慢性腰痛患者的核心稳定性分析及康复干预的疗效观察

Core Stability and Rehabilitation Effect on Chronic Low Back Pain

目的:通过组间对照及康复干预前后比较,探讨慢性腰痛患者核心稳定性的特征。方法:纳入CLBP患者71例(CLBP组)及29名非CLBP患者为对照组(Non组),填写疼痛问卷并完成Y型平衡测试、八级腹桥测试,分析核心稳定性的组间差异;并对其中20位CLBP患者实施为期6周包含运动干预和健康教育的康复干预,比较干预前后的变化。结果:①CLBP组无论是动态核心稳定性还是静态核心耐力均显著下降,且双侧失衡(P<0.05),女性及老年患者的核心稳定性比男性及青年患者丢失更为明显;②CLBP患者双侧核心稳定性明显失衡(P<0.05);③6周的康复干预,可显著改善CLBP患者的核心稳定性及其双侧失衡的情况和疼痛症状(P<0.05)。结论:①核心稳定性明显下降且出现双侧失衡是CLBP患者的特征;②女性及中老年患者的功能丢失更多,在康复时应更多地关注其核心稳定性训练;③对于青年CLBP患者,推荐6周及以上以核心稳定性运动为主要内容的康复干预。

Objective:to discuss the core stability of patients with chronic low back pain(CLBP)by comparing CLBP patients with healthy people(non-CLBP)before and after the rehabilitation.Methods:71 CLBP patients(CLBP Group)and 29 health people(Non-CLBP Group)were recruited and screened.And they were tested and recorded by the VAS(Visual Analogue Scale),YBT(Y Balance Test)and ELP(Eight Level Plank);the difference between CLBP and Con groups was compared.Then,20 CLBP patients(CLBP Group)participated in a 6-week rehabilitation plan.Result:1.CLBP shows an obvious decrease of core stability and the bilateral imbalance(P<0.05),while the female and the elderly patients decreased more seriously.2.CLBP shows a significant imbalance bilaterally(P<0.05);3.The 6-week intervention significantly improved the core stability and the bilateral imbalance of young CLBP(P<0.05).Conclusions:1.The significant decrease of core stability and the bilateral imbalance are typical signs of CLBP patients.2.As the core stability of female and elderly CLBP decreases more than male and young patients,therefore the core stability training should be more focused on during the rehabilitation.3.A 6-week rehabilitation intervention is strongly recommended for the young CLBP.