筋膜手法联合核心肌群训练干预慢性下腰痛患者的临床疗效观察  

Clinical Effect of Fascia Manipulation Combined with Core Muscle Group Training on Patients with Chronic Low Back Pain

作　　者：李军[1] LI Jun(Department of Rehabilitation,Yangzhou Friendship Hospital,Yangzhou 225261,China)

机构地区：[1]扬州友好医院康复科,江苏扬州225261

出　　处：《反射疗法与康复医学》2025年第1期96-99,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨筋膜手法联合核心肌群训练干预慢性下腰痛患者的疗效。方法选择2021年10月—2023年12月扬州友好医院收治的50例慢性下腰痛患者为研究对象,按随机数字表法将其分为对照组和研究组,各25例。对照组采用核心肌群训练干预,研究组在对照组基础上联合筋膜手法干预,两组均持续干预6周。比较两组的临床疗效、疼痛程度、腰部功能、生活质量。结果研究组治疗总有效率为96.00%,高于对照组的68.00%,差异有统计学意义(P<0.05)。干预后,研究组疼痛视觉模拟评分、Oswestry功能障碍指数、改良日本骨科协会腰痛量表评分均低于对照组,组间差异有统计学意义(P<0.05);研究组健康调查简表中生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和精神健康评分均高于对照组,组间差异有统计学意义(P<0.05)。结论筋膜手法联合核心肌群训练干预慢性下腰痛患者可提高临床疗效,减轻疼痛程度,促进腰部功能恢复,从而改善生活质量。Objective To investigate the effect of fascia manipulation combined with core muscle group training on chronic low back pain.Methods Fifty patients with chronic low back pain admitted to Yangzhou Friendship Hospital from October 2021 to December 2023 were selected as the research objects,and were divided into a control group and a research group according to random number table method,with 25 cases in each group.The control group received core muscle group training intervention,and the research group combined fascia manipulation intervention on the basis of the control group,both groups continued to intervene for 6 weeks.The clinical efficacy,pain degree,lumbar function and quality of life of the two groups were compared.Results The total effective rate of the research group was 96.00%,which was higher than 68.00%of the control group,and the difference was statistically significant(P<0.05).After the intervention,the pain Visual Analogue Score,Oswestry Disability Index and Modified Japanese Orthopaedic Association Scale scores of the research group were lower than those of the control group,the differences between the groups were statistical significance(P<0.05);the scores of physiological function,physiological function,physical pain,general health,vitality,social function,emotional function and mental health of 36-item Short-Form Health Surveyin in the research group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The intervention of fascia manipulation combined with core muscle group training in chronic low back pain patients can improve the clinical effect,reduce the degree of pain,promote the recovery of lumbar function,and thus improve the quality of life.

关 键 词：慢性下腰痛 筋膜手法 核心肌群训练 临床疗效 

分 类 号：R681.5[医药卫生—骨科学]