强筋功法改善腰椎躯干肌力和活动度的临床研究  

Clinical study on improving the strength and activity of lumbar spine with Qiang Jin exercises

作　　者：张承哲 胡零三[1,2] 赵烨 张敏[3] 詹红生[1,2] 元唯安[1,2] ZHANG Cheng-zhe;HU Ling-san;ZHAO Ye;ZHANG Min;ZHAN Hong-sheng;YUAN Wei-an(不详;Shishi Injured Medicine Center,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院石氏伤科医学中心,上海201203 [2]上海市中医药研究院骨伤科研究所,上海201203 [3]上海中医药大学附属曙光医院放射科,上海201203

出　　处：《中国骨伤》2021年第10期959-964,共6页China Journal of Orthopaedics and Traumatology

基　　金：上海市教委优秀青年教师基金项目(编号:szy08079);上海市卫计委“杏林新星”计划项目(编号:ZYSNXD011-RC-XLXX-20130049);上海市重中之重重点学科(中医骨伤科学)建设项目(编号:2017ZZ02024);上海市中医药新兴交叉学科(工效筋骨学)建设项目(编号:2017-024);国家自然科学基金(编号:81403414);詹红生上海市名老中医学术经验研究工作室建设项目(编号:SHGZS-2017025,SZYMZYGZS4013)。

摘　　要：目的:观察强筋功法治疗对腰椎间盘突出症患者腰椎躯干肌力和活动度的影响。方法:自2016年3月至2017年9月在上海中医药大学附属曙光医院伤骨科门诊,总共招募受试者110例,筛选符合要求受试者98例,采用分层随机法将受试者分为试验组和对照组,每组49例,试验组男25例,女24例,采用强筋功法锻炼,每天早、晚各1次,每次做10套;对照组男25例,女24例,对照组采用经典康复训练,每周训练2次,3个月为1个疗程。训练12周后评价腰椎躯干肌力与活动度与训练前腰椎躯干肌力与活动度进行组内、组间对比。结果:两组患者治疗前后腰椎躯干肌力和活动度均有差异(P<0.05),两组治疗后腰椎躯干肌力和活动度组间比较均无明显差异(P>0.05)。结论:强筋功法锻炼能有效提升腰椎躯干肌力和活动度,提高患者日常生活能力。Objective:To observe the effect of Qiang Jin exercises on the muscle strength and activity of lumbar spine in patients with lumbar disc herniation.Methods:From March 2016 to September 2017,at the Department of Orthopaedics,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,a total of 110 subjects were enrolled,and 98 eligible subjects were screened.The subjects were randomized by stratified randomization and divided into experimental group and control group,49 cases in each group,25 males and 24 females in the experimental group,25 males and 24 females in the control group.The experimental group exercised with Qiang Jin exercises,one time each morning and evening,each time 10 sets were made;the control group used classic rehabilitation training,training twice a week,and three months was a course of treatment.After 12 weeks of training,the muscle strength and activity of the lumbar spine were evaluated and compared with the muscle strength and activity of the lumbar spine before training.Results:The experimental group and the control group had different muscle strength and activity of the lumbar spine before and after treatment(P<0.05).There was no significant difference between two groups after treatment(P>0.05).Conclusion:Qiang Jin exercises can effectively improve the muscle strength and activity of the lumbar spine and improve the daily living ability of patients.

关 键 词：腰椎 椎间盘移位 强筋功法 

分 类 号：R681.53[医药卫生—骨科学]