体力活动对慢性非特异性腰痛患者疼痛和姿势控制的影响  

Effects of physical activity on pain and posture control in patients with chronic non-specific low back pain

作　　者：郑康勇 吴进龙 王雪强[1,3] ZHENG Kangyong;WU Jinlong;WANG Xueqiang(Shanghai University of Sport,Shanghai,200438)

机构地区：[1]上海体育学院,上海市200438 [2]西南大学体育学院 [3]上海上体伤骨科医院

出　　处：《中国康复医学杂志》2023年第7期942-948,共7页Chinese Journal of Rehabilitation Medicine

基　　金：上海市科委科研计划项目(19080503100,21S31902400);上海市人类运动能力开发与保障重点试验室(11DZ2261100)。

摘　　要：目的:探索体力活动对慢性非特异性腰痛(chronic non-specific low back pain,CNSLBP)患者的疼痛和姿势控制能力的影响。方法:根据是否符合世界卫生组织建议的体力活动标准,受试者被分为体力活动达标组和体力活动不达标组,每组分别纳入31例CNSLBP患者。采集患者的基本信息,评估患者的腰痛程度和姿势控制能力(包括腰部屈伸活动度、闭眼单腿站和下肢Y平衡测试)。结果:与缺乏体力活动的CNSLBP患者相比,体力活动达标的患者疼痛症状较轻,姿势控制功能更佳,包括过去一周最严重疼痛评分(P<0.01)、过去一周平均疼痛评分(P<0.01)、腰部屈伸活动范围(P<0.05)、静态平衡(P<0.05)和大部分的Y平衡测试。结论:常参加体力活动的CNSLBP患者疼痛强度较缺乏体力活动者轻,姿势控制功能也优于缺乏体力活动者。Objective:To investigate the impact of physical activity on the pain and posture control of patients with chronic non-specific low back pain(CNSLBP).Method:Based on whether they met the physical activity standards recommended by the World Health Organization or not,the participants were divided into two groups(i.e.,physically active group and physically inactive group),31 CNSLBP patients in each group.The basic information of the patients was collected,and the low back pain and posture control ability were evaluated(including waist flexion and extension,standing on one leg with closed eyes as well as lower quarter Y balance test).Result:Compared with the physically inactive CNSLBP patients,the physically active patients had less pain symptoms and better postural control,including the most severe pain score in the past week(P<0.01),the average pain score in the past week(P<0.01),waist flexion and extension range of motion(P<0.05),static balance(P<0.05),and most Y balance tests.Conclusion:Physically active CNSLBP patients have less pain intensity and better postural control than physically inactive patients.

关 键 词：体力活动 慢性非特异性腰痛 疼痛 姿势控制 

分 类 号：R493[医药卫生—康复医学] R563.9[医药卫生—临床医学]