重力肌群锻炼联合运动康复干预对青年轻度脊柱弯曲伴腰背痛患者腰椎功能、疼痛及生活质量的影响

Effects of Gravity Muscle Group Exercise Combined with Exercise Rehabilitation Therapy on Lumbar Function,Pain and Quality of Life in Young Patients with Mild Spinal Curvature and Lower Back Pain

目的分析重力肌群锻炼联合运动康复干预对青年轻度脊柱弯曲伴腰背痛患者腰椎功能、疼痛及生活质量的影响。方法 75例青年轻度脊柱弯曲伴腰腿痛患者根据临床干预方法不同分为实验组(35例)和对照组(30例)。对照组给予运动康复干预,实验组在对照组基础上进行重力肌群锻炼。评估两组干预前后脊椎功能、腰背疼痛及生活质量。结果两组干预前、后躯干旋转角、椎体旋转角、最大Cobb角对比差异均无统计学意义(P>0.05);干预12周,实验组最大Cobb角较对照组显著缩小(P<0.05)。两组干预前视觉模拟疼痛评分(VAS)、现时疼痛强度分级(PPI)对比差异无统计学意义(P>0.05);干预6周、12周VAS评分、PPI分级均较干预前显著改善(P<0.05),实验组干预12周VAS评分、PPI分级均较对照组显著低(P<0.05)。两组干预前生活质量各维度评分比较差异无统计学意义(P>0.05),干预12周,两组各维度评分均上升(P<0.05),实验组各维度评分升高幅度显著高于对照组(P<0.05)。结论在青年轻度脊柱弯曲伴腰背痛患者的临床干预中应用重力肌群锻炼联合运动康复干预,可有效改善患者脊柱功能,减轻患者腰背疼痛症状并提升患者生活质量。

Objective To explore the effects of gravity muscle group exercise combined with exercise rehabilitation on lumbar function,pain and quality of life of young patients with mild spinal curvature and low back pain.Methods The 75 patients with mild spinal curvature and low back pain were divided into the experimental group（ n = 35） and the control group（ n = 30）according to clinical intervention methods. The control group was given exercise rehabilitation interventions,while the experimental group was additionally subjected to the gravity muscle group exercise. The spinal function,low back pain and quality of life were evaluated before and after interventions.Results There was no significant difference in the rotation angles of the trunk,vertebral body,and maximal Cobb angle between the two groups before and after interventions（ P〉0.05）,and the maximal Cobb angle of the experimental group was significantly lower than that of the control group after 12 weeks of interventions（ P〈0.05）. There was no significant difference in the visual analogue pain score（ VAS） or the present pain intensity（ PPI） grade between the two groups before interventions（ P〉0.05）. The VAS score and PPI grade were significantly improved after 6 weeks and 12 weeks of interventions（ P〈0.05）. The VAS score and PPI grade in the experimental group were significantly lower than those in the control group after 12 weeks of interventions（ P〈0.05）. There was no significant difference in any dimension of quality of life scores between the two groups before interventions（ P〉0.05）,and each dimension score of the two groups was increased after 12 weeks of interventions（ P〈0.05）,especially in the experimental group（ P〈0.05）.Conclusion Gravity muscle group exercise combined with exercise rehabilitation interventions in young patients with mild spinal curvature and lower back pain can effectively improve the spinal function,relieve low back pain symptoms and improve the quality of life.