筋膜松解手法结合悬吊训练治疗产后腰痛的临床随机对照研究  

Clinical randomized controlled study of FM combined with SET in the treatment of postpartum lumbago

作　　者：何添艺 彭思琪 肖慧莲 曾雯慧 梁馨予 温优良 HE Tianyi;PENG Siqi;XIAO Huilian;ZENG Wenhui;LIANG Xinyu;WEN Youliang(The First Affiliated Hospital/The First Clinical Medical College,Gannan Medical University,Ganzhou 341000,China;Yudu Maternity and Child Healthcare Hospital,Yudu 341000 China;School of Rehabilitation Sciences,Gannan Medical University,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院//赣南医学院第一临床医学院,江西赣州341000 [2]于都县妇幼保健院,江西于都341000 [3]赣南医学院康复学院,江西赣州341000

出　　处：《现代医院》2022年第2期322-324,328,共4页Modern Hospitals

基　　金：江西省教育厅科学技术研究项目(GJJ190806)。

摘　　要：目的探讨筋膜松解手法(fascial manipulation,FM)结合悬吊训练(sling exercise training,SET)对产后腰痛患者的临床疗效。方法选取符合入选条件的产后腰痛患者共90例,随机分为对照组、SET组(在常规治疗的基础上增加SET)和治疗组(在常规治疗和SET治疗的基础上增加FM),每组各30例。所有患者均于治疗前、治疗2周、4周后分别采用视觉模拟评分法(visual analogue scale,VAS)、Oswestry功能障碍指数(oswestry disability index,ODI)、改良日本骨科协会腰痛评分表(modified-japan orthopaedic association,M-JOA)进行疗效评定。结果治疗2周、4周后,SET组及治疗组M-JOA评分高于对照组,VAS、ODI评分低于对照组(P<0.05);其中,治疗组M-JOA评分高于对照组及SET组,VAS、ODI评分低于对照组及SET组(P<0.05)。3组治疗前后VAS、ODI、M-JOA评分比较,差异均有统计学意义(P<0.05)。结论FM或SET均能有效改善产后腰痛患者的腰椎功能,且两者结合效果更好,适合临床推广。Objective To investigate the clinical efficacy of Fascial Manipulation(FM)combined with Sling Exercise Training(SET)on patients with postpartum lumbago.Methods A total of 90 patients with postpartum lumbago meeting the inclusion standards were selected and randomly divided into control group,SET group and FM group,with 30 patients in each group.The control group was treated with routine treatment,the SET group with SET combined with routine treatment and the FM group with FM combined with SET and routine treatment.All patients were assessed by Visual Analogue Scale(VAS),Oswestry Disability Index(ODI)and Modified-Japan Orthopaedic Association(M-JOA)before treatment,2 weeks after treatment,and 4 weeks after treatment,respectively.Results After 2 weeks and 4 weeks of treatment,the M-JOA scores of the SET group and FM group were higher than that of the control group,while the VAS and ODI scores were significantly lower than that of the control group(P<0.05).The M-JOA score of the FM group was significantly higher than those of the control group and SET group,while the VAS and ODI scores of FM group were lower than those of the control group and SET group(P<0.05).The VAS,ODI and M-JOA scores of the 3 groups before and after treatment showed statistically significant differences(P<0.05).Conclusion FM or SET can effectively improve the lumbar function of patients with postpartum lumbago,and the combination of FM and SET has better effect,which is suitable for clinical promotion.

关 键 词：产后腰痛 筋膜松解手法 悬吊训练 胸腰筋膜 

分 类 号：R493[医药卫生—康复医学] R741.69[医药卫生—临床医学]