Mulligan手法结合瑞士球运动对飞行员腰椎间盘突出疼痛的康复效果观察

Rehabilitation effect of Mulligan technique combined with Swiss ball exercise on the pilots with lumbar disc herniation pain

目的分析Mulligan手法结合瑞士球运动对飞行员腰椎间盘突出疼痛的康复效果。方法本研究选择2017年2月至2018年4月在某院进行治疗的120例腰椎间盘突出患者作为研究对象,两组患者均采取常规牵引治疗,观察组患者在此基础上采取Mulligan手法结合瑞士球运动治疗,两组患者均治疗14 d。比较两组患者的治疗效果、功能恢复以及疼痛情况、肌力测定、生活质量、康复依存性以及康复意愿之间的差异。结果观察组患者的治疗效果(91.67%)显著高于对照组(75.33%);经过治疗后,两组患者的日本骨科学会评分系统(JOA)以及目测模拟方法(VAS)评分均显著下降,且与对照组相比,观察组患者的JOA以及VAS评分显著下降(P<0.05);经过治疗后,与治疗前相比,两组患者的腹肌以及腰肌力量均显著上升,且观察组患者的腹肌以及腰肌力量显著高于对照组(P<0.05);两组患者的AIMS2-SF评分均显著升高,且观察组患者的AIMS2-SF评分显著高于对照组;观察组患者的康复需求程度、康复依存度、遇到挫折的良好情绪及护士的鼓励作用、配合程度均显著高于对照组。结论Mulligan手法结合瑞士球运动对飞行员腰椎间盘突出疼痛显著改善,康复意愿提升,对于患者的预后具有积极的意义。

Objective To analyze the rehabilitation effect of Mulligan technique combined with Swiss ball exercise on the pilots with lumbar disc herniation pain.Methods In this study,120 patients with lumbar disc herniation who were treated in a hospital from February 2017 to April 2018 were taken as research objects.Patients in both groups received conventional traction therapy,and patients in the observation group received Mulligan technique combined with Swiss ball exercise on this basis.Patients in both groups were treated for 14 days.The differences in treatment effect,functional recovery and pain status,muscle strength,quality of life,rehabilitation dependency and rehabilitation intention between the two groups were compared.Results The therapeutic effect of the observation group(91.67%)was significantly higher than that of the control group(75.33%).After treatment,the Japanese orthopaedic association scoring system(JOA)and visual analogue scale(VAS)scores of the two groups decreased significantly,and the JOA and VAS scores of the observation group decreased significantly compared with the control group(P<0.05).After treatment,compared with before treatment,the strength of abdominal muscles and psoas in both groups increased significantly,and the strength of abdominal muscles and psoas in the observation group was significantly higher than that in the control group(P<0.05).The AIMS2-SF scores of both groups significantly increased,and the AIMS2-SF scores of the observation group were significantly higher than those of the control group.In the observation group,the degree of patients'rehabilitation needs,rehabilitation dependency,good mood of setbacks,the encouragement of nurses and the degree of cooperation were significantly higher than those in the control group.Conclusion Mulligan technique combined with Swiss ball exercise can significantly improve the lumbar disc herniation pain of the pilots and increase the rehabilitation intention,which has positive significance for the prognosis of patients.