核心稳定肌训练联合郑氏手法推拿治疗中国女子曲棍球运动员腰痛的疗效观察

Observation on the clinical curative effect of trunk stability muscle training combined with Zheng's manual massage in the treatment of low back pain in Chinese hockey sportswomen

目的:观察核心稳定肌训练联合郑氏手法推拿治疗中国女子曲棍球运动员腰痛的临床疗效。方法:回顾性分析20例患有腰痛的国家女子曲棍球队运动员的病例资料,其中10例采用核心稳定肌训练联合郑氏手法推拿治疗(治疗组)、10例单纯采用郑氏手法推拿治疗(对照组)。分别于治疗前后,比较2组患者的腰痛视觉模拟评分、Roland-Morris评分、指地距离及腰部肌耐力。结果:1腰痛视觉模拟评分。治疗前2组患者腰痛视觉模拟评分比较,差异无统计学意义[(6.06±2.31)分,(6.16±2.82)分,t=1.984,P=0.067];治疗后2组患者的腰痛视觉模拟评分均降低[(2.39±1.22)分,(3.41±1.69)分],治疗组的降低程度大于对照组[(3.67±1.58)分,(2.75±1.34)分,t=2.414,P=0.035]。2Roland-Morris评分。治疗前2组患者Roland-Morris评分比较,差异无统计学意义[(14.22±2.57)分,(14.89±2.82)分,t=1.538,P=0.179];治疗后2组患者的Roland-Morris评分均降低[(2.64±2.12)分,(3.51±2.84)分],2组患者治疗前后评分差值比较,差异无统计学意义[(11.58±2.46)分,(11.38±2.68)分,t=0.342,P=0.856]。3指地距离。治疗前2组患者指地距离比较,差异无统计学意义[(9.65±1.34)cm,(9.72±1.45)cm,t=1.245,P=0.334];治疗后2组患者的指地距离均减小[(2.40±0.67)cm,(3.80±0.84)cm],治疗组的减小程度大于对照组[(7.25±1.28)cm,(5.92±1.32)cm,t=2.442,P=0.035]。4腰部肌耐力。治疗前2组患者的腹肌和背肌耐力比较,组间差异均无统计学意义[(55.34±2.00)s,(55.76±2.26)s,t=0.786,P=0.435;(50.53±2.06)s,(50.89±2.37)s,t=0.986,P=0.385];治疗后2组患者的腹肌和背肌耐力均增强[(87.98±2.57)s,(75.38±2.24)s;(80.34±2.46)s,(73.32±2.56)s],治疗组的增强程度大于对照组[(32.64±2.34)s,(19.62±0.86)s,t=2.612,P=0.018;(29.81±2.33)s,(22.43±2.42)s,t=2.552,P=0.020]。结论:核心稳定肌训练联合郑氏手法推拿可有效缓解腰痛运动员的疼痛症状、改善腰部功能、提高腰部肌肉耐力,其疗效优于单纯手法推拿治疗。

Objective：To observe the clinical curative effect of trunk stability muscle training combined with Zheng＆#39;s manual massage in the treatment of low back pain in Chinese hockey sportswomen.Methods：The medical records of 20 Chinese hockey sportswomen with low back pain were analyzed retrospectively.Tten patients（treatment group）were treated with combination therapy of trunk stability muscle training and Zheng＆#39;s manual massage,while the others（control group）were treated with monotherapy of Zheng＇s manual massage.The two groups were compared with each other in such parameters as low back pain visual analogue score（VAS）,Roland-Morris score,finger and floor distance（FFD）and lumbar muscle endurance before and after the treatment.Results：There was no statistical difference in the VAS of low back pain between the 2 groups before the treatment（6.06＋/-2.31 vs 6.1 6 ＋/-2.82 points,t=1 .984,P=0.067）,while the VAS decreased in both of the 2 groups after the treatment,and the VAS decreased more significantly in the treatment group（3.67 ＋/-1 .58 vs 2.75＋/-1 .34 points,t=2.41 4,P=0.035）.There was no statistical difference in the Roland-Morris score between the 2 groups before the treatment（1 4.22＋/-2.57 vs 1 4.89＋/-2.82 points,t=1 .538,P=0.1 79）,while the Roland-Morris score decreased in both of the 2 groups after the treatment,and there was no statistical difference in the change of Roland-Morris score between the 2 groups（1 1 .58＋/-2.46 vs 1 1 .38＋/-2.68 points,t=0.342,P=0.856）.There was no statistical difference in the FFD between the 2 groups before the treat-ment（9.65 ＋/-1 .34 vs 9.72＋/-1 .45 cm,t=1 .245,P=0.334）,while the FFD decreased in both of the 2 groups after the treatment,and the FFD decreased more significantly in the treatment group（7.25 ＋/-1 .28 vs 5.92 ＋/-1 .32 cm,t=2.442,P=0.035）.There was no statistical difference in the endurance of abdominal and dorsal muscles between the 2 groups before the treatment（55.34 ＋/-2.00 vs 55.76＋/-2.26 s,t=0.786,P=0.435;50.53＋/-2.06 vs 50.89 ＋/-2.37 s,t=0.986,P=0.385）,while the endurance of abdominal and dorsal muscles strengthened in both of the 2 groups after the treatment,and the endurance of abdominal and dorsal muscles strengthened more significantly in the treatment group（32.64＋/-2.34 vs 1 9.62＋/-0.86 s,t=2.61 2,P=0.01 8;29.81 ＋/-2.33 vs 22.43 ＋/-2.42 s,t=2.552,P=0.020）.Conclusion：The combination therapy of trunk stability muscle training and Zheng＆#39;s manual massage can effective-ly relieve the pain and improve the lumbar function and increase the lumbar muscle endurance for athletes.Moreover,its curative effect is better than that of monotherapy of manual massage.