核心稳定训练结合整脊术治疗运动员脊柱源慢性腰痛的研究

The Effect of Core Stability Training Combined with Chiropractic on Athletes with Chronic Low Back Pain

目的:通过采用综合疗法与单纯物理因子治疗进行对比,探讨以脊柱稳定系统为理论基础治疗运动员脊柱源慢性腰痛的可行性,为更好地评估治疗运动员慢性腰痛提供依据。方法:将49例样本随机分入实验组与对照组,实验组采用基于脊柱稳定系统理论的整脊术、核心稳定训练与物理因子进行治疗,对照组采用单纯物理因子治疗,共计12周。使用简式Mc Gill疼痛量表评分、指地距离和压力感应生物反馈测试评价运动员的康复指标,治疗前和第4、8、12周末进行评估。结果:所测数据均呈正态分布,实验组量表评分组内比较差异有统计学意义,对照组量表评分组内比较在治疗结束时与治疗前无显著性差异,组间比较治疗前无显著性差异,治疗后具有高度显著性差异。实验组指地距离组内比较均具有高度显著性差异,对照组指地距离组内比较除后伸外(P<0.01)其他3组改善程度均不理想,其中前屈与左屈治疗结束时与治疗前比较无显著性差异,右屈在4次测量中均无显著性差异。组间比较治疗前无显著性差异,治疗后均呈现高度显著性差异。实验组腰背肌力组内比较均呈现高度显著性差异,对照组腰背肌力在治疗结束时与治疗前比较无显著性差异,组间比较治疗前无显著性差异,治疗后具有高度显著性差异。结论:基于脊柱稳定系统的评估方法可以较为准确反映运动员脊柱源慢性腰痛的程度,综合康复治疗方法在治疗运动员脊柱源慢性腰痛上优于单纯物理因子治疗。

Objective ： Low back pain is one of the common diseases among athletes, chronic low back pain has been seen the most.This essay will compare with the effectiveness of comprehensive treatment and physical therapy, discuss the feasibility of base on spinal stabilization system to treat chronic low back pain. Methods ： 49 samples were randomly allocated to experimental group and control group. Experimental group was treated by spinal stabilization system based on spinal stabilization system concept, control group was treated by pure physical therapy, the experiment lasted 12 weeks. Using the short foxxa of McGill pain questionnaire, distance between fingers and ground to evaluate the rehabilitation efficacy, evaluation are hold before the therapy and the weekends of 4th, 8th and 12th week. Results： 1 ）The data showed a positive distribution. 2）The data from experimental group had statistic significant, the data from control group had no obvious change after the therapy, comparison between groups had no obvious difference after therapy, yet highly different after therapy. 3）Distance between fingers and ground in experimental group had obvious difference, apart from distance between fingers and ground in eontrol group the other 3 group＇ s therapy effects were ideal. There was no significant difference before and after the flexion and the left side bend treatments, the four results of right side bend treatment showed no significant difference as well, the comparison among groups showed no significant difference before the treatment, whereas they had highly signifi- cant difference after the treatment. 4）In the experimental group, the results showed highly difference within back strength group, in the control group, the back strength grnup had no significant difference before and ＇after the treatment. The comparison among groups showed that no difference before the treatment, but great difference after the treatment. Conclusions ： The evaluation based or1 spinal stabilization system can reflect the extent of the athletes＇ spinal based chronic low back pain. The comprehensive rehabilitation treatment on spinal based chronic low back pain is better than simple physical factors treatment.