全身垂直律动治疗骨质疏松症引发的下腰痛的临床疗效观察

Observation of the clinical effect of whole body vertical rhythm in the treatment of low back pain caused by osteoporosis

目的:探讨全身垂直律动治疗对骨质疏松症引发下腰痛的治疗效果。方法:选取2018年1月至2020年1月上海市徐汇区枫林街道社区卫生服务中心诊疗及体检的52~60岁骨质疏松症引发下腰痛患者60例,采用随机数字表分为对照组和干预组各30例。两组患者均接受规范抗骨质疏松症药物治疗、核心肌力训练,同时对照组给予常规的健康指导,而干预组则给予全身垂直律动疗法,治疗15周。采用视觉疼痛模拟评估法(VAS)、RM功能障碍问卷表(RMDQ)、Oswestry下腰背功能障碍指数(ODI)进行评估,观察疗效。结果:干预后,两组患者VAS、RMDQ和ODI评分均较干预前显著降低(P<0.05),且干预组低于对照组(P<0.05)。干预组总有效率为83.33%(25/30),高于对照组的76.67%(23/30,P<0.05)。结论:全身垂直律动疗法对骨质疏松症引起的下腰痛及腰背部功能障碍的疗效显著,值得推广应用。

Objective:To explore the effect of whole body vertical rhythm therapy in the treatment of low back pain caused by osteoporosis.Methods:From January 2018 to January 2020,60 patients aged 52-60 years with low back pain caused by osteoporosis who were diagnosed,treated and examined in Fenglin Community Health Service Center,Xuhui District,Shanghai were selected,and divided into a control group and an intervention group with 30 cases each by a random number table method.Both groups received standard anti-osteoporosis drug therapy and core muscle strength training,at the same time,the control group received routine health guidance,while the intervention group was treated with whole body vertical rhythm therapy for 15 weeks.Visual analogue scale(VAS)for pain,Roland Morris disability questionnaire(RMDQ)and Oswestry low back dysfunction index(ODI)scores were used to evaluate and observe the efficacy.Results:After intervention,VAS,RMDQ and ODI scores of patients in both groups were significantly lower than those before intervention(P<0.05),and the intervention group was lower than the control group(P<0.05).The total effective rate in the intervention group was 83.33%(25/30),which was higher than that in control group 76.67%(23/30)(P<0.05).Conclusion:The whole body vertical rhythm therapy has significant effect on low back pain and low back dysfunction caused by osteoporosis,which is worthy of popularization and application.