八段锦改善腰肌劳损患者腰椎功能的疗效探讨

Discussion on the Curative Effect of Baduanjin on Improving Lumbar Function in Patients with Lumbar Muscle Strain

目的 探讨八段锦锻炼治疗腰肌劳损的疗效。方法 随机选取2020年8月—2022年8月福建中医药大学附属康复医院收治的60例腰肌劳损患者作为研究对象,随机分为两组,观察组(30例)进行八段锦锻炼,对照组(30例)进行常规腰背肌锻炼。对比两组腰椎功能改善疗效。结果 锻炼后,观察组ODI评分(12.35±2.20)分低于对照组(15.58±1.97)分,差异有统计学意义(t=-5.993,P<0.05)。同时,观察组腰椎前屈后伸、左右侧屈和左右旋转活动度均优于对照组,差异有统计学意义(t=19.028、54.057、13.142、28.357、10.957、18.050,P<0.05);前屈后伸、左右侧屈和左右旋转的肌力均优于对照组,差异有统计学意义(t=2.147、4.821、3.331、4.511、4.175、4.362,P<0.05)。此外,观察组腰背肌肌张力系数K值(1.37±0.03)低于对照组(1.57±0.02),差异有统计学意义(t=-32.181,P<0.05)。结论 八段锦锻炼可以提高患者肢体功能,提高腰椎活动度和肌力,降低腰背肌肌张力,从而改善腰肌劳损患者的腰椎功能,而且较常规腰背肌锻炼更具优势。

Objective To explore the therapeutic effect of Baduanjin exercise on lumbar muscle strain.Methods 60patients with lumbar muscle strain admitted to the Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from August 2020 to August 2022 were randomly selected as the study objects and randomly divided into two groups.The observation group(30 cases) underwent Baduanjin exercise,and the control group(30cases) underwent conventional psoas muscle exercise.The curative effect of improving lumbar spine function was compared between the two groups.Results After exercise,ODI score of observation group(12.35±2.20) points was lower than that of control group(15.58±1.97) points,and the difference was statistically significant(t=-5.993,P<0.05).At the same time,the lumbar anterior flexion and extension,lateral flexion and lateral rotation of the observation group were better than those of the control group,the difference was statistically significant(t=19.028,54.057,13.142,28.357,10.957,18.050,P<0.05).The muscle strength of flexion and extension,flexion and rotation were better than those of control group,and the difference was statistically significant(t=2.147,4.821,3.331,4.511,4.175,4.362,P<0.05).In addition,the low back muscle tension coefficient(K) of the observation group(1.37±0.03) was lower than that of the control group(1.57±0.02),and the difference was statistically significant(t=-32.181,P<0.05).Conclusion Baduanjin exercise can improve the limb function of patients,increase the range of motion and muscle strength of the lumbar spine,reduce the muscle tension of the lumbar back muscles,thereby improving the lumbar spine function of patients with lumbar muscle strain.It is more effective than conventional lumbar back muscle exercise.