两种康复运动体式对非特异性腰痛患者腰部伸肌对称性改善的效果研究  

Intervention on symmetry of bilateral lumbar extensor endurance of patients with nonspecific low back pain by two different rehabilitation exercises styles

作　　者：杨莹[1] 李东红[1] 樊炜骏 田少飞[1] 房纬[1] 

机构地区：[1]天津中医药大学第一附属医院骨伤科,天津市300381

出　　处：《中华护理杂志》2015年第12期1444-1448,共5页Chinese Journal of Nursing

基　　金：天津市中医药管理局中医;中西医结合科研课题(11039)

摘　　要：目的观察两种康复运动体式对非特异性腰痛患者腰部伸肌对称性的影响,筛选针对性更强旳运动体式。方法选取非特异性腰痛患者40例和正常对照组20例,采用birddog体式,比较双侧腰部伸肌平均功率频率斜率(MPFs)差。再将40例腰痛患者随机分为拱桥组20例和birddog组20例,并与正常拱桥组比较右侧腰部伸肌激活率(平均振幅比)。12周训练后,比较两组MPFs和ODI评分。结果患者组与正常组MPFs差比较,差异具有统计学意义(P<0.01)。患者拱桥组右侧腰部伸肌激活率较正常拱桥组下降(P<0.01);患者birddog组较正常拱桥组升高(P<0.01)。训练后,患者birddog组MPFS差和ODI评分均显著优于患者拱桥组(P<0.01)。结论腰痛患者腰部伸肌对称性较正常人发生偏移。birddog式较拱桥式可以更有效的激活患侧腰部伸肌,从而改善腰部伸肌对称性,获得更好的临床疗效。Objective To observe the effects of two different rehabilitation exercises on the symmetry of bilateral lumbar extensor endurance among patients with nonspecific low back pain,and to screen more effective exercise style. Methods Forty patients with nonspecific low back pain and 20 healthy volunteers were involved. The bilateral lumbar extensor MPFs difference was compared between 2 groups using exercise of birddog style. Then 40 patients were divided into 2 groups（20 cases in each group）. One group was tested with Arch bridge style,the other was tested with birddog style. The activation rate（MA rate） of right side lumbar extensor was compared among 2 groups of patients and the group of healthy volunteers tested by Arch bridge style. After 12 weeks＇ exercise,the MPFs difference and ODI were compared between 2 groups of patients. Results The difference of MPFs between patients＇ group and healthy volunteers＇ group was significant（P〈0.01）. Compared with healthy volunteers＇ group with Arch bridge style, the activation rate of right side lumbar extensor of the patients＇ group with Arch bridge style was significantly lower （P〈0.01）,but the patients＇ group with birddog style was significantly higher（P〈0.01）. After 12 weeks＇ exercise,the MPFs difference and ODI of the patients＇ group with birddog style were both significantly better than those of the patients＇ group with Arch bridge style （P〈0.01）.Conclusion The symmetry of bilateral lumbar extensor endurance of patients with low back pain has a significant deviation from normal person. The exercise of birddog style can activate the affected side lumbar extensor more effectively and has better effects on improvement of the symmetry and better clinical effects.

关 键 词：腰痛 康复护理 肌电描记术 

分 类 号：R473.6[医药卫生—护理学]