基于肌肉失衡理念的慢性非特异性腰痛临床研究

发布时间：2018-04-04 12:24

本文选题：非特异性腰痛　切入点：肌力失衡　出处：《成都中医药大学》2016年硕士论文

【摘要】：目的：通过临床观察,将飞燕式、核心肌力训练和五禽戏治疗慢性非特异性腰痛的临床疗效作对比研究,评价核心肌力训练治疗慢性非特异性腰痛的疗效,以期为慢性非特异性腰痛制定临床康复训练方案提供参考。方法：本试验采用随机、单盲原则,将符合纳入标准的78例慢性非特异性腰痛患者分为飞燕式锻炼组(A组)、核心肌力功能锻炼组(B组)和五禽戏功能锻炼组(C组),连续治疗12周。于治疗前、后分别采集受试者疼痛VAS评分、Oswestry功能障碍指数、schober测量、腹背肌肌耐力等指标,对三组的临床疗效进行统计学比较与分析,且随访12周。结果：(1)核心肌力组、五禽戏组治疗后VAS评分明显低于飞燕式组,而核心肌力组又低于五禽戏组。(2)核心肌力组、五禽戏组治疗后OSWESTRY评分明显低于飞燕式组,而五禽戏组略低于核心肌力组。(3)核心肌力组、五禽戏组治疗后schober测量明显大于飞燕式组,而核心肌力组略高于五禽戏组。(4)核心肌力组、五禽戏组治疗后腹肌耐力测试明显大于飞燕式组,而核心肌力组略高于五禽戏组。(5)核心肌力组、五禽戏组治疗后背肌耐力测试明显大于飞燕式组,而核心肌力组略高于五禽戏组。(6)核心肌力组、五禽戏组两组疗效明显优于飞燕式组,且核心肌力组疗效略优于五禽戏组。(7)核心肌力组、五禽戏组两组复发率明显低于飞燕式组,且核心肌力组复发率略低于五禽戏组。结论：本研究三种功能训练方法的临床结果表明：核心肌力训练在改善疼痛、腰椎活动度和腰背肌耐力以及12周复发率方面优于五禽戏和飞燕式腰背肌训练,但五禽戏在改善ODI方面效果优于飞燕式腰背肌训练、略优于核心肌力训练。
[Abstract]:Objective: to compare the clinical effects of Feiyan type, core muscle strength training and Wuqiexi in the treatment of chronic nonspecific low back pain, and to evaluate the effect of core muscle strength training on chronic nonspecific low back pain.In order to provide reference for the establishment of clinical rehabilitation training program for chronic non-specific low back pain.Methods: random, single blind principle was used in this study.Seventy-eight patients with chronic nonspecific low back pain were divided into Feiyan exercise group (group A) and core muscle function exercise group (group B) and group C (group C) for 12 weeks.Before and after treatment, the VAS score of pain and the measurement of Oswestry dysfunction index and abdominal dorsal muscle endurance were collected respectively. The clinical effects of the three groups were compared and analyzed statistically, and followed up for 12 weeks.Results the VAS score in the core muscle strength group was significantly lower than that in the Feiyan group after treatment, and the core muscle strength group was lower than that in the core muscle strength group. The OSWESTRY score in the Wuqixi group was significantly lower than that in the Feiyan type group after treatment.After treatment, the abdominal muscle endurance test in Wuqixi group was significantly larger than that in Feiyan type group, while the core muscle strength group was slightly higher than that in Wuqixi group, and the back muscle endurance test in Wuqixi group was significantly greater than that in Feiyan type group.The recurrence rate of core muscle strength group was slightly lower than that of five birds play group.Conclusion: the clinical results of the three functional training methods showed that the core muscle strength training was superior to that of five birds and flying swallow training in improving pain, lumbar movement, lumbar dorsal muscle endurance and recurrence rate of 12 weeks.However, the effect of Wuqixi on improving ODI is better than that of Feiyan type psoas dorsalis training, and slightly superior to core muscle strength training.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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