核心稳定性运动对慢性非特异性腰痛患者腰骶结构的影响  

Effect of Core Stability Exercise on the Lumbo-sacral Structure of Chronic Non-specific Low Back Pain

作　　者：汪敏加 张艺宏[1] 宋思琦 

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：《首都体育学院学报》2017年第5期459-462,480,共5页Journal of Capital University of Physical Education and Sports

基　　金："十二五"国家科技支撑计划重点项目(2012BAK21B01);四川省科技计划项目(2017SZ0018);四川省教育厅科研项目(D60060417);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资助基金(2016CTYY011)

摘　　要：通过拍摄立位X光片来分析慢性非特异性下腰痛(chronic non-specific low back pain,CN LBP)患者腰骶形态结构的改变,评价核心稳定性运动对CN LBP的影响,旨在为CN LBP的临床康复提供参考。方法:招募筛选CNLBP患者23例为实验组(CNLBP组),及29名无腰痛者为对照组(Con组)。CNLBP组自愿参与6周核心稳定性运动,最终完成运动干预共20人。Con组拍摄1次X片;CNLBP组填写评估疼痛程度(VAS)和腰功能障碍(ODI)问卷,并在运动干预前后分别拍摄X光片,测定腰椎前凸程度和骨盆侧倾程度。结果:1)运动前,CNLBP组总腰椎前凸角和骨盆倾斜角与Con组相比有显著差异(P<0.05),腰曲明显变直,骨盆明显侧倾;2)CN LBP组运动前后,VAS和O DI均出现非常显著性下降(P<0.01),下降约50%;3)CNLBP组运动前后,腰椎前凸程度虽未出现显著改变(P>0.05),但数值更接近Con组,腰椎变直的程度有改善的趋势;而骨盆倾斜则发生显著下降(P<0.05)。结论:1)青年CNLBP患者出现明显腰椎变直和骨盆侧倾,此为青年CNLBP的一大特征;2)6周核心稳定性训练可有效改善CNLBP患者的骨盆侧倾程度;3)6周核心稳定性训练可有效改善CNLBP患者的疼痛程度和功能;4)骨盆倾斜角为CNLBP的敏感指标,可为临床诊断和康复疗效评估提供参考。Objective： To investigate the influence of core stability exercise on the Lumbo-sacral structure of chronic non-specific low back pain（CNLBP）with standing X-ray, and provide the reference for the clinical CNLBP rehabilitation. Method： Recruit and screen 23 CNLBP patients as the experimental group（CNLBP Group） and 29 health persons as the control group（Con Group）. 20 CNLBP patients finished a 6-week exercise intervention. The Con Group took X-ray film once, while CNLBP tested and recorded the VAS, ODI and X-ray film twice to evaluate the sagittal lumbo-sacral structure（TLL,LSA,SI） and the frontal pelvic position（PI）.Results： 1） Before the exercise, there are obvious difference of sagittal lumbo-sacral structure（TLL） and pelvic position（PI） between the CNLBP and Con groups（P〈0.05）; 2） After a 6-week exercise intervention, the pain（VAS） and dysfunction（ODI） improved very significantly（P〈0.01）; and 3） After a 6-week exercise intervention,the PI of CNLBP improved obviously（P〈0.05）, while the lumbar straightness has a trend of improvement.Conclusions： 1） Young CNLBP shows obvious lateral tilt of pelvis, lumbar convex became straight; 2） 6 weeks of core stability exercise can improve the PI effectively, and can improve the straightness of lumbar convex for CNLBP; 3） 6 weeks of core stability exercise can improve the symptom and function; and 4） PI can be seen as a sensitive indicator for CNLBP patients, which can be used for the reference of clinical diagnosis and rehabilitation assessment.

关 键 词：核心稳定性训练 慢性非特异性下腰痛 腰骶结构 骨盆侧倾 

分 类 号：G804.5[文化科学—运动人体科学]