Neurac神经肌肉激活技术结合腰椎牵引治疗腰椎间盘突出症伴腰痛患者的疗效观察

Efficacy observation of neuromuscular activation technology combined with lumbar traction in the treatment of patients with lumbar disc herniation and low back pain

目的观察Neurac神经肌肉激活技术结合腰椎牵引治疗腰椎间盘突出症伴腰痛患者的疗效。方法45例腰椎间盘突出症伴腰痛患者,按照就诊时间分为观察组(22例)和对照组(23例)。观察组有2例,对照组有3例未完成4周的治疗,退出统计。故观察组和对照组各20例。两组患者每周均接受至少2次腰痛患者的对症康复治疗(垫上核心训练)及相应的物理因子治疗,至少1次的配合特定角度下的腰椎牵引治疗。观察组采用与对照组相同的方法,但把垫上核心训练改为Neurac神经肌肉激活技术。比较两组改良Oswesty功能障碍指数(ODI)、视觉模拟评分法(VAS)、腰椎日本骨科协会评估治疗分数(JOA)评分。结果治疗前,观察组VAS评分、ODI评分和腰椎JOA评分分别为(7.65±1.69)、(37.45±5.66)、(4.15±2.98)分,对照组分别为(7.95±1.57)、(38.75±5.43)、(3.85±2.37)分;治疗4周后,观察组VAS评分、ODI评分和腰椎JOA评分分别为(1.15±0.93)、(9.00±2.75)、(12.50±1.10)分,对照组分别为(1.70±1.03)、(13.75±3.43)、(10.70±1.26)分。治疗4周后,两组患者的VAS评分均低于治疗前,差异具有统计学意义(P<0.05);治疗4周后,两组患者的ODI评分低于治疗前,腰椎JOA评分高于治疗前,且观察组患者的ODI评分低于对照组,腰椎JOA评分高于对照组,差异具有统计学意义(P<0.05)。结论Neurac神经肌肉激活技术结合腰椎牵引治疗腰椎间盘突出症伴腰痛患者可在疼痛和活动障碍方面带来更大的即时改善,对患者的日常生活能力改善更明显。

Objective To observe the efficacy of neuromuscular activation technology combined with lumbar traction in the treatment of patients with lumbar disc herniation and low back pain.Methods 45 patients with lumbar disc herniation and lumbago were divided into the observation group(22 cases)and the control group(23 cases)according to the time of treatment.There were 2 cases in the observation group and 3 cases in the control group who did not complete the 4-week treatment and withdrew from the statistics.Both groups received symptomatic rehabilitation therapy(core training on the mat)and corresponding physiotherapy treatment for patients with low back pain at least twice a week,as well as lumbar traction at a specific angle at least once a week.The treatment group was treated with the same method as the control group,but the core training on the mat was replaced by neuromuscular activation technology.The modified Oswesty dysfunction index(ODI),visual analogue scale(VAS)and lumbar Japanese Orthopaedic Association(JOA)scores of the two groups were compared.Results Before treatment,VAS score,ODI score and lumbar JOA score in the observation group were(7.65±1.69),(37.45±5.66)and(4.15±2.98)points,while those in the control group were(7.95±1.57),(38.75±5.43)and(3.85±2.37)points.After 4 weeks of treatment,VAS score,ODI score and lumbar JOA score in the observation group were(1.15±0.93),(9.00±2.75)and(12.50±1.10)points,while those in the control group were(1.70±1.03),(13.75±3.43)and(10.70±1.26)points.After 4 weeks of treatment,VAS score in both groups was lower than that before treatment,and the difference was statistically significant(P<0.05).After 4 weeks of treatment,ODI score in both groups was lower than that before treatment,and the lumbar JOA score was higher than that before treatment;and ODI score in the observation group was lower than that in the control group,and the lumbar JOA score was higher than that in the control group;the difference was statistically significant(P<0.05).Conclusion Neuromuscular activation technology combined with lumbar traction treatment for patients with lumbar disc herniation and low back pain can bring greater immediate improvement in pain and activity disorder,and improve the activities of daily living of patients more significantly.