麦肯基疗法联合核心稳定性训练对腰椎间盘突出症患者的疗效观察

Investigation on the effect of McKenzie therapy combined with core stability training for patients with lumbar disc herniation

目的:观察麦肯基疗法联合核心稳定性训练对腰椎间盘突出症患者的疗效。方法:将40例均符合纳入排除标准的腰椎间盘突出症患者按照随机化的方法分为对照组和治疗组各20例。对照组患者采用腰椎牵引、理疗等常规治疗及麦肯基疗法治疗,治疗组患者在对照组的基础上结合腰部核心稳定性训练治疗。2组治疗前、治疗后均采用视觉模拟疼痛评分,Oswestry功能障碍指数量表,腰椎前屈关节活动度对患者的功能进行评价,治疗结束后6个月进行2组有效率的回访调查。结果:2组治疗后的视觉模拟疼痛评分,Oswestry功能障碍指数,腰椎前屈关节活动度评定均较治疗前显著改善(P<0.05);组间比较,治疗组的改善优于对照组(P<0.05);治疗结束后6个月,治疗组有效率明显高于对照组,复发率明显低于对照组,差异均有统计学意义(P<0.05)。结论:麦肯基疗法结合常规康复理疗对于腰椎间盘突出症患者的疼痛缓解及功能恢复有良好的作用,但联合腰部核心稳定性训练可进一步改善患者的腰部功能、缓解患者的腰部症状,且能一定程度上降低腰痛的复发。

Objective：To investigate the effect of McKenzie therapy combined with core stability training for patients with lumbar disc herniation.Methods：Forty patients met with inclusion criteria were divided into control group and experimental group with each of 20 patients,the control group was treated with lumbar traction,physical therapy and other conventional treatment and McKenzie therapy,treatment group was treated with core stability exercise on the basis of the control group.All patients were evaluated with visual analog pain score,Oswestry Disability Index Scale,range of motion of the lumbar flexion before treatment and after treatment,the effective rate was evaluated after 6 months of treatment in both groups.Results：After treatment,the visual analog pain scores,Oswestry Disability Index and range of motion of the lumbar flexion of two groups were improved compared with pre-treatment assessment with a statistically significant （P＜0.05）; and there was a significant difference existed between two groups （P＜0.05）; Six months after treatment,the relapse rate of treatment group was significantly lower than that of the control group,and effective rate was significantly higher than that of the control group （P＜0.05）.Conclusion：McKenzie therapy combined with conventional rehabilitation therapy can relieve the pain and improve the functional activity in patients with lumbar disc herniation,but the core stability exercise can further improve function activity,relieve lower back symptoms and reduce relapse rate in patients with lumbar disc herniation.