腰部核心肌群肌力训练配合电磁波治疗老年慢性腰肌劳损疗效分析

Analysis of efficacy of lumbar core muscle strength training combined with electromagnetic wave therapy on elderly chronic lumbar muscle strain

目的探讨腰部核心肌群肌力训练配合电磁波治疗老年慢性腰肌劳损疗效分析。方法选取2020年1月至2022年6月间首都医科大学附属北京康复医院收治的80例老年慢性腰肌劳损患者,按照随机数字表法分为观察组和对照组,各40例,均给予日常按摩治疗,其中对照组加用腰部核心肌群肌力训练,观察组在此基础上加用特定电磁波治疗。比较2组间临床疗效,腰部疼痛,腰部功能,腰痛症状量化评分及表面肌电均方根值(RMS)和中位频率(MF),腹背肌耐力及腰椎活动度及治疗期间不良反应发生情况。结果治疗后,观察组总有效率为95.00%,对照组总有效率为80.00%,2组比较,差异有统计学意义(P<0.05);治疗后,2组视觉模拟评分法(VAS)评分及ODI评分较治疗前减低(P<0.05),且观察组治疗后VAS评分及ODI评分较对照组低(P<0.05);治疗后,2组腰痛症状量化评分较治疗前减低(P<0.05),且观察组治疗后评分较对照组低(P<0.05);治疗后,2组RMS和MF较治疗前减低(P<0.05),且观察组治疗后RMS和MF较对照组低(P<0.05);治疗后,2组腹背肌耐力及腰椎活动度评分较治疗减低(P<0.05),且观察组治疗后较对照组低(P<0.05);治疗期间,所有患者均未见明显不良反应。结论特定电磁波治疗仪辅助腰部核心肌群肌力训练能有效改善老年慢性腰肌劳损患者腰部疼痛,提高腰部功能、腹背肌耐力及腰椎活动度。

Objective To explore the efficacy of lumbar core muscle strength training combined with electromagnetic wave therapy on elderly chronic lumbar muscle strain.Methods Eighty elderly patients with chronic lumbar muscle strain who were treated in Beijing Rehabilitation Hospital Affiliated to Capital Medical University from January 2020 to June 2022 were selected and divided into observation group(40 cases)and control group(40 cases)by means of the random number table method.Both groups were given daily massage therapy,and the control group was added with lumbar core muscle strength training while the observation group additionally adopted specific electromagnetic wave therapy on this basis.The clinical efficacy,as well as lumbar pain,lumbar function,lumbar pain symptom quantitative scores,root mean square(RMS)and median frequency(MF)of surface electromyography,abdominal and dorsal muscle endurance and lumbar range of motion before and after treatment and occurrence of adverse reactions during treatment were compared between the two groups.Results After treatment,the total effective rate in observation group was 95.00%and that in control group was 80.00%(P<0.05).After treatment,the VAS score and ODI score in the two groups were declined compared with those before treatment(P<0.05),and the above scores in observation group after treatment were lower compared to control group(P<0.05).The quantitative scores of lumbar pain symptoms in both groups were reduced compared to before treatment(P<0.05),and the scores were lower in observation group after treatment(P<0.05).The RMS and MF were lowered in both groups compared to before treatment(P<0.05),and the two indicators after treatment in observation group were lower(P<0.05).The scores of abdominal and dorsal muscle endurance and lumbar spine activity were decreased in both groups(P<0.05),and the above scores in observation group were lower in comparison with control group after treatment(P<0.05).During treatment,no obvious adverse reactions were found among all patients.Conclusions Specific electromagnetic wave therapeutic apparatus supplemented with lumbar core muscle strength training can effectively improve the lumbar pain and enhance the lumbar function,abdominal and dorsal muscle endurance and lumbar range of motion in elderly patients with chronic lumbar muscle strain,thus it is worthy of recommendation.