[1]李展新,刘建航,李锦威,等.韦氏脊柱整治手法结合核心肌群训练治疗非职业高尔夫运动者非特异性腰痛[J].中医正骨,2018,30(04):13-18.
　LI Zhanxin,LIU Jianhang,LI Jinwei,et al.Wei's spinal remediation manipulation combined with core muscle training for treatment of nonspecific low back pain in non-professional golfers[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(04):13-18.
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韦氏脊柱整治手法结合核心肌群训练治疗非职业高尔夫运动者非特异性腰痛()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年04期
页码:
13-18
栏目:
腰椎疾患
出版日期:
2018-04-20

文章信息/Info

Title:
Wei's spinal remediation manipulation combined with core muscle training for treatment of nonspecific low back pain in non-professional golfers
作者:
李展新1; 刘建航2; 李锦威3; 徐志为2; 谢桂鑫2; 余绍涌2; 韦贵康2
1.惠阳正骨医院,广东 惠州 516200; 2.广西中医药大学附属瑞康医院,广西 南宁 530011; 3.广西中医药大学,广西 南宁 530001
Author(s):
LI Zhanxin1; LIU Jianhang2; LI Jinwei3; XU Zhiwei2; XIE Guixin2; YU Shaoyong2; WEI Guikang2
1.Huiyang Orthopedic-Traumatological Hospital,Huizhou 516200,Guangdong,China 2.Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine,Nanning 530011,Guangxi,China 3.Guangxi University of Traditional Chinese Medicine,Nanning 530001,Guangxi,China
关键词:
腰痛;  推拿; 脊柱;  场效应;  核心肌群训练;  高尔夫球;  临床试验
Keywords:
Keywords low back pain;  manipulation; spinal;  field effect;  core muscle training;  golf;  clinical trial
摘要:
目的:观察韦氏脊柱整治手法结合核心肌群训练治疗非职业高尔夫运动者非特异性腰痛的临床疗效。方法:将66例患有非特异性腰痛的非职业高尔夫运动者随机分为推拿综合组、手法综合组和强化训练组,每组22例。推拿综合组采用推拿手法联合场效应治疗,手法综合组采用韦氏脊柱整治手法联合场效应治疗,强化训练组采用韦氏脊柱整治手法联合场效应治疗和核心肌群训练; 每周治疗3次,10次为1个疗程,共3个疗程。分别于治疗前、治疗结束后1个月和3个月记录并比较3组患者改良Oswestry功能障碍指数(Oswestry disability index,ODI),并于治疗结束后6个月采用自拟标准评价3组患者运动能力恢复情况。结果:①改良ODI。时间因素和分组因素存在交互效应(F=7.803,P=0.000); 3组患者改良ODI比较,组间差异有统计学意义,即存在分组效应(F=22.786,P=0.000); 治疗前后不同时间点之间改良ODI的差异有统计学意义,即存在时间效应(F=399.125,P=0.000); 3组患者改良ODI随时间均呈降低趋势,但3组的降低趋势不完全一致[(69.39±7.35)%,(32.72±14.58)%,(19.80±11.43)%,F=191.759,P=0.000;(69.09±10.87)%,(44.34±11.93)%,(29.80±7.87)%,F=84.015,P=0.000;(73.13±10.73)%,(55.96±6.91)%,(37.58±6.36)%,F=187.706,P=0.000]; 治疗前3组患者改良ODI比较,差异无统计学意义(F=1.041,P=0.359); 治疗结束后1个月,3组患者改良ODI比较,差异有统计学意义(F=22.114,P=0.000); 强化训练组改良ODI低于手法综合组和推拿综合组(P=0.001,P=0.000),手法综合组改良ODI低于推拿综合组(P=0.001); 治疗结束后3个月,3组患者改良ODI比较,差异有统计学意义(F=22.495,P=0.000); 强化训练组改良ODI低于手法综合组和推拿综合组(P=0.000,P=0.000),手法综合组改良ODI低于推拿综合组(P=0.005)。②运动能力恢复效果。治疗结束后6个月,强化训练组优4例、良8例、可8例、差2例,手法综合组优1例、良4例、可6例、差11例,推拿综合组良2例、可2例、差18例; 强化训练组运动恢复效果优于手法综合组和推拿综合组(R^-强化训练组=19.73,R^-手法综合组=35.41,R^-推拿综合组=45.36,χ2=20.497,P=0.000)。结论:采用韦氏脊柱整治手法联合场效应治疗和核心肌群训练、韦氏脊柱整治手法联合场效应治疗、推拿手法联合场效应治疗,均能缓解非职业高尔夫运动者的非特异性腰痛,改善腰椎功能,提高运动能力,但前者的疗效优于后两者。
Abstract:
ABSTRACT Objective:To observe the clinical curative effects of Wei's spinal remediation manipulation combined with core muscle training for treatment of nonspecific low back pain(NLBP)in non-professional golfers.Methods:Sixty-six non-professional golfers with NLBP were randomly divided into TUINA comprehensive group,manipulation comprehensive group and intensive training group,22 cases in each group.The patients in TUINA comprehensive group and manipulation comprehensive group were treated with TUINA manipulation combined with field effect therapy and Wei's spinal remediation manipulation combined with field effect therapy respectively,and the patients in intensive training group were treated with Wei's spinal remediation manipulation combined with field effect therapy and