坐位压力生物反馈疗法联合Flexi-bar对慢性非特异性腰痛的效果  

Effect of combination of pressure biofeedback therapy and Flexi-bar in sitting on chronic non-specific low back pain

作　　者：王钊 贾凡 赵莹 徐付国 朱伟伟 厉航 张明 WANG Zhao;JIA Fan;ZHAO Ying;XU Fuguo;ZHU Weiwei;LI Hang;ZHANG Ming(Xuzhou Medical University,Xuzhou,Jiangsu 221004,China;Department of Rehabilitation,Xuzhou Rehabilitation Hospital Affiliated to Xuzhou Medical University,Xuzhou,Jiangsu 221003,China;Department of Rehabilitation Medicine,Xuzhou Central Hospital/Xuzhou Clinical College,Xuzhou Medical University,Xuzhou,Jiangsu 221009,China;School of Mechanical and Electrical Engineering,China University of Mining and Technology,Xuzhou,Jiangsu 221116,China)

机构地区：[1]徐州医科大学,江苏徐州市221004 [2]徐州医科大学附属徐州康复医院康复科,江苏徐州市221003 [3]徐州市中心医院康复医学科/徐州医科大学徐州临床学院,江苏徐州市221009 [4]中国矿业大学机电工程学院,江苏徐州市221116

出　　处：《中国康复理论与实践》2023年第1期110-118,共9页Chinese Journal of Rehabilitation Theory and Practice

基　　金：江苏省研究生科研与实践创新计划项目(No.KYCX22_2880)。

摘　　要：目的探讨坐位压力生物反馈(PBU)疗法联合Flexi-bar运动对慢性非特异性腰痛(CNSLBP)患者的效果。方法2022年6至9月,招募徐州医科大学及周边高校CNSLBP大学生27例,随机分为PBU组、Flexi-bar组和联合组各9例。在常规康复指导的基础上,PBU组行PBU疗法,Flexi-bar组行振动疗法,联合组行振动疗法+PBU疗法。分别于治疗前、治疗3周后,采用Stabilizer压力生物反馈仪评估核心稳定性,采用iHandy水平仪测量腰椎重新定位误差(LJRE),B型超声测量双侧腹横肌厚度和多裂肌横截面积,采用视觉模拟量表(VAS)和Oswestry功能障碍指数(ODI)进行疼痛和功能评定;首次治疗后加测核心稳定性1次。结果首次治疗后,3组双下肢滑动试验波动值、腹横肌重压测试值和多裂肌轻抬测试值均改善(|t|>3.000,P<0.05),联合组的增强程度均优于其余两组(F>10.909,P<0.001)。治疗3周后,除PBU组LJRE无显著性差异外,3组其他各项指标均有改善(|t|>2.604,P<0.05)。联合组除LJRE与Flexi-bar组无显著性差异(P>0.05)外,其余指标均最优(|F|>4.061,P<0.05)。结论坐位压力生物反馈疗法联合Flexi-bar运动可以更有效地改善CNSLBP患者的核心稳定性和核心肌力,改善本体感觉,缓解疼痛。Objective To explore the immediate and short-term effects of pressure biofeedback therapy combined with Flexi-bar exercise in the sitting position on chronic non-specific low back pain(CNSLBP).Methods From June to September,2022,27 CNSLBP students in Xuzhou Medical University and other universities around were randomly divided into pressure biofeedback unit(PBU)group(n=9),Flexi-bar group(n=9)and combined group(n=9).On the basis of routine rehabilitation guidance,the PBU group accepted pressure biofeedback therapy,the Flexi-bar group accepted active vibration therapy,and the combined group accepted pressure biofeedback therapy and active vibration therapy,for three weeks.They were measured core stability with Stabilizer,lumbar joint repositioning error(LJRE)with iHandy,and bilateral transverse abdominis thickness and multifidus muscle cross-sectional area with ultrasonography;and assessed with Visual Analogue Scale for pain(VAS),Oswestry Disability Index(ODI)before and after treatment;and the core stability were measured immediately after the first treatment.Results The indexes of core stability improved after the first treatment(|t|>3.000,P<0.05)in all groups,and improved the most in the combined group(F>10.909,P<0.001).All the indexes improved after three weeks of treatment(|t|>2.604,P<0.05),except for LJRE in PBU group;and they were the best in the combined group(|F|>4.061,P<0.05),except LJRE was not significantly different from the Flexi-bar group(P>0.05).Conclusion Pressure biofeedback therapy combined with Flexi-bar exercise in the sitting position can more effectively improve core stability and core muscles,proprioception,and pain for patients with CNSLBP.

关 键 词：慢性非特异性腰痛 压力生物反馈疗法 Flexi-bar 核心稳定性 

分 类 号：R685[医药卫生—骨科学]