基于正念减压疗法的物理干预对慢性非特异性腰痛患者的影响

The effects of physical intervention based on synergistic mindfulness-based stress reduction in patients with nonspecific chronic low back pain

目的探讨基于正念减压疗法的物理干预对慢性非特异性腰痛患者的影响。方法对2013年至2014年在理疗科就诊的慢性非特异性腰痛患者90例进行基于正念减压疗法的物理干预,包括肌力训练和日常生活姿势训练。干预前后均采用疼痛数字评价量表、抑郁自评量表、焦虑自评量表、Oswestry功能障碍指数问卷对患者进行问卷调查。结果干预后,患者的疼痛得分、焦虑得分、抑郁得分及功能障碍得分均低于干预前(P<0.01)。结论基于正念减压疗法的物理干预对慢性非特异性腰痛患者的疼痛、情绪及功能异常疗效显著,值得临床推广应用。

Objective To evaluate the effects of physical therapy based on synergistic mindfulness - based stress reduction （MBSR） in patients with non- specific chronic low back pain. Methods Ninety patients with nonspecific chronic low back pain were treated by physical therapy based oa MBSR from 2013 to 2014 including muscle strengthen exercise and postural exercise of the daily life. Patients were investigated with Numerical Rating Scale, Self - Rating Depression Scale, Self - Rating Anxiety Scale, the Oswestry Disability Index before and after the therapy. Results After intervention, the scores of pain, anxiety, depression and disability decreased significantly （ P 〈 0.01 ）. Conclusion Physical therapy based on MBSR has obviously effects on the pain, emotion and disfunction of＇ patients with nonspecific chronic low back pain ,which is worth for clinical application.