理筋手法联合核心稳定训练治疗非特异性下背痛临床观察

Clinical observation of tendon-regulating manipulation plus core stability training for non-specific low back pain

目的:评价理筋手法联合运动疗法治疗下背痛的临床疗效。方法:将60例患者根据随机数字表随机分为治疗组和对照组,每组30例。治疗组予理筋手法联合运动疗法治疗,对照组予以与治疗组相同的理筋手法治疗。两组分别于治疗前后测量患者的侧位X线片腰椎前凸角度,同时采用压痛仪评估两组患者疼痛程度,量角器法测定患者的腰椎活动度,并通过Oswestry功能障碍指数问卷(Oswestry disability index,ODI)对患者功能变化进行评估,并进行疗效观察。结果:治疗后,与本组治疗前相比,两组患者的疼痛程度减轻,腰椎前凸角度增加,腰椎活动度增加,ODI评分下降(均P<0.05);且治疗组各项目的改善情况均优于对照组,组间差异均有统计学意义(均P<0.05)。治疗组总有效率为90.0%,对照组为63.3%,两组总有效率差异有统计学意义(P<0.05)。结论:理筋手法联合运动疗法治疗下背痛可缓解患者局部疼痛,改善患者腰椎活动功能,提高患者生活质量,其疗效优于单纯理筋手法治疗。

Objective： To evaluate the clinical efficacy of tendon-regulating manipulation plus kinesiotherapy in treating low back pain. Methods： Sixty patients were randomized into a treatment group and a control group by using the random number table, 30 cases in each group. The treatment group was intervened by tendon-regulating manipulation plus kinesiotherapy, while the control group was by the tendon-regulating manipulation alone. The lumbar lordosis was measured by X-ray （side view）, the pain was evaluated by analgesy meter, the lumbar range of motion was by using goniometer, and the function was judged by Oswestry disability index （ODI） before and after treatment, and the therapeutic efficacy was also observed. Results： After treatment, the pain level was significantly reduced, lumbar lordosis was significantly increased, the lumbar range of motion was markedly improved, and the ODI score significantly dropped （all P^O.05） in both groups; the improvement of each item in the treatment group was more significant than that in the control group （all P〈O.05）. The total effective rate was 90.0% in the treatment group versus 63.3% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion＂ In the treatment of low back pain, tendon-regulating manipulation plus kinesiotherapy can mitigate topical pain, improve the motion of low back, enhance the quality of life, and produce a more significant therapeutic efficacy compared to tendon-regulating manipulation alone.