悬吊运动疗法配合推拿治疗骶髂关节错缝症临床研究

Clinical Study of Sling Exercise Therapy the Combined with Massage in Treating Sacroiliac Joint Subluxation

目的:探讨悬吊运动疗法对骶髂关节错缝症的临床疗效及治疗机制。方法 :将符合纳入标准的120例骶髂关节错缝症患者,采用SPSS13.0统计软件,按该软件产生的随机数字,随机分为治疗组和对照组,每组各60例。2组均以常规推拿作为基础治疗,同时治疗组配合悬吊运动疗法治疗,对照组配合腰椎导引操,2组均隔日1次,共治疗10次。采用VAS评分、JOA评分、脊柱功能测试评价训练系统(Tergumed)检测仪进行疗效评定。结果:1个疗程结束后,2组患者与治疗前VAS评分、JOA评分、腰椎活动度比较有统计学意义(P<0.05),但组间比较无显著性差异(P>0.05);2组患者治疗前后腰背伸肌力比较有显著性差异(P<0.05),且2组组间比较有显著性差异(P<0.05);6个月后的随访比较,治疗组在JOA评分(日常生活动作部分)、VAS评分、复发率方面的疗效均优于对照组(P<0.05)。结论:悬吊运动疗法配合推拿能改善骶髂关节错缝症患者症状、体征,增强腰背伸肌群的功能,降低复发率,远期疗效好。

Objective： To observe the clinical effect and mechanism of the sling exercise therapy on sacroiliac joint subluxation. Methods： Using SPSS13.0 statistical software generated random numbers, 120 patients with Sacroiliac joint subluxation were picked out and randomly divided into the treatment group and the control group, 60 cases in each group. Based on the routine massage therapy, the treatment group was given sling exercise therapy and the control group given lumbar guided operation treatment, once every other day and 20 days for a course of treatment. Efficacy evalu- ation was performed with VAS score, JOA score, and tergumed detector detection.Results： After a course of treatment, compared with before treatment, there were statistical significance the two groups in VAS score and JOA score （P〈0.05）. However, there was no significant difference between these two groups（P〉0.05）; The two groups compared before and after treatment were significant difference on lumbar activity（P〈0.05）, but there was no significant difference between these two groups（P〉0.05）; The two groups compared before and after treatment were significant difference on back ex- tensor muscle strength（P〈0.05）, and the treatment group is superior to the control group（P〈0.05）; After six-month fol- low up, the treatment group was superior to control group in VAS score, JOA score（daily life action） and recurrence im- provement （P〈0.05）.Conclusion： Sling exercise therapy combined with massage canimprove the patients with Sacroiliac joint subluxation of clinical symptoms and signs, enhance low back extensor groups function, reduce the recurrence rate, and excellent long-term results.