腰部肌群稳定性康复训练结合肌内效贴扎技术在腰椎间盘突出症康复治疗中的应用

Lumbar Core Muscle Stability Training Combined with Kinesiology Taping Technique in Rehabilitation Treatment of Lumbar Disc Herniation

【目的】比较腰部肌群稳定性康复训练及其结合肌内效贴扎技术在腰椎间盘突出症(LDH)康复治疗中的应用效果,以期为临床LDH康复治疗提供参考。【方法】纳入2018年1月到2020年1月宁波市鄞州区第二医院收治的99例LDH患者分为对照组(n=49)与观察组(n=50)。对照组采用单独肌内效贴扎技术,观察组采用肌内效贴扎技术配合腰部肌群稳定性康复训练,比较两组患者临床治疗效果、治疗前后腰椎功能及疼痛情况、腰背伸肌群表面肌电值、腰椎功能活动情况,以及皮肤过敏的发生情况。【结果】治疗4周后,观察组视觉模拟评分(VAS)、腰痛功能障碍评价表(ODI)评分明显低于对照组(P<0.05),日本矫形外科协会(JOA)评分、背伸肌群平均功率频率、积分肌电值及腰椎功能活动评分均明显高于对照组(P<0.05);治疗期间,两组并发症发生率比较差异无统计学意义(P>0.05);治疗4周后,观察组复发率明显低于对照组(P<0.05)。【结论】腰部肌群稳定性康复训练结合肌内效贴扎技术治疗LDH的临床疗效显著优于单纯肌内效贴扎,可有效改善患者肌肉疲劳程度,有助于减轻其腰椎部位疼痛并提高腰椎活动功能。

【Objective】To investigate the clinical efficacy of lumbar core muscle stability training combined with kinesiology taping technique in the rehabilitation treatment of lumbar disc herniation(LDH).【Methods】A total of 99 LDH patients treated in Ningbo Yinzhou No.2 Hospital from January 2018 to January 2020 were selected and divided into control group(n=49)and observation group(n=50).Kinesiology taping technique was applied to patients in the control group and patients in the observation group were treated with lumbar core muscle stability training combined with kinesiology taping technique,then we compared the therapeutic effect,lumbar function and pain degree,surface electromyography of lumbar extensor muscles,lumbar range of motion,LDH recurrence and skin allergies before and after the treatment between the two groups.【Results】After 4 weeks of treatment,compared with those in the control group,in the observation group,the visual analogue scale(VAS)and Oswestry disability index(ODI)scores were significantly lower(P<0.05);the Japanese Orthopaedic Association(JOA)score,mean power frequency of lumbar extensor muscles,integral electromyography value and lumbar function score were significantly higher(P<0.05).During the treatment,there was no significant difference in the incidence of complications between two groups(P>0.05).After 4 weeks of treatment,the observation group had a significantly lower LDH recurrence rate than the control group(P<0.05).【Conclusion】Lumbar core muscle stability training combined with kinesiology taping technique achieves a significantly better therapeutic effect than kinesiology taping technique in the rehabilitation treatment of LDH and can effectively relieve muscle fatigue,help alleviate lumbar spine pain and improve the function of lumbar spine.