本体感觉训练对腰椎间盘突出症的疗效  

Effect of Proprioceptive Training on Lumbar Disc Herniation

作　　者：陆伟伟[1] 阚世锋[2] 施海燕[1] 李旭[1] 郝又国[1] 

机构地区：[1]上海市松江区中心医院康复科,上海市201600 [2]上海市第一人民医院康复科,上海市200080

出　　处：《中国康复理论与实践》2014年第12期1162-1164,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海市卫生局科研计划项目(No.20114330);上海市松江区医学领先项目(No.2012-Ⅱ-08)

摘　　要：目的观察本体感觉训练治疗腰椎间盘突出症的效果。方法 50例腰椎间盘突出症患者分成对照组(n=25)和治疗组(n=25)。两组均接受理疗和核心肌力训练,治疗组同时接受BIODEX平衡仪下本体感觉训练。治疗前和治疗8周后采用疼痛视觉模拟评分(VAS)、Oswestry下腰背功能障碍指数(ODI)、BIODEX平衡仪进行评定。随访1年,观察复发率。结果治疗后,两组患者VAS、ODI、稳定性极限指数与姿势性稳定指数均有改善(P<0.05),治疗组ODI、稳定性极限指数与姿势性稳定指数均优于对照组(P<0.05)。1年内,对照组复发5例,治疗组2例。结论本体感觉训练能进一步改善腰椎间盘突出症患者腰背功能,提高运动控制能力,降低复发率。Objective To investigate the effects of proprioceptive training on lumbar disc herniation（LDH）. Methods 50 patients with LDH were divided into experimental group（n=25） and control group（n=25）. Both groups received physiotherapy and core stability exercise, and the experimental group received proprioceptive training with BIODEX Balanced System in addition. They were assessed with the Visual Analogous Scale（VAS） of pain, Oswestry Disability Index（ODI）, and posture stability and limits of stability of BIODEX Balanced System. The incidence of relapse was followed up in a year. Results The scores of VAS, ODI, posture stability and limits of stability improved in both groups after treatment（P〈0.05）, and the ODI, posture stability and limits of stability improved more in the experimental group than in the control group（P〈0.05）. There were 5 cases relapsed in the control group, and 2 cases in the experimental group. Conclusion The proprioceptive training may further improve the function of lower back, and motor control in patients with LDH, and prevent the relapse.

关 键 词：腰椎间盘突出症 本体感觉训练 疼痛 运动控制 复发 

分 类 号：R681.5[医药卫生—骨科学]