运动控制训练对生理性骶髂关节功能紊乱的疗效  

The efficacy of motion control technique based on mobility test in rehabilitation of patients with physiological sacroiliac joint dysfunction

作　　者：李舜[1] 李太良 宋成宪[1] 廖佳城 王润妹[1] LI Shun,LI Tailiang,SONG Chengxian,LIAO Jiacheng,WANG Runmei(Department of Rehabilitation Medicine,the Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, Chin)

机构地区：[1]广州医科大学附属第三医院康复医学科,广州510150

出　　处：《实用医学杂志》2018年第12期2000-2003,共4页The Journal of Practical Medicine

基　　金：广东省科学技术厅科学计划项目(编号:2017ZC0255)

摘　　要：目的探讨生理性骶髂关节功能紊乱患者应用个体化运动控制训练的近期效果。方法通过站立位和坐立位弯腰测试以及单腿测试筛选和确诊入组骶髂关节功能紊乱患者58例,随机分为两组。对照组所有患者采用肌肉能量技术(MET)和冲击手法调整髂骨的旋转,研究组在对照组治疗的基础上增加局部肌肉牵伸、灵活性及稳定性等运动控制训练。观察所有患者的早期疗效。结果治疗后两组VAS和ODI明显改善,与治疗前比较差异有显著性(P<0.01);治疗后3周对照组VAS评分及ODI出现上升,而研究组则变化不明显,两组治疗的持续疗效比较差异有显著性(P<0.05)。结论基于手法运动性测试评估的运动控制训练对骶髂关节功能紊乱的非特异性下腰痛患者持续疗效较好,值得临床推广。Objective To explore the short-term efficacy of individualized motion control training for thepatients with physiological sacroiliac joint dysfunction. Methods 58 patients were diagnosed as sacroiliac jointdysfunction by standing and sitting stoop test and single leg test. All the patients were randomly divided into twogroups. Rotation of the iliac bone was adjusted by muscle energy technique and impact technique in all the patients.The study group received additional exercise control training including local muscle drafting,flexibility and stability.The short-term efficacy was observed. Results VAS and ODI in the two groups were improved significantly aftertreatment,and there was significant difference between the two groups before treatment（P〈0.01）. Three weeksafter treatment,the VAS score and ODI in the control group increased,while those in the study group did notchange significantly. There was a significant difference in the continuous efficacy of treatment between the twogroups（P〈0.05）. Conclusions Motion control training based on manipulative exercise test evaluation has abetter continuous efficacy for patients with no-specific low back pain and sacroiliac joint dysfunction. It is worthclinically popularizing.

关 键 词：骶髂关节功能紊乱 运动控制 运动性测试 整骨 局部关节稳定性训练 

分 类 号：R684[医药卫生—骨科学]