核心稳定性训练与肌内效贴治疗非特异性腰痛的疗效差异研究

Study on the Difference of Efficacy between Core Stability Training and Kinesio Taping in Treatment of Nonspecific Low Back Pain

目的:探究在常规治疗基础上分别结合肌内效贴、核心稳定性训练对非特异性腰痛(NLBP)患者的康复疗效差别,为改善NLBP患者功能提供更合理的治疗方案。方法:将符合纳入标准的36例男性NLBP受试者随机分到对照组、贴扎组、核心训练组各12例。对照组接受深层肌肉刺激仪(DMS)放松、腰背肌强化训练的常规治疗;贴扎组在常规治疗基础上配合肌内效贴;核心训练组在常规治疗基础上结合核心稳定性训练。所有受试者隔日治疗一次,干预周期持续6周。记录并分析三组受试者干预前后视觉模拟评分(VAS)、日本矫形外科学会腰痛评分(JOA)、竖脊肌与多裂肌均方根值(RMS)、中位频率(MF)。结果:6周干预后,三组受试者VAS评分、JOA评分、竖脊肌、多裂肌RMS值、竖脊肌、多裂肌MF值较干预前均有显著改善,差异有统计学意义(P<0.05)。6周干预后贴扎组与核心训练组VAS评分、JOA评分较对照组改善更显著,差异有统计学意义(P<0.05);但贴扎组与核心训练组VAS评分、JOA评分差异无统计学意义(P>0.05)。6周干预后贴扎组竖脊肌、多裂肌RMS值、竖脊肌、多裂肌MF值较对照组无显著改善,差异无统计学意义(P>0.05)。6周干预后核心训练组多裂肌RMS值、MF值较对照组和贴扎组有显著改善,差异有统计学意义(P<0.05);竖脊肌RMS值、MF值较对照组和贴扎组无显著改善,差异无统计学意义(P>0.05)。结论:常规治疗结合肌内效贴或核心稳定性训练能进一步降低NLBP患者疼痛、改善身体功能障碍;肌内效贴对改善肌肉收缩力、疲劳水平无显著疗效;核心稳定性训练对激活腰椎深层稳定肌群有显著疗效,有利于NLBP患者全面康复。

Objective:To explore the difference in the rehabilitation efficacy of nonspecific low back pain(NLBP)patients combined with Kinesio Taping and core stability training on the basis of conventional therapy,analyze the efficacy and provide a more reasonable treatment plan for improv‐ing the function of NLBP patients.Methods Methods:36 male NLBP subjects who met the inclusion criteria were randomly divided into control group(n=12),taping group(n=12)and core training group(n=12).The subjects of control group received the conventional treatment of deep muscle stimulator(DMS)relaxation and back muscle strengthening training;the taping group cooperated with Kinesio Taping on the basis of treatment in the control group;the core training group received core stability training on the basis of treatment in the control group.All subjects were treated every other day and the intervention cycle lasted 6 weeks.Record and analyze the three groups of subjects before and after the intervention of the Visual Analogue Scale(VAS),Japanese Orthopedic Association(JOA),Root Mean Square(RMS)and Median Frequency(MF)of the erector spinae and multifarious.Results Results:After 6 weeks of intervention,the VAS scores,JOA scores,RMS and MF values of erector spinae and multifidus muscles in the three groups were significantly improved compared with those before intervention,and the differences were statistically significant(P<0.05).After 6 weeks of in‐tervention,the VAS score and JOA score of the taping group and the core training group improved more significantly than the control group,and the difference was statistically significant(P<0.05);but there was no statistical difference in the VAS score and JOA score between the taping group and the core training group academic significance(P>0.05).After 6 weeks of intervention,the RMS and MF values of erector spinae and multifidus muscles in the taping group were not significantly improved compared with those in the control group,and the difference was not statistically signifi‐cant(P>0.05).After 6 weeks of intervention,the RMS and MF values of the multifidus muscle in the core training group were significantly improved compared with the control group and the taping group,and the difference was statistically significant(P<0.05).Compared with the control group and taping group,the RMS value and MF value of erector spinae were not significantly improved,and the difference was not statistically significant(P>0.05).Conclusion Conclusion:Conventional treatment combined with Kinesio Taping or core stability training can further reduce pain and improve physical dys‐function in patients with NLBP.Kinesio Taping have no significant effect on improving muscle contractility and fatigue level.Core stability training has a significant effect on activating the deep stabilizing muscles of the lumbar spine,which is conducive to the comprehensive rehabilitation of pa‐tients with NLBP.