[1]宁兴明,伍亮,王廷,等.五禽戏配合核心肌力训练治疗非特异性腰痛的临床研究[J].中医正骨,2015,27(11):25-28.
　NING Xingming,WU Liang,WANG Ting,et al.Clinical study on five mimic-animal boxing combined with core muscular strength exercise for the treatment of nonspecific low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):25-28.
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五禽戏配合核心肌力训练治疗非特异性腰痛的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年11期
页码:
25-28
栏目:
临床研究
出版日期:
2015-11-30

文章信息/Info

Title:
Clinical study on five mimic-animal boxing combined with core muscular strength exercise for the treatment of nonspecific low back pain
作者:
宁兴明1; 伍亮2; 王廷2; 何栩1; 虞亚明1
1.四川省骨科医院,四川 成都 610041;
2.成都中医药大学,四川 成都 610075
Author(s):
NING Xingming1; WU Liang2; WANG Ting2; HE Xu1; YU Yaming1
1.Sichuan Orthopaedic Hospital,Chengdu 610041,Sichuan,China
2.Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan,China
关键词:
腰痛;  运动疗法;  五禽戏;  核心肌群;  治疗; 临床研究性
Keywords:
low back pain;  exercise therapy;  five mimic-animal boxing;  core muscle group;  therapies; investigational
摘要:
目的:观察五禽戏配合核心肌力训练治疗非特异性腰痛(nonspecific low back pain,NLBP)的临床疗效。方法:将符合要求的80例NLBP患者随机分为核心肌群组(26例)、五禽戏组(26例)和联合治疗组(28例)。核心肌群组进行核心肌力训练,五禽戏组练习五禽戏,联合治疗组同时进行核心肌力训练和五禽戏练习。核心肌力训练和五禽戏练习均由专业治疗师进行指导,共锻炼3个月。比较3组治疗前及治疗3个月后的腰痛视觉模拟量表(visual analogoue scale,VAS)评分、Oswestry功能障碍指数(Oswestry disability index,ODI)、脊柱屈伸活动度及腹背肌耐力,同时观察治疗结束后3个月内的腰痛复发率。结果:治疗前3组患者的腰痛VAS评分、ODI、脊柱屈伸活动度、腹肌耐力、背肌耐力比较,组间差异均无统计学意义[(5.78±1.42)分,(5.80±1.44)分,(5.75±1.30)分,F=0.773,P=0.444;(24.06±7.98)%,(23.55±7.73)%,(24.28±8.16)%,F=0.659,P=0.374;(1.67±1.25)cm,(1.60±1.07)cm,(1.71±1.14)cm,F=0.773,P=0.293;(27.10±10.46)s,(27.28±9.34)s,(26.59±10.23)s,F=0.541,P=0.592;(34.99±10.69)s,(36.08±11.44)s,(34.74±10.35)s,F=0.552,P=0.584]; 治疗3个月后3组患者的腰痛VAS评分、ODI、脊柱屈伸活动度、腹肌耐力、背肌耐力比较,组间差异均有统计学意义[(2.39±1.16)分,(1.99±1.27)分,(1.28±1.13)分,F=11.728,P=0.003;(11.42±5.10)%,(10.02±5.26)%,(7.25±4.37)%,F=12.028,P=0.002;(3.63±1.53)cm,(3.86±1.39)cm,(4.18±1.43)cm,F=7.631,P=0.007;(42.65±13.86)s,(48.85±12.59)s,(53.79±16.81)s,F=17.645,P=0.000;(49.21±16.48)s,(52.82±16.70)s,(58.10±16.98)s,F=5.496,P=0.017]。治疗3个月后,联合治疗组的腰痛VAS评分和ODI均低于核心肌群组和五禽戏组(P=0.000,P=0.004; P=0.000,P=0.003),五禽戏组均低于核心肌群组(P=0.027; P=0.035); 联合治疗组的脊柱屈伸活动度、腹肌耐力及背肌耐力均大于核心肌群组和五禽戏组(P=0.004,P=0.008; P=0.000,P=0.004; P=0.000,P=0.032),五禽戏组均大于核心肌群组(P=0.042; P=0.003; P=0.041)。治疗结束后3个月内,核心肌群组5例复发、五禽戏组4例复发、联合治疗组2例复发,3组患者的腰痛复发率比较,差异无统计学意义(χ2=1.800,P=1.433)。结论:五禽戏配合核心肌力训练可有效缓解NLBP患者的腰痛症状、增强腹背肌耐力、恢复脊柱活动度,从而改善腰部功能,而且复发率较低,值得临床推广应用。
Abstract:
Objective:To observe the curative effect of five mimic-animal boxing combined with core muscular strength exercise on nonspecific low back pain(NLBP).Methods:Eighty patients with NLBP enrolled in the study were randomly divided into core muscle group(26 cases),five mimic-animal boxing group(26 cases)and combination therapy group(28 cases).The patients were treated with core muscular strength exercise(core muscle group),five mimic-animal boxing(five mimic-animal boxing group)and core muscular strength exercise combined with five