手法推拿联合悬吊运动疗法对腰椎间盘突出症患者腰背伸肌群功能及肌肉抗疲劳的影响  

Effect of manual massage combined with sling exercise therapy on the function of lumbar dorsal extensor muscles and muscle anti-fatigue in patients with lumbar disc herniation

作　　者：金伟 徐蓉 贾东奇 JIN Wei;XU Rong;JIA Dongqi(Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical College,Nanjing 210008,Jiangsu,China)

机构地区：[1]南京大学医学院附属鼓楼医院

出　　处：《现代中西医结合杂志》2019年第25期2772-2776,2796,共6页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的观察手法推拿联合运动疗法对腰椎间盘突出症患者腰背伸肌群功能及肌肉抗疲劳的影响。方法将86例腰椎间盘突出症患者随机分为2组,对照组43例给予手法推拿治疗,观察组43例在对照组基础上联合悬吊运动疗法治疗,连续治疗4周,评估2组临床疗效,并比较2组治疗前后视觉模拟评分(VAS)、腰椎功能障碍指数(ODI)、腰背伸肌群生物力学指标(腰背伸状态下峰力矩、平均功率、腰背屈伸比)、腰背伸肌群表面肌电指标(腰背伸肌群积分肌电、平均功率频率)、腰背肌疲劳试验及腹肌耐力试验的改善状况。结果治疗后,观察组总有效率为93.0%,显著高于对照组的74.4%(P<0.05);2组治疗后VAS评分、ODI评分、腰背屈伸比均显著降低(P均<0.05),腰背伸肌群表面肌电积分肌电、平均功率频率、腰背伸状态下峰力矩、平均功率、腰背肌疲劳试验及腹肌耐力试验结果均显著升高(P均<0.05),且观察组治疗后以上指标改善情况均明显优于对照组(P均<0.05)。结论手法推拿联合悬吊运动疗法能够改善腰椎间盘突出症患者腰背伸肌群功能,提高肌肉抗疲劳能力,有助于改善患者临床症状,疗效更好。Objective It is to observe the effects of manual massage combined with sling exercise therapy on the function of lumbar dorsal extensor muscles and muscle anti-fatigue in patients with lumbar disc herniation.Methods Eighty-six patients with lumbar disc herniation were randomly divided into two groups.43 patients in the control group were treated with manual massage.43 patients in the observation group were treated with suspension exercise therapy on the basis of the control group.The treatment was continued for 4 weeks.The clinical efficacy of the two groups was evaluated,and the improvements of the visual analogue scale(VAS),lumbar dysfunction index(ODI),biomechanical index of lumbar dorsal extensor muscles(peak moment,average power,lumbar back flexion and extension ratio when the muscle extented),and the surface electromyography index of the extensor group(integrated myoelectricity,average power frequency of the back extensor muscle group),the back muscle fatigue test and the abdominal muscle endurance test were compared before and after treatment in the two groups.Results After treatment,the total effective rate of the observation group was 93.0%,which was significantly higher than that of the control group(74.4%)(P<0.05).The VAS score,ODI score,and lumbar dorsiflexion ratio were significantly decreased after treatment in the two groups(P<0.05),while the results of the myoelectric integral myoelectricity,the average power frequency,the peak torque,the average power,the back muscle fatigue test and the abdominal muscle endurance test results of the observation group were significantly increased after treatment(P<0.05),and the improvement of the above indicators after treatment in the observation group was significantly better than that of the control group(P<0.05).Conclusion Manual massage combined with suspension exercise therapy can improve the function of the lumbar extensor muscle group,improve the anti-fatigue ability of muscles,and help to improve the clinical symptoms in patients with lumbar disc herniat

关 键 词：手法推拿 悬吊运动疗法 腰椎间盘突出症 腰背伸肌群功能 肌肉抗疲劳 腰功能 

分 类 号：R681.53[医药卫生—骨科学]