摘要
目的研究通督扶阳推拿联合核心肌群训练对腰椎间盘突出症(LDH)的临床效果。方法根据随机数字表法将2020年8月至2022年9月中国人民解放军联勤保障部队第九一〇医院接收的腰椎间盘突出病人(150例)分为对照组(75例,常规基础治疗)和联合组(75例,常规基础治疗+通督扶阳推拿和核心肌群训练)。对两组治疗前后生活功能障碍、疼痛程度以及腰背伸肌群力学性能进行比较。结果联合组的总有效率(94.67%比80.00%)高于对照组(P<0.05)。治疗后,联合组病人日本整形外科学会(JOA)评分[(22.98±3.77)分比(18.98±3.56)分]、平均功率[(44.03±11.09)W比(38.98±10.79)W]、腰背伸状态下峰力矩[(88.65±15.42)Nm比(79.99±15.66)Nm]明显高于对照组,VAS评分[(1.78±0.56)分比(2.39±0.67)分]、腰背屈伸比[(69.53±9.15)%比(74.42±9.52)%]明显低于对照组(P<0.05)。结论通督扶阳推拿与核心肌群训练联合治疗LDH病人的效果较好,可减轻病人疼痛,改善病人腰背伸肌群力学性能,减少其生活功能障碍。
Objective To investigate the clinical effect of Tongdu Fuyang massage combined with core muscle group training on lumbar disc herniation(LDH).Methods According to the random number table method,150 patients with lumbar disc herniation admitted to the 910th Hospital of the Chinese People's Liberation Army Joint Logistics Support Force from August 2020 to September 2022 were divided into a control group(75 cases,conventional basic treatment)and a combination group(75 cases,conventional basic treatment+Tongdu Fuyang massage and core muscle group training).The functional impairments,pain levels,and mechanical properties of the lumbar and dorsal extensor muscles between two groups before and after treatment were compared.Results The total effective rate of the combination group(94.67%vs.80.00%)was higher than that of the control group(P<0.05).After treatment,the JOA score[(22.98±3.77)points vs.(18.98±3.56)points],average power[(44.03±11.09)W vs.(38.98±10.79)W],and peak torque in the lumbar and dorsal extension state[(88.65±15.42)Nm vs.(79.99±15.66)Nm]of patients in the combination group were significantly higher than those in the control group.The VAS score[(1.78±0.56)points vs.(2.39±0.67)points]and lumbar and dorsal flexion to extension ratio[(69.53±9.15)%vs.(74.42±9.52)%]were significantly lower than those in the control group(P<0.05).Conclusion The combination of Tongdu Fuyang massage and core muscle group training has a good effect on the treatment of LDH patients,which can reduce pain,improve the mechanical properties of the lower back extensor muscle group,and reduce their life dysfunction.
作者
高晓哲
夏美玲
吴晓萍
向盼
GAO Xiaozhe;XIA Meiling;WU Xiaoping;XIANG Pan(Department of Traditional Chinese Medicine Rehabilitation,910th Hospital of the Joint Service Support Force of the People's Liberation Army,Quanzhou,Fujian 362000,China)
出处
《安徽医药》
CAS
2024年第6期1144-1147,共4页
Anhui Medical and Pharmaceutical Journal
关键词
椎间盘移位
通督扶阳推拿
核心肌群训练
腰椎
疼痛
腰背伸肌群力学性能
Intervertebral disc displacement
Tongdu Fuyang massage
Core muscle training
Lumbar vertebrae
Pain
Mechanical properties of lumbar extensor muscles
