常规康复训练联合个体化康复训练对伏案工作人群慢性肌肉骨骼疼痛的疗效分析

Analysis of Effect of Routine Rehabilitation Training Combined with Individualized Rehabilitation Training in Chronic Musculoskeletal Pain in People Working at the Desk

目的探讨常规康复训练联合个体化康复训练对伏案工作人群慢性肌肉骨骼疼痛(CMP)的疗效.方法选取2021年1月—2022年4月该院收治的98例CMP患者,按随机数字表法分为两组,各49例.对照组采取常规康复训练,观察组在对照组基础上采取个体化康复训练,两组均持续干预4周.比较两组简式McGill疼痛表(SF-MPQ)、Oswestry功能障碍指数(ODI)及健康调查简表(SF-36)评分.结果干预后,观察组SF-MPQ中疼痛分级指数评分(4.08±1.12)分、疼痛视觉模拟评分(1.64±0.42)分、感觉项评分(2.10±0.64)分、现时疼痛度评分(0.85±0.21)分均低于对照组,ODI评分(10.76±2.14)分低于对照组,SF-36中生理职能评分(82.48±6.80)分、生理机能评分(81.75±6.74)分、一般健康评分(81.88±6.32)分、躯体疼痛评分(81.96±6.14)分、活力评分(83.12±6.14)分、情感职能评分(82.98±5.78)分、社会功能评分(81.85±6.20)分、精神健康评分(81.96±6.14)分均高于对照组,组间差异有统计学意义(P<0.05).结论与单纯常规康复训练相比,在此基础上联合个体化康复训练用于伏案工作人群CMP治疗中能减轻疼痛,促进功能康复,提升生活质量,值得临床推广应用.

Objective To explore the effect of routine rehabilitation training combined with individualized rehabilitation training on chronic musculoskeletal pain(CMP)in people working at the desk.Methods 98 patients with CMP admitted to the hospital from January 2021 to April 2022 were selected and divided into two groups,with 49 patients in each group.The control group took routine rehabilitation training,and the observation group took individualized rehabilitation training on the basis of the control group.Both groups continued to intervene for 4 weeks.The scores of the short-form of McGill pain questionnaire(SF-MPQ),Oswestry disability index(ODI)and MOS item short from health survey(SF-36)of the two groups were compared.Results After intervention,pain rating index score(4.08±1.12)points,visual analogue scale score(1.64±0.42)points,sensory score(2.10±0.64)points and present pain intensity score(0.85±0.21)points in SF-MPQ in the observation group were lower than those in the control group,the ODI score(10.76±2.14)points was lower than that in the control group,and physical function score(82.48±6.80)points,physiological function score(81.75±6.74)points,general health score(81.88±6.32)points,physical pain score(81.96±6.14)points,vitality score(83.12±6.14)points,emotional function score(82.98±5.78)points,social function score(81.85±6.20)points,mental health score(81.96±6.14)points in SF-36 were higher than those in the control group,and the differences between groups were statistically significant(P<0.05).Conclusion Compared with simple routine rehabilitation training,combined with individualized rehabilitation training on this basis can reduce pain,promote functional rehabilitation and improve quality of life in the CMP people working at the desk,which is worthy of clinical promotion and application.