美式整脊联合核心肌力训练对慢性非特异性下腰痛患者的疗效观察

Clinical efficacy of chiropractic combined with core muscle strength training in patients with chronic non-specifi c low back pain

目的探讨美式整脊联合核心肌力训练对慢性非特异性下腰痛患者的疗效。方法采用随机数表法将120例慢性非特异性下腰痛患者分为整脊组(40例)、联合组(39例)和常规组(41例)。每组患者均采用短波及超声波的常规治疗,整脊组在此基础上增加美式整脊治疗,联合组则增加美式整脊及核心肌力训练。比较3组患者治疗前后数字评定量表(NRS)、Oswestry腰椎功能障碍指数(ODI)、腰痛功能障碍调查表(RMDQ)评分及棘突双侧温差变化情况。结果治疗结束后,联合组患者的NRS、ODI和RMDQ评分及温差结果均较治疗前改善,分别为(2.06±0.63)分、(13.00±3.53)分、(6.25±1.20)分,且效果优于整脊组的(2.44±0.84)分、(17.11±4.41)分、(9.42±2.49)分与常规组的(4.03±0.82)分、(21.31±5.68)分、(11.09±2.78)分,比较差异均有统计学意义(P均<0.05)。结论在常规治疗的基础上,采用美式整脊联合核心肌力训练对慢性非特异性下腰痛患者进行干预,可有效改善患者症状及生活质量。

Objective To evaluate clinical efficacy of chiropractic combined with core muscle strength training in patients with chronic non-specific low back pain.Methods One hundred and twenty patients with chronic non-specific low back pain were randomly divided into chiropractic group(n=40),combined group(n=39)and conventional group(n=41).Patients in each group were treated with short wave and ultrasound.Chiropractic therapy was added in chiropractic group,and chiropractic combined with core muscle strength training was supplemented in combined group.The changes of numerical rating scale(NRS)score,Oswestry disability index(ODI),Roland-Morris Disability Questionnaire(RMDQ)of low back pain and temperature difference between two sides of spinous process before and after corresponding treatment were compared among three groups.Results After treatment,NRS score,ODI index,RMDQ evaluation of low back pain and temperature difference in combined group were improved up to 2.06±0.63,13.00±3.53 and 6.25±1.20,significantly better than 2.44±0.84,17.11±4.41 and 9.42±2.49 in chiropractic group,4.03±0.82,21.31±5.68 and 11.09±2.78 in conventional group,and the differences were statistically significant(all P<0.05).Conclusion On the basis of routine treatment,chiropractic combined with core muscle strength training can mitigate relevant symptoms and improve the quality of life of patients with chronic non-specific low back pain,which can be further promoted and applied in clinical treatment.