磁振热治疗仪配合悬吊运动疗法治疗慢性非特异性腰痛临床疗效观察

Sling exercise therapy combined with hot magner instrument for chronic nonspecific low back pain

目的观察磁振热治疗仪与悬吊运动疗法配合在慢性非特异性腰痛患者中的疗效。方法 34例慢性非特异性腰痛患者随机分为A、B、C三组。A组12例采用悬吊运动疗法(挪威redcord工作站)进行腰背肌康复训练;B组12例将悬吊运动疗法与磁振热治疗仪(日本)结合使用;C组10例使用腰围固定腰椎,在家根据自身情况进行Williams体操训练。3组均由同一治疗师治疗。治疗前、治疗后6周、治疗后3个月对所有患者进行疼痛数字评分(NPRS)和Oswestry功能障碍指数评分(ODI)。结果治疗前3组NPRS和ODI无明显统计学差异些(P>0.05),治疗6周后A、B组NPRS评分和ODI评分与C组比较有统计学差异(P<0.05),A组与B组之间NPRS评分和ODI评分有统计学差异(P<0.05),治疗后3个月与治疗后6周各组内比较无统计学差异(P>0.05)。结论悬吊运动疗法与磁振热治疗仪在慢性非特异性腰痛的治疗效果中明显优于佩戴腰围与家庭体操练习;磁振热治疗仪与悬吊运动疗法配合使用的治疗效果优于单纯使用悬吊运动疗法。

Objective To observe the effectiveness of sling exercise therapy （SET） combined with hot magner instrument for patients with chronic nonspecific low back pain （CNLBP）. Methods 34 patients with CNLBP were randomly divided into group A （n=12）, group B （n=12） and control group （n=10）. Patients in group A underwent SET （Norway redcord workstation） for low back muscle rehabilitation training. Patients in group B underwent SET combined with hot magner instrument （Japan）. Patients in the control group were immoblized with brace in the lumbar region, and did williams gymnastics training at home, according to their own specific conditions. The treatment group and the control group were treated by the same therapist. The outcomes of all patients were evaluated with numerical pain rating scale （NPRS） and Oswestry disability index （ODI） before treatment, 6 weeks and 3 months after treatment. Results The scores of NPRS and ODI were not significantly different among 3 groups before treatment （P〉0.05）, 6 weeks after treatment, the scores of NPRS and ODI of group A and B were significantly different from those of group C （P〈0.05）. The scores of group A and group B were significantly different （P〈0.05）. Conclusions SET combined with hot magner instrument can achieve better results than wearing waist brace and doing gym exercises at home. The combined therapy can significantly relieve pain, ease muscle fatigue, and improve the function of low back muscles. It can gain better therapeutic effect than using SET system alone.