症状限制性悬吊运动疗法治疗非特异性腰背痛患者的效果

The effect of symptom-limited suspension exercise therapy on non-specific lower back pain patients

目的探讨症状限制性运动结合悬吊运动疗法用于治疗慢性非特异性腰背痛(CNLBP)患者的效果。方法回顾性分析2020年1月至2023年6月中国科学技术大学附属第一医院(安徽省立医院)收治的102例CNLBP患者。按照治疗方法不同将患者分为常规治疗组和悬吊治疗组。通过视觉模拟评分法(VAS)评估患者治疗前后的疼痛程度,同时运用Oswestry功能障碍指数(ODI)来评估腰椎功能障碍,从而全面分析治疗效果,并通过随访量表记录复发率和患者满意度。结果经过为期4周的治疗后,失访22例,最终纳入了80例患者参与研究,常规治疗组40例,悬吊治疗组40例。悬吊治疗组VAS评分,由治疗前的(5.10±1.13)分下降至治疗后的(1.48±0.91)分,ODI评分从治疗前(30.98±5.48)分改善至治疗后的(21.35±2.77)分;相较于常规治疗组,悬吊治疗组疗效更显著(P<0.001);为期1年的随访数据显示,悬吊治疗组的复发率为32.5%,低于常规治疗组的67.5%(χ^(2)=14.532,P<0.001);悬吊治疗组运动依从性评分[(24.18±2.38)分]高于常规组[(17.23±3.31)分],差异有统计学意义(t=-10.955,P<0.001)。结论症状限制性运动结合悬吊运动疗法在不仅能有效减轻CNLBP患者的疼痛并改善腰椎功能,还能降低疾病的复发率。

Objective To explore the therapeutic effect of symptom limited exercise combined with suspension exercise therapy in patients with chronic non-specific low back pain(CNLBP).Methods A retrospective analysis was performed on 80 CNLBP patients admitted to the First Affiliated Hospital of University of Science and Technology of China from January 2020 to June 2023.Patients were divided into a conventional treatment group and a suspension treatment group according to different treatment methods.The pain level of patients was evaluated before and after treatment using Visual Analog Scale(VAS),and Oswestry Disability Index(ODI)was used to assess lumbar dysfunction,in order to comprehensively analyze the treatment effect.The recurrence rate and patient satisfaction was recorded through follow-up scales.Results After a 4-week treatment cycle,22 patients were lost to follow-up,and ultimately 80 patients were included in the study,with 40 in the conventional treatment group and 40 in the suspension treatment group.The VAS score of the suspension treatment group decreased from(5.10±1.13)points before treatment to(1.48±0.91)points after treatment,and the ODI score improved from(30.98±5.48)points before treatment to(21.35±2.77)points after treatment;Compared with the conventional treatment group,the suspension treatment group had a more significant therapeutic effect(P<0.001).The one-year follow-up data showed that the recurrence rate of the suspension treatment group was 32.5%,which was lower than the 67.5%of the conventional treatment group(χ^(2)=14.532,P<0.001).The exercise compliance score of the suspension treatment group[(24.18±2.38)points]was higher than that of the conventional group[(17.23±3.31)points],and the difference was statistically significant(t=-10.955,P<0.001).Conclusions Symptom limited exercise combined with suspension exercise therapy can not only effectively alleviate pain and improve lumbar function in patients with CNLBP,but also reduce the recurrence rate of the disease.