悬吊训练对产后腰痛的效果

Effects of Sling Exercise Therapy on Postpartum Low Back Pain

目的探讨悬吊训练对产后腰痛的临床疗效。方法 2017年2月至2018年2月,产后腰痛的患者66例随机分为对照组(n=33)和观察组(n=33)。对照组给予常规康复理疗和美式脊椎矫正,观察组在对照组基础上辅以悬吊训练。治疗前和治疗6周后采用疼痛数字评分、Oswestry功能障碍指数和腹横肌厚度进行评价。结果治疗前,两组疼痛数字评分、Oswestry功能障碍指数评分和腹横肌厚度均无显著性差异(P> 0.05)。治疗6周后,两组疼痛数字评分、Oswestry功能障碍指数评分较治疗前均显著降低(t> 14.579, P <0.001);两组腹横肌厚度较治疗前均显著增加(t> 15.855, P <0.001);且观察组上述指标均显著优于对照组(t> 4.818,P <0.001)。结论在常规康复理疗和美式脊椎矫正治疗基础上再辅以悬吊训练,可进一步减轻产后腰痛患者的疼痛,改善功能,提高生活质量。

Objective To explore the clinical effect of sling exercise on postpartum low back pain(PLBP).Methods From February,2017 to February,2018,66 PLBP patients were randomly divided into control group(n=33)and observation group(n=33).The control group received routine rehabilitation physiotherapy and American chiropractic,and the observation group was supplemented with sling exercise therapy additionally.They were evaluated with Numerical Rating Scale(NRS),Oswestry Disability Index(ODI)and the thickness of transversus abdominis before and six weeks after treatment.Results Before treatment,there was no significant difference in the scores of NRS,ODI and the thickness of transversus abdominis between two groups(P>0.05).Six weeks after treatment,the scores of NRS and ODI significantly decreased(t>14.579,P<0.001),and the transversus abdominis thickness significantly improved(t>15.855,P<0.001)in both groups.All the above indexes were significantly better in the observation group than in the control group(t>4.818,P<0.001).Conclusion Sling exercise therapy,combined with American chiropractic treatment and routine rehabilitation physiotherapy,can further relieve pain in patients with PLBP,and improve the function and the quality of life.