mimic-animal boxing practice(combination therapy group).The core muscular strength exercise and five mimic-animal boxing were performed with guidance from professional therapists for totally 3 months.The low back pain visual analogoue scale(VAS)scores,Oswestry disability index(ODI),spinal flexion-extension range and dorsal abdominal muscle endurance were compared between the 3 groups before treatment and after 3-month treatment respectively,and the recurrence rate of NLBP were also observed after 3-month treatment.Results:There was no statistical difference in low back pain VAS score,ODI,spinal flexion-extension range,abdominal muscle endurance and dorsal muscle endurance between the 3 groups before the treatment(5.78+/-1.42,5.80+/-1.44,5.75+/-1.30 points,F=0.773,P=0.444; 24.06+/-7.98%,23.55+/-7.73%,24.28+/-8.16%,F=0.659,P=0.374;1.67+/-1.25,1.60+/-1.07,1.71+/-1.14 cm,F=0.773,P=0.293; 27.10+/-10.46,27.28+/-9.34,26.59+/-10.23 sec,F=0.541,P=0.592; 34.99+/-10.69,36.08+/-11.44,34.74+/-10.35 sec,F=0.552,P=0.584).There was statistical difference in low back pain VAS score,ODI,spine flexion-extension range,abdominal muscle endurance and dorsal muscle endurance between the 3 groups after 3-month treatment(2.39+/-1.16,1.99+/-1.27,1.28+/-1.13 points,F=11.728,P=0.003; 11.42+/-5.10%,10.02+/-5.26%,7.25+/-4.37%,F=12.028,P=0.002,3.63+/-1.53,3.86+/-1.39,4.18+/-1.43 cm,F=7.631,P=0.007; 42.65+/-13.86,48.85+/-12.59,53.79+/-16.81 sec,F=17.645,P=0.000; 49.21+/-16.48,52.82+/-16.70,58.10+/-16.98 sec,F=5.496,P=0.017).After 3-week treatment,the low back pain VAS scores and ODI were lower in combination therapy group compared to core muscle group and five mimic-animal boxing group(P=0.000,P=0.004; P=0.000,P=0.003)and were lower in five mimic-animal boxing group compared to core muscle group(P=0.027; P=0.035).The spinal flexion-extension range,abdominal muscle endurance and dorsal muscle endurance were greater in combination therapy group compared to core muscle group and five mimic-animal boxing group(P=0.004,P=0.008; P=0.000,P=0.004; P=0.000,P=0.032),and were greater in five mimic-animal boxing group compared to core muscle group(P=0.042; P=0.003; P=0.041).Recrudescent NLBP were found in core muscle group(5),five mimic-animal boxing group(4)and combination therapy group(2)within 3 months after the end of the treatment,and there was no statistical difference in the recurrence rate of NLBP between the 3 groups(χ2=1.800,P=1.433).Conclusion:The combination therapy of five mimic-animal boxing and core muscular strength exercise can effectively relief the low back pain and enhance the dorsal abdominal muscle endurance and recover the spinal flexion-extension range with low recurrence rate.Therefore,it can improve the lower back function in patients with NLBP and it is worthy of popularizing in clinic.

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备注/Memo

备注/Memo:
2015-08-30收稿 2015-09-21修回
基金项目:四川省骨科医院科研发展基金支持项目(2013-14)
通讯作者:何栩 E-mail:307349895@qq.com
更新日期/Last Update: 2015-11-30