| 王艳文,李雯燕,武俊英.筋膜释放技术联合核心稳定训练治疗慢性非特异性腰痛的疗效观察[J].安徽医药,2023,27(2):302-306. |
| 筋膜释放技术联合核心稳定训练治疗慢性非特异性腰痛的疗效观察 |
| Effectiveness of myofascial release combined with core stabilization exercise on chronic nonspecific low back pain |
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| DOI：10.3969/j.issn.1009-6469.2023.02.020 |
| 中文关键词: 腰痛 慢性非特异性腰痛 筋膜释放技术 核心稳定训练 |
| 英文关键词: Low back pain Chronic nonspecific low back pain Myofascial release Core stabilization exercise |
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| 中文摘要: |
| 目的探究筋膜释放技术( MFR)联合核心稳定训练( CSE)治疗慢性非特异性腰痛( CNLBP)的临床疗效。方法选取 2020年 10月至 2021年 7月在山西医科大学第一医院治疗的 40例 CNLBP病人，采用随机数字表法分为观察组和对照组各 20例。两组病人均接受核心稳定训练，观察组在此基础上进行筋膜释放技术治疗，治疗时间为 2周。分别于治疗前、治疗 1周及治疗 2周后对两组病人进行疗效评估，评定方法包括 Schober试验、视觉模拟评分( VAS)、 Oswestry功能障碍指数( ODI)及恐惧 -回避信念问卷( FABQ)。结果治疗 1周后，观察组与对照组 Schober试验结果［( 3.73 ± 1.16)cm、(2.98 ± 1.14)cm］与治疗前［( 3.05 ± 1.27)cm、(2.48 ± 1.02)cm］比较均升高( P<0.001)，观察组与对照组的 VAS评分［( 2.90 ± 1.28)分、(4.25 ± 1.33)分］、 ODI评分［(12.00 ± 4.18)分、(16.45 ± 3.95)分］及 FABQ评分［(36.60 ± 11.16)分、(43.80 ± 12.66)分］与治疗前［(4.70 ± 1.13)分、 |
| 英文摘要: |
| Objective To investigate the clinical effect of myofascial release (MFR) combined with core stabilization exercise (CSE)in individuals with chronic nonspecific low back pain (CNLBP).Methods A total of forty participants with CNLBP from October 2020to July 2021 in the First Hospital of Shanxi Medical University were randomly assigned into the experimental group (n = 20) and the control group (n = 20). CSE was applied for the participants in the control group for two weeks, while myofascial release combined withcore stabilization exercise was performed for two weeks for the participants in the experimental group. Participants were assessed by theSchober test, the Visual Analogue Scale (VAS), Oswestry Disability Index (ODI) and the Fear-avoidance Beliefs Questionnaire (FABQ)at baseline, 1 week and 2 weeks after treatment, respectively.Results One week after treatment, the results of the Schober test in theexperimental group and the control group [(3.73±1.16) cm, (2.98 ± 1.14) cm] were higher than those before treatment [(3.05±1.27) cm,(2.48±1.02) cm] (P<0.001) and VAS scores (2.90±1.28), (4.25±1.33), ODI scores (12.00±4.18), (16.45±3.95) and FABQ scores (36.60±11.16), (43.80±12.66) were lower than those before treatment (4.70±1.13), (4.90±1.27), (19.20 ± 4.50), (19.70±3.60), (45.90±14.06),(45.70±12.54) (P<0.05). One week after treatment, the results of Schober test, VAS score and ODI score in the experimental group werebetter than those in the control group (P<0.05). After 2 weeks of treatment, the Schober test results of experimental group and controlgroup [(4.13±1.04) cm, (2.98±1.24) cm] were increased compared with those before treatment [(3.05±1.27) cm, (2.48±1.02) cm] (P< 0.001). VAS scores (1.45±1.22), (3.24±1.59), ODI scores (5.35±2.78), (12.90±4.19) and FABQ scores (29.95±9.93), (43.10±12.30)were lower than those before treatment (4.70±1.13), (4.90±1.27), (19.20±4.50), (19.70±3.60), (45.90±14.06), (45.70±12.54) (P<0.001), and all results of experimental group were better than those in the control group (P<0.05).Conclusion Both myofascial release and the CSE are effective for the treatment of patients with CNLBP, and the combination is better. |
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