力量训练联合物理疗法治疗飞行员非特异性腰痛的疗效分析  

Effect analysis of strength training with physical therapy on nonspecific low back pain in pilots

作　　者：张嘉涛 赵晨煜 卫芬 董劲霞 赵阳 齐辉明 Zhang Jiatao;Zhao Chenyu;Wei Fen;Dong Jinxia;Zhao Yang;Qi Huiming(Department of Rehabilitation Medicine,Air Force Medical Center,PLA,Beijing 100142,China)

机构地区：[1]空军特色医学中心康复医学科,北京100142

出　　处：《中华航空航天医学杂志》2023年第1期29-33,共5页Chinese Journal of Aerospace Medicine

摘　　要：目的探讨力量训练联合物理疗法治疗飞行员非特异性腰痛的疗效。方法采用非随机平行对照研究。采取问卷调查方式从航空兵部队选取具有轻、中度非特异性腰痛表现的飞行员,根据自愿原则进行分组。综合治疗组进行时长为3个月的治疗,包括力量训练和物理疗法;对照组不参与本次康复方案,按照日常情况进行生活与工作,不限制力量训练与物理治疗,分别比较治疗前后2组飞行员的目测类比法(Visual Analogue Scale,VAS)疼痛评分、McGill疼痛问卷(McGill Pain Questionnaire,MPQ)评分及腰背部肌肉力量。结果共纳入飞行员109人,其中自愿加入综合治疗组21人,对照组88人。治疗前2组飞行员的VAS疼痛评分、MPQ评分差异均无统计学意义(P均>0.05);治疗后综合治疗组VAS疼痛评分、MPQ评分均低于对照组,差异有统计学意义(t=1.98、2.31,P=0.048、0.021)。治疗前2组飞行员腰背部肌肉力量差异无统计学意义(P>0.05);治疗后综合治疗组飞行员腰背左侧屈、右侧屈和后伸最大力量增加值高于对照组,差异有统计学意义(U=2.17、2.47、3.64,P=0.002、0.013、<0.001)。结论力量训练联合物理疗法可有效缓解飞行员非特异性腰痛,提升了其腰部肌肉力量,可在飞行员非特异性腰痛防治工作中推广应用。Objective To investigate the efficacy of strength training with physical therapy in the treatment of nonspecific low back pain in pilots.Methods A non-randomized,parallel controlled study was used.The pilots with mild and moderate nonspecific low back pain were selected from the aviation unit by questionnaire survey.They were grouped on a voluntary basis.In the comprehensive treatment group,pilots were treated for 3 months,including strength training and physical therapy.In the control group,pilots who did not participate in the rehabilitation program,lived and worked according to daily conditions,and they were not restricted by strength training and physical therapy.The Visual Analogue Scale(VAS)pain scores,McGill Pain Questionnaire(MPQ)scores and low back muscle strength were compared between the 2 groups of pilots before and after treatment.Results A total of 109 pilots were selected,among which 21 pilots volunteered to join the comprehensive treatment group and 88 pilots in the control group.Before treatment,there was no significant difference in VAS pain scores and MPQ scores between the 2 groups of pilots(both P>0.05).After treatment,the VAS pain scores and MPQ scores of the comprehensive treatment group were lower than those in the control group,and the difference was significant(t=1.98,2.31,P=0.048,0.021).Before treatment,there was no significant difference in low back muscle strength between the 2 groups of pilots(P>0.05).After treatment,the increments in maximum strength of left flexion,right flexion,and posterior extension of pilots in the comprehensive treatment group was higher than those in the control group,and the differences were statistically significant(U=2.17,2.47,3.64,P=0.002,0.013,<0.001).Conclusions Strength training with physical therapy can effectively alleviate nonspecific low back pain in pilots and improve the strength of waist muscles.It can be promoted and applied in the prevention and treatment of nonspecific low back pain in pilots.

关 键 词：腰痛 物理治疗技术 问卷调查 力量训练 飞行员 

分 类 号：R856[医药卫生—航空、航天与航海医学]