悬吊运动联合体外冲击波疗法在腰肌筋膜疼痛综合征患者康复中的应用效果

The application effect of sling exercise therapy combined with extracorporeal shock waves in the rehabilitation of patients with lumbar myofascial pain syndrome

目的探讨悬吊运动联合体外冲击波疗法在腰肌筋膜疼痛综合征(MPS)患者康复中的应用效果。方法选取康复科就诊的76例腰肌筋膜疼痛综合征患者,使用“数字双盲法”分为对照组和观察组,各38例。对照组进行常规体外冲击波治疗,观察组进行悬吊运动联合体外冲击波治疗。对比两组患者的疼痛程度、腰椎活动度、康复效果。结果治疗2、5周后,两组视觉模拟评分法(VAS)评分均低于本组治疗前,治疗5周后,两组VAS评分均低于本组治疗2周后,且观察组治疗5周后VAS评分低于对照组,差异显著(P<0.05)。治疗2、5周后,两组腰椎前屈、后伸关节活动度(ROM)均大于本组治疗前,治疗5周后,两组腰椎前屈、后伸ROM均大于本组治疗2周后,且观察组治疗2周后腰椎后伸ROM及治疗5周后腰椎前屈、后伸ROM均大于对照组,差异显著(P<0.05)。治疗5周后,观察组总有效率97.4%高于对照组的73.7%,差异显著(P<0.05)。两组患者在治疗过程中均未出现明显不良反应。结论对腰肌筋膜疼痛综合征患者开展悬吊运动联合体外冲击波治疗,有利于减轻疼痛感,促进腰椎功能恢复,临床应用效果好。

Objective To explore the application effect of sling exercise therapy combined with extracorporeal shock waves in the rehabilitation of patients with lumbar myofascial pain syndrome(MPS).Methods 76 patients with lumbar myofascial pain syndrome attending the rehabilitation department were selected and divided into a control group and an observation group by"digital double-blind method",with 38 cases in each group.The control group was treated with conventional extracorporeal shock wave therapy,and the observation group was treated with sling exercise therapy combined with extracorporeal shock waves.The pain degree,range of motion in the lumbar spine and rehabilitation effect were compared between the two groups.Results After 2 and 5 weeks of treatment,the VAS score of both groups was lower than that before treatment;after 5 weeks of treatment,the VAS scores of both groups were lower than that after 2 weeks of treatment;the VAS score of the observation group was lower than that of the control group after 5 weeks of treatment;the difference was significant(P<0.05).After 2 and 5 weeks of treatment,the range of motion(ROM)of lumbar anterior flexion and posterior extension in both groups were greater than those before treatment;after 5 weeks of treatment,the ROM of lumbar anterior flexion and posterior extension in both groups were greater than that in this group after 2 weeks of treatment;the ROM of posterior extension after 2 weeks of treatment and the ROM of lumbar anterior flexion and posterior extension after 5 weeks of treatment in the observation group were greater than those in the control group;the difference was significant(P<0.05).After 5 weeks of treatment,the total effective rate of the observation group was 97.4%,which was higher than 73.7%of the control group,and the difference was significant(P<0.05).There were no obvious adverse reactions during treatment in both groups.Conclusion Sling exercise therapy combined with extracorporeal shock waves for patients with lumbar myofascial pain syndrome is conducive to reducing pain,promoting the recovery of lumbar spine function,with a good clinical application effect.