五禽戏对中老年慢性非特异性下背痛患者腰腹核心肌群力学性能及疼痛影响的临床研究  

The effect of Wuqinxi Exercise on mechanics characteristic of abdominal and back muscles and pain in patients with chronic nonspecific low back pain

作　　者：方磊[1] 严隽陶[1] 曹彦俊[1] 张广渊[2] 

机构地区：[1]上海中医药大学康复医学院,上海201203 [2]上海中医药大学附属岳阳中西医结合医院康复科,上海200437

出　　处：《上海中医药杂志》2015年第9期49-53,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：全国博士后管委会中国博士后科学基金项目(2012M511124);上海市体育局体育科技腾飞计划项目(11TF002);上海市教委预算内项目(2013JW28)

摘　　要：目的观察五禽戏治疗中老年慢性非特异性下背痛的临床疗效。方法将72例慢性非特异性下背痛患者随机分为治疗组与对照组,每组36例。治疗组予五禽戏运动方案,对照组予康复体操运动方案。两组疗程均为6个月,观察SF-MPQ疼痛量表评分,腰腹肌群力学性能指标[峰力矩(PT)、峰力矩体重比(PT/BW)、平均功率(AP)、总功(TW)、腰腹肌屈伸比(F/E)]及肌电信号指标(IEMG)的变化情况。结果 1最终完成试验者63例,其中治疗组32例,对照组31例。2组间治疗后比较,SF-MPQ总分及PRI、PPI分项评分差异有统计学意义(P<0.05)。3治疗前后组内比较,两组不同角速度下的背伸肌与腹屈肌力学指标差异均有统计学意义(P<0.05);组间治疗后比较,各力学指标差异无统计学意义(P>0.05)。4组间治疗后比较,30°/s时左侧腹外斜肌的IEMG水平差异均有统计学意义(P<0.05)。530°/s时背部伸肌PT/BW水平与疼痛评分呈低度负相关。结论五禽戏治疗中老年慢性非特异性下背痛,可显著减轻腰背疼痛。Objective To evaluate Wuqinxi Exercise effect on mechanics characteristic of abdominal and back muscles and pain in patients with chronic nonspecific low back pain. Methods 72 adults with chronic low back pain were randomly divided into treatment group and control group, 36 in each group. Patients in treatment group were treated with Wuqinxi Exercise while patients in control group were treated with conventional rehabilitation gymnastics. The courses of the two groups were 6 months. Scores of SF-MPQ , indexes of PT, PT/BW, AP, TW and F/E and IEMG were observed. Results ①63 patients completed the study in which 32 patients in treatment group and 31 patients in control group. ②Compared between the two groups after the teratment, there was a significant difference in SF-MPQ total score , PRI and PPI （ P 〈 0.05 ）. ③ Compared in each group before the treatement, there was significant difference in back and abdominal isokinetic testing （P 〈 0.05 ）, while there was no significant difference between the two groups after treatment. ④ Compared in each group after the treatement, there was significant difference in IEMG of left obliquus externus abdominis in 30°/s （ P 〈 0.05 ）. ⑤ There was negatively correlated in low degree between level and socere of PT/BW in 30°/s. Conclusion Wuqinxi Exercise is a useful treatment for chronic low back pain in middle-aged people. It has more positive effect on relieve pain and improve health-related life quality that caused by chronic low back pain.

关 键 词：慢性非特异性下背痛 中老年 五禽戏 康复体操 等速测试 表面肌电 

分 类 号：R274.9[医药卫生—中西医结合] R247.4[医药卫生—中医骨伤科学]