水中核心稳定训练对腰椎间盘突出症患者的疗效观察

Therapeutic effect of aquatic core stability exercise for treatment of the lumbar disc herniation

目的研究水中核心稳定训练对腰椎间盘突出症患者功能恢复的临床疗效。方法选取住院及门诊治疗的腰椎间盘突出症患者40例,按随机数表法将患者分为对照组和试验组,每组20例,两组患者均采用常规康复治疗方案包括物理因子治疗、牵引治疗及推拿手法治疗等,试验组在此基础上增加水中核心稳定训练,于治疗前及治疗4周后分别对两组患者进行下腰痛评分表(JOA)、视觉模拟评分法(VAS)、健康状况调查简表(SF-36)以及腰椎关节活动范围(ROM)评估,以比较两组患者治疗前后的差异性。结果治疗前两组JOA、VAS、SF-36及ROM 4个方面评估差异无统计学意义,治疗4周后4个方面评分较治疗前均有明显提高且差异有统计学意义(P<0.05)。两组之间治疗后比较,试验组各项评分[JOA(25.67±6.17)分、VAS(1.56±1.71)分、SF-36(73.25±12.17)分]明显优于对照组[JOA(21.65±6.78)分、VAS(2.26±1.46)分、SF-36(64.37±11.32)分],ROM也明显优于对照组,差异均有统计学意义(均P>0.05)。结论水中核心稳定训练能明显改善腰椎间盘突出症患者症状和功能,同时可有效改善患者生活质量。

Objective To study the therapeutic effect of aquatic core stability exercise for treatment of the lumbar disc herniation. Methods Forty patients with lumbar disc herniation were randomly divided into a control and an experimental group. The two groups were all treated with physical agents therapy, traction, and traditional Chinese medical massage therapy, and aquatic core stability exercise were adopted in the experimental group. After four weeks of treatment, Japanese Orthopaedic Association(JOA), Visual Analogue Score(VAS), 36-item short-from(SF-36) and range of motion(ROM) were used for evaluation and comparison before and after treatment. Results Before treatment, the JOA, VAS, SF-36 and ROM scores in the two groups had no statistical significance(P>0.05). But after four weeks of treatment, the two groups had a significant improvement in the four scores(P<0.05). What is more, in the experimental group patients, score in JOA(25.67±6.17), VAS(1.56±1.71), SF-36(73.25±12.17) and ROM improved significantly more than those in the control group patients, score in JOA(21.65±6.78), VAS(2.26±1.46), SF-36(64.37±11.32) and ROM. The difference between the two groups was statistically significant(P<0.05). Conclusions The aquatic core stability exercise can improve the symptom and lumbar dysfunction caused by the lumbar disc herniation, and it can effectively improve the patients quality of life.