重复周围磁刺激联合核心肌群训练在慢性非特异性下腰痛的疗效观察

Effects of repetitive peripheral magnetic stimulation combined with core muscle training on chronic nonspecific low back pain

目的探讨重复周围磁刺激联合核心肌群训练用于治疗慢性非特异性下腰痛(Chronic nonspecific lowback pain,CNLBP)的临床价值。方法 2014-09-2016-01,共纳入65例于本院康复治疗的CNLBP患者,随机将其分为研究组(n=33)和对照组(n=32)。两组均采用常规理疗,在此基础上,研究组予以核心肌群训练联合重复周围磁刺激治疗;对照组予以核心肌群训练及伪刺激,均以4周为一疗程。结果两组治疗后,VAS评分与ODI指数均较治疗前显著降低(P<0.05);组间对比,研究组治疗后的VAS评分和ODI指数均显著低于对照组(P<0.05)。治疗后,在姿势控制能力的改善方面,研究组睁眼泡沫平面和闭眼泡沫平面重心摆动速度均较治疗前显著改善(P<0.05),且显著优于对照组(P<0.05);对照组在治疗前后的变化无显著性差异(P>0.05)。结论将重复周围磁刺激联合核心肌群训练用于CNLBP的治疗中,可取得良好的疗效,值得临床推广应用。

Objective To investigate the clinical value of repeated peripheral magnetic stimulation combined with core muscle training in the treatment of chronic nonspecific low back pain(CNLBP).Methods From September 2014 to January 2016,a total of 65 patients with CNLBP in our hospital were randomly divided into study group(n=33)and control group(n=32).Two groups were treated with conventional therapy,on the basis of this,the study group received core muscle training combined with repeated peripheral magnetic stimulation,the control group was given core muscle training and pseudo stimulation,with 4 weeks for a course of treatment.The curative effect was compared between the two groups.Results After treatment,the VAS score and ODI index of the two groups were significantly lower than those before treatment(P<0.05).The VAS score and ODI index of the treatment group were significantly lower than those of the control group(P<0.05).After treatment,in the aspect of improvement of postural control ability,to the open and close the focus plane bubble swing speed of study group was significantly improved compared with before treatment(P<0.05),and significantly better than that of the control group(P<0.05).Before and after treatment,there was no significant change in the control group(P>0.05).Conclusion Repetitive peripheral magnetic stimulation combined with core muscle training in the treatment of CNLBP can achieve good results,which is worthy of clinical application.