躯干本体感觉训练用于腰椎间盘突出症的疗效观察

Effects of trunk proprioceptive training on patients with lumbar disc herniation.

目的观察躯干本体感觉训练对腰椎间盘突出症患者的疗效。方法 43例腰椎间盘突出症患者随机分成治疗组和对照组,治疗组20例,对照组23例,两组患者均接受常规康复治疗,治疗组在对照组基础上同时接受Tecnobody平衡仪躯干本体感觉训练。治疗前和治疗4周后均采用疼痛视觉模拟评分(VAS)、JOA下腰痛评分、平衡仪稳定指数(SI)进行评定。结果经过4周治疗后,对照组患者除SI值外差异具有统计学意义(P<0.05);治疗组患者VAS评分、JOA评分、SI值较治疗前均有改善(P<0.05),并且治疗组较对照组疗效更加显著(P<0.05)。结论躯干本体感觉训练能进一步减轻腰椎间盘突出症患者疼痛程度、增强躯干稳定性,提高临床疗效。

Objective To observe the effects of trunk proprioceptive training on patients with lumbar disc herniation. Methods Forty-three cases with lumbar disc herniation were randomly divided into treatment group（n=20） and control group（n=23）.Both two groups received conventional rehabilition therapy, and the treatment group received trunk proprioceptive training with Tecnobody balance system in addition. Before and after four weeks training, the patients were assessed with the visual analogous scale（VAS） of pain, Japanese orthopaedic association（JOA） score,and stability index（SI）. Results After four weeks training, the scores of VAS,JOA improved in the control group（P〈0.05）, except SI（P〉0.05）. The VAS score, JOA score and SI of the treatment group were improved compared with before treatment（P〈0.05）, and improved more significantly than the control group（P〈0.05）. Conclusion The trunk proprioceptive training is more effective in decreasing pain severity, increasing trunk stability , improving the clinical effects.