core muscle training,three times a week for consecutive 3 courses of treatment,ten times for each course.The improved Oswestry disability index(ODI)were recorded and compared between the 3 groups before treatment and at 1 and 3 months after the end of the treatment respectively,and the athletic ability recovery was also evaluated by using self-made evaluation standard at 6 months after the end of the treatment.Results:There was interaction between time factor and group factor in improved ODI(F=7.803,P=0.000).There was statistical difference in improved ODI between the 3 groups,in other words,there was group effect(F=22.786,P=0.000).There was statistical difference in improved ODI between different timepoints before and after the treatment,in other words,there was time effect(F=399.125,P=0.000).The improved ODI presented a time-dependent decreasing trend in the 3 groups,while the 3 groups were inconsistent with each other in the decreasing trend of improved ODI(69.39+/-7.35,32.72+/-14.58,19.80+/-11.43%,F=191.759,P=0.000; 69.09+/-10.87,44.34+/-11.93,29.80+/-7.87%,F=84.015,P=0.000; 73.13+/-10.73,55.96+/-6.91,37.58+/-6.36%,F=187.706,P=0.000).There was no statistical difference in improved ODI between the 3 groups before the treatment(F=1.041,P=0.359).There was statistical difference in improved ODI between the 3 groups at 1 month after the end of the treatment(F=22.114,P=0.000).The improved ODI was lower in intensive training group compared to manipulation comprehensive group and TUINA comprehensive group(P=0.001,P=0.000),and was lower in manipulation comprehensive group compared to TUINA comprehensive group(P=0.001).There was statistical difference in improved ODI between the 3 groups at 3 months after the end of the treatment(F=22.495,P=0.000).The improved ODI was lower in intensive training group compared to manipulation comprehensive group and TUINA comprehensive group(P=0.000,P=0.000),and was lower in manipulation comprehensive group compared to TUINA comprehensive group(P=0.005).At 6 months after the end of the treatment,4 patients obtained an excellent result of athletic ability recovery,8 good,8 fair and 2 poor in intensive training group; 1 patient obtained an excellent result of athletic ability recovery,4 good,6 fair and 11 poor in manipulation comprehensive group; and 2 patients obtained a good result of athletic ability recovery,2 fair and 18 poor in TUINA comprehensive group.The intensive training group surpassed the manipulation comprehensive group and the TUINA comprehensive group in the result of athletic ability recovery(R^-intensive training group=19.73,R^-manipulation comprehensive group=35.41,R^-TUINA comprehensive group=45.36,χ2=20.497,P=0.000).Conclusion:The combination therapy of Wei's spinal remediation manipulation and field effect therapy and core muscle training,the combination therapy of Wei's spinal remediation manipulation and field effect therapy and the combination therapy of TUINA manipulation and field effect therapy can relieve the NLBP of non-professional golfers,and can improve their lumbar function and promote the athletic ability.However,the curative effect of the former is better than that of the latter two.

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通讯作者:刘建航 E-mail:liujianhang@163.com
更新日期/Last Update: 2018-08-24