慢性腰痛患者康复训练前后核心稳定性改变的临床观察  

Clinical Observation of Core Stability of Patients with Chronic Low Back Pain Before and After Rehabilitation Training

作　　者：汪敏加 

机构地区：[1]成都体育学院运动医学与健康学院,四川成都610041

出　　处：《成都体育学院学报》2017年第1期107-112,共6页Journal of Chengdu Sport University

基　　金："十二五"国家科技支撑计划重点项目:"大众体质健康评价标准的研制与特定人群健身方法的开发"(2012BAK21B01);国家体育总局运动医学重点实验室暨运动医学四川省重点实验室自助基金(CTYY2015018);四川省科技厅应用基金计划项目:"有氧运动干预非酒精性脂肪肝病的内质网途经机制"(2015JY0155)

摘　　要：目的:本研究旨在通过对慢性下腰痛患者进行核心稳定性的功能测试,比较康复训练前后的测试结果,来观察其核心稳定性的功能改变,为慢性腰痛患者的核心稳定性功能分析及其康复疗效的评估提供参考。方法:招募筛选慢性腰痛(CNLBP)患者31例作为实验组(CLBP组),其中男性16人,女性15人。同时以29名无腰痛的健康者为对照组(Non组)。两组受试者完成Y型平衡测试。CNLBP组参与为期6周的康复训练,训练结束后,再次Y型平衡测试。Y型平衡测试双侧共10个指标——A/Limb、PM/Limb、PL/Limb、SUM,COMPOSITE,分析比较CLBP组和Non组间差异,组内双侧差异,以及CLBP组康复训练前后的差异。结果:(1)CLBP组与Non组相比,YBT测试后方的两个方向PM/Limb、PL/Limb均出现显著差异,CLBP组在YBT测试结果多个指标均显著低于Non组的测试值(P<0.05);(2)对比两组各自组内双侧差异时,发现Non组仅在左侧PM/Limb的测量值上出现双侧显著性差异(P<0.05),差值为1%;CLBP组在PM/Limb、PL/Limb、COMPOSITE这3个指标上面均表现出显著性差异(P<0.05),且差值更大,都大于3%。说明CLBP患者双侧失衡明显;(3)经过6周的康复训练,CLBP患者各个方向的测试值均有了显著性提高(P<0.05);(4)6周训练后,CLBP组训练前双侧PM/Limb及COMPOSITE的显著性差异消失(P>0.05),训练后双侧PL/Limb之间虽然仍存在显著性差异(P<0.05),但是差值从3.52%下降到1.36%。康复训练改善了双侧失衡的情况。结论:(1)CLBP患者的核心动态稳定功能显著下降,尤其是后方稳定性,且双侧功能出现明显的失衡。(2)6周的康复训练可以提高CLBP患者各个方向的动态核心稳定性,以及改善双侧失衡的状况。Objective： To run functional test on the core stability of patients with chronic low back pain and observe the change in the core stability by comparing the results before and after rehabilitation training so as to provide the data reference for core stability function analysis and evaluation of chronic low back pain （CLBP） rehabilitation effect . Methods： Recruit and screen 31 CLBP patients as the experimental group（ CLBP group）, including 16 male vs 15 female. Meanwhile, recruit 29 health persons without back pain as the control group （ Non group）. Test and record theY Balance test of both groups. Then implement a 6 -week rehab plan for the CLBP group, and repeat a Y Balance test after 6 weeks. The Y Balance test has 10 parameters including A/Limb, PM/Limb,PL/Limb,SUM, COMPOSITE in both sides. Analysis and compare the difference between two groups and the difference before and after the rehab plan. Result： 1. Compare with Non group, the CLBP group shows an obvious difference of the PM/Limb,PL/Limb（P 〈 0.05 ）, the results of CLBP group are much lower than the Non group. 2. When analysis the difference inside the group, we found there is only one parameter （ the left PM/Limb） shows obvious difference between two sides （P 〉 0.05 ） ; Meanwhile, the CLBP group shows obvious differences in three parameters （PM/Limb, PL/Limb, COMPOSITE） of two sides （P 〈 0.01 or P 〈 0.05 ）. 3. After 6 -week rehab plan, the Y balance test result shows obvious improvement of the CLBP group（P 〈 0.05 ） ; 4. 6 weeks later, the difference between two sides of CLBP group of PM/Limb 及 COMPOSITE disappear, the difference of PL/Limb still exist, but the value reduces a lot, reduces from 3.52% tol. 36%. Conclusion： 1. The dynamic core stability of CLBP patients decreased significantly, especially the posterior direction. The result shows obvious bilateral imbalance. 2. 6 weeks training increases the dynamic core stability effectively and improves bilateral imbalance.

关 键 词：慢性下腰痛 核心稳定性 Y型平衡测试 普拉提 

分 类 号：R681.5[医药卫生—骨科学]