龙氏整脊疗法联合核心肌力训练治疗慢性非特异性下腰痛的临床效果研究

Study on clinical effects of Long′s chiropractic combined with core strength training in the treatment of chronic non-specific low back pain

目的观察龙氏整脊技术结合核心肌力训练对慢性非特异性下腰痛(CNLBP)患者的临床疗效。方法选取2015年6月至2017年12月接受治疗的CNBLP患者120例作为研究对象。将患者随机分为对照组、龙氏整脊组、核心肌力训练组和联合训练组,每组各30例。对照组仅采用常规推拿手法治疗。龙氏整脊组在对照组基础上结合龙氏整脊技术进行治疗。核心肌力训练组在对照组基础上结合核心肌力训练进行治疗。联合训练组在对照组基础上结合采用龙氏整脊技术、核心肌力训练进行治疗。分别于治疗前和治疗后1个月,对各组视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)和脊柱各关节活动度进行评估。结果治疗后,4组VAS、ODI,脊柱前屈、后伸、左侧屈和右侧屈活动度均得到显著改善,差异均有统计学意义(P<0.05)。治疗后,龙氏整脊组和联合训练组VAS、ODI均显著低于对照组,差异均有统计学意义(P<0.05);联合训练组VAS和ODI低于核心肌力训练组,差异均有统计学意义(P<0.05)。各组治疗后前屈活动度组间比较差异均无统计学意义(P>0.05)。治疗后,核心肌力训练组、联合训练组后伸活动度、右侧屈活动度均大于对照组,差异均有统计学意义(P<0.05);联合训练组后伸活动度、右侧屈活动度大于核心肌力训练组、龙氏整脊组,差异均有统计学意义(P<0.05)。治疗后,核心肌力训练组左侧屈活动度大于龙氏整脊组,差异有统计学意义(P<0.05)。结论核心肌力训练结合龙氏整脊疗法能进一步减轻CNLBP患者疼痛,改善其腰椎功能,提升其后伸和左、右侧屈的关节活动范围,值得临床推广和应用。

Objective To observe the clinical effect of Long′s chiropractic technique combined with core strength training on patients with chronic non-specific low back pain(CNLBP).Methods A total of 120 CNBLP patients who received treatment from June 2015 to December 2017 were selected as the research objects.The patients were randomly divided into control group,Long′s chiropractic group,core strength training group and joint training group,with 30 cases in each group.The control group only used conventional massage treatment.Long′s chiropractic group was treated with Long′s chiropractic technique on the basis of the control group.The core strength training group was treated with core strength training on the basis of the control group.On the basis of the control group,the combined training group used Long′s chiropractic techniques and core muscle strength training for treatment.The visual analogue scale(VAS),Oswestry dysfunction index(ODI)and range of motion of each joint of the spine were evaluated before treatment and 1 month after treatment.Results After treatment,the four groups of VAS,ODI,flexion,extension,left and right flexion of the spine were significantly improved,and the differences were statistically significant(P<0.05).After treatment,the VAS and ODI of the Long′s chiropractic group and the combined training group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).VAS and ODI in the combined training group were lower than those in the core strength training group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the flexion mobility between the groups after treatment(P>0.05).After treatment,post-extension range and right-side flexion range of the core strength training group and the joint training group were greater than those of the control group,and the differences were statistically significant(P<0.05).The joint training group′s post-extension range and right-side flexion range were greater than those of the core strength training group and the Long′s chiropractic group,and the differences were statistically significant(P<0.05).After treatment,the left flexion range of the core strength training group was greater than that of the Long′s chiropractic group,and the difference was statistically significant(P<0.05).Conclusion Core strength training combined with Long′s chiropractic therapy can further reduce the pain of CNLBP patients,improve their lumbar spine function,and enhance the range of motion of joint extension and left and right flexion.It is worthy of clinical promotion and application.