减重行走训练联合麦肯基训练对腰椎间盘突出症患者下腰痛及功能康复的影响

Effect of Weight Loss Walking Training Combined with McKenzie Training on Low Back Pain and Functional Rehabilitation in Patients with Lumbar Disc Herniation

目的探讨减重行走训练联合麦肯基训练对腰椎间盘突出症患者下腰痛及功能康复的影响.方法选取2020年6月—2022年6月本院收治的腰椎间盘突出症患者96例,以随机数表法分为两组.对照组(n=48)实施常规训练,观察组(n=48)在对照组基础上实施减重行走训练联合麦肯基训练,均连续训练2个月.比较两组疼痛视觉模拟(VAS)评分、Oswestry功能障碍指数(ODI)评分、躯干前屈主动关节活动度(AROM).结果干预后,观察组VAS评分(1.73±0.24)分、ODI评分(6.48±1.89)分,均低于对照组的(2.13±0.65)分、(10.26±2.14)分,组间差异有统计学意义(P<0.05).干预后,观察组躯干前屈AROM(65.26±2.41)°,大于对照组的(58.74±2.18)°,差异有统计学意义(P<0.05).结论减重行走训练联合麦肯基训练应用于腰椎间盘突出症患者,可有效缓解其下腰疼痛,减轻腰椎功能障碍,增加躯干前屈活动度.

Objective To explore the effect of weight loss walking training combined with McKenzie training on low back pain and functional rehabilitation of patients with lumbar disc herniation.Methods 96 patients with lumbar disc herniation admitted to the hospital from June 2020 to June 2022 were selected and divided into two groups by random number table method.The control group(n=48)received routine training,and the observation group(n=48)received weight loss walking training combined with McKenzie training on the basis of the control group,all of which were continuously trained for 2 months.Pain visual analog scale(VAS)scores,Oswestry disability index(ODI)scores,and trunk flexion active range of motion(AROM)were compared between the two groups.Results After intervention,VAS score(1.73±0.24)points and ODI score(6.48±1.89)points in observation group were lower than those in control group(2.13±0.65)and control group(10.26±2.14),respectively,and the differences between groups were statistically significant(P<0.05).After intervention,trunk flexion AROM in the observation group(65.26±2.41)°was greater than that in the control group(58.74±2.18)°,and the difference was statistically significant(P<0.05).Conclusion Weight loss walking training combined with McKenzie training for patients with lumbar disc herniation can effectively relieve low back pain,reduce lumbar dysfunction,and increase active trunk flexion motion.