satisfactory degree of treatment measures: 5 grades, 5, 5, very satisfactory, 1, 1, very unsatisfactory, and 5, grade 5, almost disappeared and aggravated. Results: all the subjects were involved in the result analysis except that one person in the control group was followed up because of job mobility loss. The scores of each group were as follows: Comparison of degree of satisfaction and relief of subjective symptoms: at the end of the intervention (12 weeks) and at the follow-up of 24 weeks, the improved Oswestry low back pain score and the Roland-Morris low back pain disability score were evaluated in the low intensity exercise treatment group and the intensity increasing exercise treatment group. The scores of visual analogue pain were significantly lower than those of the control group (t = 3.46 卤2.35 P 鈮，
本文编号：2146145
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