腰腹部核心肌群训练结合深层肌肉刺激仪治疗慢性非特异性下腰痛的临床研究  

Clinical Study of Lumbar and Abdominal Core Muscle Group Training Combined with Deep Muscle Stimulator in the Treatment of Chronic Non-specific Low Back Pain

作　　者：吕亚希 庞争争 高春华 LV Yari;PANG Zhengzheng;GAO Chunhua(Department of Acupuncture and Moribustion,Wuhan NO.1 Hospital,Wuhan Hubei 430030,China)

机构地区：[1]武汉市第一医院针灸科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院康复医学科

出　　处：《联勤军事医学》2024年第9期758-761,共4页Military Medicine of Joint Logistics

基　　金：武汉市卫生和计划生育委员会科研项目(WZ16C09)。

摘　　要：目的探究腰腹部核心肌群训练结合深层肌肉刺激仪(deep muscle stimulator,DMS)治疗慢性非特异性下腰痛(chronic non-specific low back pain,CNLBP)的疗效。方法采用随机数字表法将70例符合纳入标准的CNLBP患者分为对照组(n=35)和观察组(n=35)。两组CNLBP患者均接受常规治疗与DMS治疗,观察组CNLBP患者在此基础上再进行腰腹部核心肌群训练,连续治疗4周。治疗前、后分别采用视觉模拟评分法(visual analogue score,VAS)、Oswestry功能障碍指数(Oswestry disability index,ODI)及指地间距(finger to floor distance,FFD)评定患者疼痛程度及腰部功能,并采用肌骨超声成像评定腰部多裂肌的横截面积。结果治疗后,两组患者VAS评分、ODI评分及FFD长度均明显低于治疗前,多裂肌横截面积明显大于治疗前,且观察组VAS评分、ODI评分及FFD长度均低于对照组,多裂肌横截面积大于对照组(P均<0.05)。结论腰腹部核心肌群训练结合DMS能有效缓解CNLBP患者疼痛,改善腰部功能,值得临床推广应用。Objective To explore the therapeutic effect of combining lumbar and abdominal core muscle training with deep muscle stimulator(DMS)in the treatment of chronic non-specific low back pain(CNLBP)patients.Methods A total of 70 CNLBP patients who met the inclusion criteria were divided into the control group(n=35)and the observation group(n=35)by random number table method.Both groups received routine treatment and DMS treatment,while the patients in observation group received further training on the core muscles of the waist and abdomen for 4 consecutive weeks.Before and after treatment,the visual analog score(VAS),Oswestry disability index(ODI),and finger to floor distance(FFD)were used to assess the patients′pain level and lumbar function,and muscle bone ultrasound imaging was also used to assess the cross-sectional area of the multifidus muscle in the lower back.Results After treatment,the VAS score,ODI score,and FFD length of patients of the two groups were significantly lower than that before treatment,and the observation group had lower VAS score,ODI score,and FFD length than the control group,and the cross-sectional area of the multifidus muscle in the observation group was larger than that in the control group(all P<0.05).Conclusion The combination of lumbar and abdominal core muscle training with DMS can effectively alleviate pain and improve lumbar function in CNLBP patients,which is worthy of clinical application.

关 键 词：慢性非特异性下腰痛 核心肌群训练 深层肌肉刺激 疗效 

分 类 号：R681.5[医药卫生—骨科学]