216例慢性非特异性腰痛患者的康复疗效观察

Efficacy of Rehabilitation on 216 Patients with Nonspecific Low Back Pain

目的观察不同治疗手段对慢性非特异性腰痛的临床疗效。方法对246例慢性非特异性腰痛患者随机分成对照组(n=82)、家庭指导组(n=82)和强化治疗组(n=82)进行治疗,使用数字类比疼痛评分法、改良Oswestry腰痛调查表,分别在治疗开始前、治疗后1个月、3个月和6个月进行评估。结果家庭指导组和强化治疗组均能减轻腰痛,且强化治疗组疗效更好。结论以主动运动训练为核心的现代康复治疗技术可有效改善慢性非特异性腰痛患者的症状。

Objective To assess different treatments on nonspecific low back pain. Methods 246 subjects were assigned to 3 groups, a control group（n=82）, a home exercise group（n=82） or a strengthening exercisegroup（n=82）. Follow up data were obtained at 1 months, 3 months and 6 months after the treatment. Primary outcome measures were modified Oswestry Low Back Pain Disability Questionnaire for disability and Numeric Pain Rating Scale for pain. Results The home exercise and strengthening exercise groups experienced greater improvements in disability than the control group 6 months after the treatment. The strengthening exercise group demonstrated greater change than home exercise group. Conclusion Active rehabilitation therapy may benefit nonspecific low back pain patients.