普拉提和躯干力量训练对女大学生慢性非特异性腰痛的疗效比较  

Comparison of the Therapeutic Effect of Pilates and Trunk Strength Training on Female College Students with Chronic Non-Specific Low Back Pain

作　　者：杨梅[1] 陈安平[1] 王晶晶[1] 苏晓云[2] YANG Mei;CHEN Anping;WANG Jingjing;SU Xiaoyun(Department of Physical Education,Shanxi University,Taiyuan 030006,China;Department of Nursing,Fenyang College of Shanxi Medical University,Fenyang 032200,Shanxi,China)

机构地区：[1]山西大学体育学院,太原030006 [2]山西医科大学汾阳学院护理学系,山西汾阳032200

出　　处：《医用生物力学》2024年第5期946-953,共8页Journal of Medical Biomechanics

基　　金：2021年山西省研究生教育改革研究课题(2021YJJG001)。

摘　　要：目的观察12周普拉提及躯干力量训练对慢性非特异性腰痛(chronic non-specific lowback pain,CNSLBP)女大学生疼痛视觉模拟评分(visual analogue scale,VAS)、腰部功能障碍评分(Roland-Morris disability questionnaire,RMDQ)及躯干屈伸肌力和动态平衡能力的影响,为CNSLBP女大学生制定康复干预方案提供实践依据。方法将45名CNSLBP女大学生随机分为普拉提组22名(n=22)和力量训练组(n=23)。运动干预前后测试所有受试者VAS、RMDQ评分及躯干屈伸肌力和动态平衡能力。结果与运动前比较,经过12周不同运动干预,力量训练组及普拉提组CNSLBP女大学生VAS及RMDQ分值均显著下降;角速度30°/s、90°/s下两组伸肌峰力矩(extensor peak torque,EPT)和角速度90°/s下普拉提组躯干屈肌峰力矩(flexor peak torque,FPT)均显著增加,角速度30°/s、90°/s下屈/伸肌峰值力矩比(F/E)均显著下降。睁眼状态下,仅普拉提组NSLBP女大学生前后方向稳定指数(anterior/posterior stability index,APSI)显著下降;闭眼状态下,普拉提组NSLBP女大学生APSI、总体稳定指数(stability index,SI)、左右方向稳定指数(medial/lateral stability index,MLSI)均显著下降,力量训练组仅APSI显著下降。12周运动干预后,与力量训练组比较,普拉提组VAS和角速度30°/s、90°/s下F/E均显著下降,角速度30°/s、90°/s下躯干EPT显著增加。闭眼状态下,普拉提组SI、APSI及MLSI均显著低于力量训练组。结论与躯干力量训练比较,普拉提运动可显著增强和平衡CNSLBP女大学生躯干屈伸肌力,增强闭眼状态下动态平衡能力,改善CNSLBP女大学生下腰背痛。Objective To observe the effects of 12-week pilates exercise and trunk strength training on the scores of visual analog scale(VAS)and Roland-Morris disability questionnaire(RMDQ),trunk extension/flexion strength and dynamic balance of female college students with chronic non-specific low back pain(CNSLBP),so as to offer a practical-based evidence for the rehabilitation treatment for female college students with CNSLBP.Methods A total of 45 female college students with CNSLBP were randomly divided into pilates(n=22)and strength training groups(n=23).Then,the scores of VAS and RMDQ,trunk extension/flexion strength and dynamic balance were measured before and after the exercise.Results After the 12-week exercise program,compared with the pre-exercise period,the VAS and RMDQ scores in the pilates and strength training groups were significantly decreased;the extensor peak torque(EPT)at 30°/s and 90°/s angular velocities in both groups and the flexor peak torque(FPT)at 90°/s angular velocities in the Pilates group were significantly increased,and the ratio of flexor/extensor(F/E)at 30°/s and 90°/s angular velocities in both groups were significantly decreased.In the eyes-open condition,only the anterior/posterior stability index(APSI)significantly decreased in the Pilates group.With eyes closed,the APSI,stability index(SI),and medial/lateral stability index(MLSI)significantly decreased in the pilates group,and only the APSI significantly decreased in the strength training group.After 12-week exercise,compared with strength training group,the VAS scores and F/E at 30°/s and 90°/s angular velocities decreased significantly in the pilates group,and EPT at 30°/s and 90°/s angular velocities increased significantly.In the eyes-closed condition,the SI,APSI,and MLSI in the pilates group were significantly lower than those in strength training group.Conclusions Compared with strength training,pilates exercise can significantly increase and balance the trunk flexion/extension muscle strength of female college students

关 键 词：普拉提 躯干力量训练 慢性非特异性腰痛 女大学生 腰痛评分 躯干肌力 动态平衡 

分 类 号：R318.01[医药卫生—生物医学工程]