手法配合肌肉力量技术治疗训练性下腰痛的应用评价  

Application and evaluation of manipulation combined with the muscle energy technique in the treatment of athlete low back pain

作　　者：王桂茂[1] 纪清[1] 沈利龙 孔令忠[1] 

机构地区：[1]上海市中医医院,上海200071 [2]上海市体操运动训练中心,上海200237

出　　处：《现代中西医结合杂志》2013年第22期2407-2408,2423,共3页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：上海市体育局腾飞计划项目(10TF012)

摘　　要：目的评价推拿手法配合肌肉力量技术(MET)用于体操运动员训练性下腰痛的效果。方法 45例体操运动员随机分为手法组、MET组、手法配合MET组各15例,并分别给予相应治疗。在入组时、疗程末对各组患者进行疼痛VAS、腰部功能障碍R-MQ评价,并通过等速肌力测试对腰背伸肌进行力学性能评价。结果治疗前3组之间上述指标两两相比无显著性差异。疗程末手法配合MET组VAS评分、R-MQ评分与其他2组比较均具有显著性差异(P均<0.05),等速测试60°角速度下PT、120°角速度下PT及AP与其他2组比较均具有显著性差异(P均<0.05)。结论以手法配合肌肉力量技术的治疗方法,可有效改善下腰痛体操运动员的腰部功能障碍,改善其腰背伸肌力学性能,并能发挥手法治疗与肌肉功能训练相配合的协同优化作用。Objective It is to evaluate the effect of the manipulation combined with the muscle energy technique（MET） on low back pain in athletes. Methods 45 gymnast with low back pain were randomly divided into manipulation therapy group, MET therapy group and the controlled group that treated with manipulation combined with MET, each group had 15 cases. The pain and waist dysfunction were evaluated by VAS and R- MQ respectively, and mechanicalproperty of back extensor was e- valuated by isokinetic dynamometer before and after treatment. Results No significant differences was found between the three groups before treatment. After the treatment, differences in the VAS/R - MQ score were significant in manipulation combined with MET group compared with the other two groups （ P all 〈 0.05）. Isokinetic test results showed that PT/60~, PT/120~, AP/120~were better in the combined group than that in the other two groups（ P 〈 0.05 ）. Conclusion The practice of manipu- lation combined with MET can play an exact role in treating gymnast low back pain, and improve the mechanical properties of low back extensors, and can play a better role than manipulation and MET used singly.

关 键 词：推拿 肌肉力量技术 训练性下腰痛 

分 类 号：R274.34[医药卫生—中医骨伤科学]