“六字诀”呼吸功能训练干预非特异性腰痛的临床疗效研究

Clinical Efficacy of Respiratory Function Training Based on“Liuzijue”in Treatment of Non-specific Low Back Pain

目的探讨"六字诀"呼吸功能训练治疗非特异腰痛(non-specific low back pain,NLBP)的临床疗效。方法将2018年1—12月收集的60例合格NLBP患者随机分为六字诀组和常规康复组各30例,均接受常规治疗及膈式呼吸功能训练,六字诀组加予"六字诀"呼吸功能训练,1次/天,30分/次,5天/周,共4周。治疗前、后及随访期采用Oswestry功能障碍指数(Oswestry disability index,ODI)及疼痛视觉模拟评分(visual analogue scale,VAS)评估并比较疗效差异。结果治疗前两组ODI指数和VAS评分差异无统计学意义(P>0.05),干预4周后较治疗前明显下降(P<0.05);8周后随访,六字诀组ODI指数及VAS评分与治疗4周后相比无明显差异,而常规康复组则明显回升(P<0.05);六字诀组治疗后各时间点ODI指数及VAS评分均低于常规康复组,差异有统计学意义(P<0.05)。结论六字诀呼吸功能训练改善NLBP患者疼痛症状的同时有助于提高和维持腰椎稳定性,可避免复发。

Objective To explore the clinical efficacy of the respiratory function training based on the health practice method"liuzijue"in the treatment of non-specific low back pain(NLBP).Methods Sixty eligible NLBP patients were randomly divided into a liuzijue group and a regular rehabilitation group from January to December 2018,with 30 cases in each group.All participants were treated with conventional medical and physical therapy and the liuzijue group was additionally given the respiratory function training based on the health practice method"liuzijue",1 time/day,30 min/time,5 days/week for 4 weeks.All cases were evaluated before and after training using ODI Index and VAS score.The differences in intra and inter-group efficacy between the liuzijue group and the conventional rehabilitation group were compared pre-training,post-treatment and follow-up period.Results There was no significant difference in DOI index and VAS score between the liuzijue group and the conventional rehabilitation group pre-treatment(P>0.05).The ODI index and VAS scores of the two groups were significantly lower after 4 weeks of treatment(P<0.05).After 8 weeks of follow-up,there was no significant difference in the ODI index and VAS score in liuzijue group compared to those post-treatment.The ODI index and VAS score of the conventional rehabilitation group were significantly higher than those post-treatment(P<0.05).The ODI index and VAS score of the liuzijue group were lower than that of the conventional rehabilitation group at pre-treatment,posttreatment and follow-up period,the difference was statistically significant(all P<0.05).Conclusion The respiratory function training based on the health practice method liuzijue can improve the pain symptoms of patients with non-specific low back pain,and help to improve and maintain lumbar stability and avoid recurrence.