踩跷法对大学生非特异性腰痛的干预研究

Research of Caiqiao Therapy on Non-specific Low Back Pain of University Students

目的:在以往临床经验的基础上,尝试对中国传统的运动疗法——踩跷法进行整理和规范,干预大学生人群的非特异性腰痛(NLBP),以期达到理想的疗效,并探讨相关机制。方法:将25名大学生NLBP患者分为两组(踩跷组15人、对照组10人)进行为期四周,每周三次的踩跷干预。以主观疼痛视觉模拟评分法(VAS)和客观的腹桥最长持续时间、背桥最长持续时间,健侧和患侧单足闭目站立最长持续时间以及运用Back-check全身肌肉力量测试系统(德国)对腰部等长肌力(屈曲和伸展)进行测量评价。结果:踩跷组与对照组比较,疼痛主观评分(VAS)下降显著(p<0.01),腹桥和背桥最长持续时间显著增长(p<0.01),健侧和患侧单脚支撑闭眼站立时间不显著(p>0.05),腰部屈曲和伸展力量提升不显著(p>0.05)。结论:参与踩跷的受试者对于腰痛的主观评分明显低于对照组,在腹桥最长持续时间、背桥最长持续时间上相较于对照组的受试者明显增强。踩跷法的康复手段,不仅可以缓解NLBP的疼痛,还有助于核心稳定性的提高,促进功能恢复。

Objective： The research makes use of the previous medicine experiences to optimize the Caiqiao, making new Caiqiao a more pertinent and easier operation process. Through application of this operation process to college students, it has good effect on NLBP treatments. Method： The research first uses VAS, the lasting time of abdominal bridge, back bridge, back - check to evaluate musde power of lack. Then it （ivides 25 University studente into two groups, group A is treating on the new operation process for four weeks, the other group B does nothing for comparison. Finally, when the training competes, it evaluates the muscle power of back again and iises SPSS to analysis of the data. Results： Through the analysis of the data of the two groups, it shows that ： VAS of Caiqiao group declined significantly （ P〈0 .0 5 ） , the lasting time of abdominal bridge and back bridge in Caiqiao group increased significantly （P〈 0 .05 ） , the lasting time of eye closure single leg support with uninjured and affected side leg in two groups had no significant difference （P〉0.05） , the changes of maximum flexion and stretch muscle changes between two groups were also not sig-nificant （P〉0.05） . Then it indicates that group A makes better treatment of NLBP. Conclusion： The NLBP could be significantly modified by the Caiqiao therapy, which indicates the Caiqiao is a useful treatment that can release pain, increase central stability. Caiqiao can promote the functional recovery.