肌内效贴联合深部肌肉刺激对战士非特异性下腰痛的疗效研究  

Effects of kinesio taping combined with deep muscle stimulation on nonspecific low back pain in soldiers

作　　者：陆斌 赵晨光 孙玮 琚芬 薛白洁 孙晓龙 牟翔 袁华 LU Bin;ZHAO Chenguang;SUN Wei;JU Fen;XUE Baijie;SUN Xiaolong;MOU Xiang;YUAN Hua(Department of Orthopedics,Shaanxi General Hospital of the Chinese People’s Armed Police Force,Xi'an,Shannxi,710054;Department of Rehabilitation,The First Affiliated Hospital of The Fourth Military Medical University,Xi'an,Shannxi 710032,China)

机构地区：[1]中国人民武装警察部队陕西省总队医院骨科,陕西西安710054 [2]第四军医大学第一附属医院康复医学科,陕西西安710032

出　　处：《安徽医药》2021年第10期1981-1984,共4页Anhui Medical and Pharmaceutical Journal

基　　金：国家国际科技合作专项(2013DFA32610);创新工程专项(16CXZ022)。

摘　　要：目的观察应用肌内效贴合并深部肌肉刺激(DMS)对战士非特异性下腰痛的临床治疗效果。方法选取2017年7月至2018年12月在中国人民武装警察部队陕西省总队医院及第四军医大学第一附属医院就诊的非特异性下腰痛战士,共85例纳入本研究。应用随机数字表法,将纳入病人随机分到对照组(42例)和观察组(43例),对照组病人给予干扰电及磁振热治疗,观察组病人除了基础治疗外再给予肌内效贴及DMS治疗。肌内效帖治疗使用2条I形贴布,拉长至115%贴于脊柱两侧,然后再使用1条I形贴布拉长至150%横向贴于胸腰段,隔日1次,每次持续48 h。DMS治疗对竖脊肌、腰方肌、梨状肌等肌肉进行治疗,采用36.5 Hz振动频率,5 cm/s移动速度,每次10 min。除肌内效帖治疗外均为1次/天,6天/周,共治疗2周。分别在治疗前、治疗1周及治疗2周结束时采用视觉模拟评分(VAS)及功能障碍调查量表评分(RMDQ)评价疗效。结果对照组在治疗2周后VAS及RMDQ评分均明显好于治疗前评分[(4.93±0.93)比(3.87±0.87),(7.23±1.91)比(4.48±1.25),(P<0.05)];观察组在治疗1周后和2周后评分均明显好于治疗前评分[VAS(3.88±0.79)、(3.02±0.82)比(5.15±1.07);RMDQ(4.84±1.78)、(3.24±1.06)比(7.35±1.85)]、且均优于对照组评分[VAS(4.93±0.93)、(4.53±0.85)比(3.87±0.87);RMDQ(7.23±1.91)、(5.88±1.67)比(4.48±1.25)](P<0.05)。结论肌内效贴联合深部肌肉刺激可显著增强常规物理因子缓解非特异性下腰痛的疗效。Objective To investigate the clinical effects of kinesio taping combined with deep muscle stimulation(DMS)in the treatment of nonspecific low back pain in soldiers.Methods A total of 85 patients with nonspecific low back pain treated in Shaanxi General Hospital of the Chinese People’s Armed Police Force and The First Affiliated Hospital of The Fourth Military Medical University from July 2017 to December 2018 were selected for this clinical trial.Patients were randomly assigned into control group(42 cases)and observation group(43 cases).The control group was treated with interference electrotherapy and magnetic vibration heat,while the study group was treated with kinesio taping and DMS on the basis of the control group.In kinesio taping treatment,2 I-shaped strips were stretched to 115%and pasted on both sides of the spine,and then 1 I-shaped strip were stretched to 150%and pasted on thoracolumbar area.The treatment was carried out every two days,and lasted for 48 hours.DMS treatment was acted on erector spinae,quadratus lumborum and piriformis using 36.5 Hz frequency vibration,5 cm/s moving speed,10 min/time.Except for kinesio taping treatment,the treatment time was once a day,6 days a week for total two weeks.Visual analogue scale(VAS)and Roland morris disability questionnaire(RMDQ)were used to evaluate the efficacy before treatment,1 week and 2 weeks after treatment.Results The VAS and RMDQ score in control group after 2 weeks of treatment were significantly better than before treatment[(4.93±0.93)vs.(3.87±0.87),(7.23±1.91)vs.(4.48±1.25),P<0.05];the score in observation group after 1 week and 2 weeks of treatment was significantly better than before treatment[VAS(3.88±0.79),(3.02±0.82)vs.(5.15±1.07);RMDQ(4.84±1.78),(3.24±1.06)vs.(7.35±1.85),P<0.05]and also better than that in control group[VAS(4.93±0.93),(4.53±0.85)vs.(3.87±0.87)];RMDQ[(7.23±1.91),(5.88±1.67)vs.(4.48±1.25),P<0.05].Conclusion Kinesio taping treatment combined with DMS treatment can significantly enhance the effect of conventi

关 键 词：腰痛 物理治疗方法 肌内效贴 深部肌肉刺激 磁场疗法 

分 类 号：R82[医药卫生—临床医学]