[1]王艳杰,孙育良,何本祥.核心稳定性训练治疗慢性非特异性腰痛疗效观察[J].西部中医药,2018,31(05):93-96.
　WANG Yanjie,SUN Yuliang,HE Benxiang.Observation on Core Stability Training in Treating Chronic Nonspecific Low Back Pain[J].Western Journal of Traditional Chinese Medicine,2018,31(05):93-96.
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核心稳定性训练治疗慢性非特异性腰痛疗效观察()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年05期
页码:
93-96
栏目:
出版日期:
2018-05-15

文章信息/Info

Title:
Observation on Core Stability Training in Treating Chronic Nonspecific Low Back Pain
文章编号:
1004-6852(2018)05-0093-04
作者:
王艳杰1，孙育良2，何本祥3
1 四川省骨科医院颈肩腰腿痛1科，四川 成都 610041； 2 成都体育学院； 3 成都体育学院附属体育医院
Author(s):
WANG Yanjie1, SUN Yuliang2, HE Benxiang3
1 The First Department of Neck, Shoulder, Waist and Leg Pain, Sichuan Provincial Orthopedic Hospital, Chengdu 610041, China; 2 Chengdu Sport Institute; 3 Chengdu Sports Hospital
关键词:
非特异性腰痛; 慢性腰痛; 核心稳定性训练
Keywords:
nonspecific low back pain;  chronic lumbago;  core stability training
分类号:
R243
文献标志码:
B
摘要:
目的：观察核心稳定性训练治疗慢性非特异性腰痛的疗效，并建立治疗慢性非特异性腰痛的运动处方。方法：将慢性非特异性腰痛患者60例随机分为核心稳定性训练组(治疗组)和传统腰部康复训练组(对照组)各30例，连续治疗8周。治疗前及治疗后4周、8周分别采用疼痛视觉模拟评分(VAS)评估疼痛程度、Oswestry功能障碍指数(ODI)评估腰部功能和测定腰部背伸肌力量，并比较2组临床疗效。结果：治疗4、8周后治疗组VAS评分较对照组低，差异有统计学意义(P＜0.05)；治疗8周后治疗组ODI评分较对照组低，差异有统计学意义(P＜0.05)；治疗组腰部背伸肌力较对照组高，差异有统计学意义(P＜0.05)。组内比较，2组治疗4、8周后VAS评分、ODI评分和腰部背伸肌力均较治疗前明显改善，差异有统计学意义(P＜0.01)。结论：核心稳定性训练和传统腰部康复训练均能缓解慢性非特异性腰痛患者疼痛，改善腰背部功能，增强腰椎稳定性，但核心稳定性训练疗效优于传统腰部康复训练。
Abstract:
Objective: To observe the curative effects of core stability training in the treatment for chronicnonspecific low back pain(CNLBP), and establish the sport prescription for the disease. Methods: Sixty patients with CNLBP were divided into the core stability training group (the treatment group) and traditional lumbar rehabilitation training group (the control group), 30 cases each group, they both were treated continuously for eight weeks. Thedegrees of pain were assessed by using visual analogue scale (VAS), waist function and lumbar back extensor forces were measured by Oswestry disability index (ODI), and clinical effects were compared between both groups. Results: VAS scores of the treatment group were lower than these of the control group in the four weeks and eight weeks after treating, and the difference had statistical meaning (P＜0.05); ODI scales of the treatment group were lower than these of the control group, and the difference had statistical meaning (P＜0.05); lumbar back extensor forces of the waist in the treatment group were higher than these of the control group, and the difference showedstatistical meaning (P＜0.05). Comparisons within two groups, VAS scores, ODI scores and lumbar back extensor forces of the waist in four and eight weeks after treating improved compared with before treating, and the difference had statistical meaning (P＜0.01). Conclusion: Core stability training and trational lumbar recovery training in treating CNLBP could mitigate pain, improve lumbar and back functions and enhance lumbar stability, while clinical effects of core stability training are superior to these of traditional lumbar recovery training.

备注/Memo

备注/Memo:
收稿日期：2017-02-17 *基金项目：国家科技支撑计划项目(编号2012BAK21B01)。 作者简介：王艳杰(1983—)，男，硕士学位，主治医师。研究方向：骨科疾病的中西医结合防治。
更新日期/Last Update: 2018-05-15