[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.

参考文献/References:

[1] Deyo RA,Weinstein JN.Low back pain[J].N Eng J Med,2001,344(5):363-370.
[2] Panjabi MM.The stabilizing system of the spine.Part II.Neutral zone and instability hypothesis[J].J Spinal Disord,1992,5(4):390-396.
[3] Macdonald DA,Moseley GL,Hodges PW.The lumbar multifidus:Does the evidence support clinical beliefs?[J].Man Ther,2006,11(4):254-263.
[4] 王敏,江勇,王敏华.浅谈五禽戏在康复临床中的应用[J].按摩与导引,2008,24(2):42-43.
[5] Hayden JA,Van Tulder MW,Tomlinson G.Systematic review:strategies for using exercise therapy to improve outcomes in chronic low back pain[J].Ann Intern Med,2005,142(9):776-785.
[6] 国家体育总局健身气功管理中心.健身气功·五禽戏[M].北京:人民体育出版社,2003:1-105.
[7] 刘臻,邱勇.Oswestry功能障碍指数在腰痛患者中的国际化应用现状[J].中国脊柱脊髓杂志,2008,18(7):550-553.
[8] 陈小珍,唐萌芽,倪慧英,等.综合疗法治疗盘源性腰痛的临床疗效观察[J].中医正骨,2014,26(5):46-48.
[9] 张国辉,张宏,高明丽,等.腰腹肌协同训练治疗腰部运动损伤的临床疗效研究[J].辽宁中医杂志,2014,41(12):2665-2666.
[10] 汤伟忠,郑军,殷磊,等.腰腹肌锻炼结合理筋手法治疗下腰痛运动员腰椎失稳的临床疗效观察[J].中国运动医学杂志,2012,31(5):448-450.
[11] 卢军,陈燕芬,林昌松,等.强柱方辅助治疗强直性脊柱炎的临床疗效观察[J].广州中医药大学学报,2015,32(4):666-670.
[12] Takahashi N,Kikuchi S,Konno S,et al.Discrepancy between disability and the severity of low back pain:demographic, psychologic,and employment-related factors[J].Spine(Phila Pa 1976),2006,31(8):931-939.
[13] 黄坤.核心力量训练对慢性下腰痛患者康复效果的影响[D].成都:成都体育学院,2014.
[14] Omkar SN,Vishwas S,Tech B.Yoga techniques as a means of core stability training[J].J Bodyw Mov Ther,2009,13(1):98-103.
[15] 李小金,韩秀兰,成守珍.下肢生物力学矫正联合脊柱区核心肌群训练治疗慢性非特异性下腰痛[J].中国骨科临床与基础研究杂志,2014,6(4):233-237.
[16] 曾勇,邹佳华,邓光锐,等.核心肌群训练对慢性非特异性下腰痛的疗效观察[J].中国实用医药,2013,8(10):252-253.
[17] 孟凡萍,钱雪华,唐占英.运动员慢性下腰痛发病机制和康复治疗研究进展[J].中国中医骨伤科杂志,2010,18(11):68-70.
[18] 茹文亚.运动疗法配合中药治疗慢性下腰痛临床研究[J].辽宁中医杂志,2013,40(9):1837-1838.
[19] 张斌,郭友平,程春松.五禽戏对人体机能和疾病的干预研究概述[J].湖北经济学院学报(人文社会科学版),2013,10(4):41-42.

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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