悬吊运动训练对非特异性下背痛患者远期疗效的临床研究

Clinical Study on the Long-term Effects of S-E-T Training to Patients with Nonspecific Low Back Pain

目的:评价悬吊运动训练对非特异性下背痛(NLBP)患者远期疗效的影响。方法:将符合诊断标准的62例NLBP患者随机分为研究组和对照组各31例,均采用药物、针刺、推拿、封闭或理疗等常规治疗;研究组同时行悬吊运动训练。2组均治疗1个月。治疗前及治疗后的6及12个月时随访,采用疼痛视觉模拟疼痛指数(VAS)和SF-36健康状况调查问卷(SF-36)评定2组患者的疼痛程度、ADL受限程度及复发率。结果:VAS评分与治疗前比较,2组均明显下降,6及12个月后随访下降更显著;SF-36评分在各时段均稳步上升。与对照组比较,研究组各时段评分表现更突出(P<0.05);复发率比较,研究组明显低于对照组(P<0.01)。结论:悬吊运动训练可有效减轻NLBP患者疼痛程度并改善其功能障碍,降低复发率,有效提高其远期疗效。

Objective： To observe the long-term effects of S-E-T training to patients with nonspecific low back pain（NLBP）.Methods： Sixty-two cases of NLBP were randomly divided experimental group（n=31） and control group（n=31）.The patients in experimental group received the general physical therapy and sling exercise therapy（S-E-T） training,and those in control group only received the general physical therapy.VAS and SF-36 scales were used to assess the pain degree,ADL and the recurrence rate before,and 1 month,6 months and 1 year after treatment in both groups.Results： VAS scores were evidently decreased after treatment in both groups,and reduced more obviously 6 months and 1 year after treatment.SF-36 scores were increased steadily at every time point.The scores in experimental group at each time point had more significant change than those in control group.The recurrence rate in experimental group was significantly reduced as compared with control group（P0.01）.Conclusion： S-E-T training can effectively alleviate the pain degree and improve the functional state of NLBP patients.Also,it can obviously decrease the recurrence rate and increase the long-term effects.