悬吊运动疗法结合整脊手法对退行性腰椎滑脱症的效果  

Effects of Suspension Training and Chiropractic on Degenerative Lumbar Spondylolisthesis

作　　者：姚沅勉 周永生 聂响斌 杨华中 葛君 言晶 YAO Yuan-mian;ZHOU Yong-sheng;NIE Xiang-bin;YANG Hua-zhong;GE Jun;YAN Jing(Xiangya Fraternity Rehabilitation Hospital,Changsha,Hunan 410151,China;Wuhan Qiaoya Fraternity Rehabilitation Hospital,Wuhan,Hubei 430205,China)

机构地区：[1]湘雅博爱康复医院,湖南长沙市410151 [2]武汉侨亚博爱康复医院,湖北武汉市430205

出　　处：《中国康复理论与实践》2018年第7期860-864,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家临床重点专科建设项目(国卫办函[2013]544号)~~

摘　　要：目的研究悬吊运动疗法结合整脊手法对退行性腰椎滑脱症患者的临床疗效。方法 2016年6月至12月,64例退行性腰椎向前滑脱症患者随机分为对照组(n=32)和试验组(n=32),对照组采用麦肯基疗法结合常规腰椎牵引和功能训练,试验组予悬吊运动疗法结合整脊手法,共治疗45 d。治疗前后采用X线片Meyerding分度、疼痛视觉模拟评分法(VAS)和Oswestry功能障碍指数(ODI)进行评定。结果治疗后,两组Meyerding分度、VAS评分、ODI评分均显著改善(t>9.157,P<0.001),试验组优于对照组(t>2.069,P<0.05)。结论悬吊运动疗法结合整脊手法治疗退行性腰椎滑脱症安全有效。Objective To observe the effects of suspension training along with chiropractic on degenerative lumbar spondylolisthesis.Methods From June to December,2016,64 patients with degenerative lumbar spondylolisthesis were randomly divided into control group(n=32)and treatment group(n=32).The control group accepted McKenzie approach,lumbar traction and functional training,while the treatment group accepted suspension training and chiropractic,for 45 days.They were evaluated with Meyerding Rating,Visual Analogue Scale(VAS)of pain and Oswestry Disability Index(ODI)before and after treatment.Results The scores of Meyerding Rating,VAS and ODI improved in both groups after treatment(t>9.157,P<0.001),and improved more in the treatment group than in the control group(t>2.069,P<0.05).Conclusion Suspension training combining with chiropractic is safe and effective for degenerative lumbar spondylolisthesis.

关 键 词：退行性腰椎滑脱症 悬吊运动疗法 整脊手法 康复 

分 类 号：R681.5[医药卫生—骨科学]