文章摘要
高晓哲,夏美玲,吴晓萍,等.通督扶阳推拿联合核心肌群训练对腰椎间盘突出症的临床效果[J].安徽医药,2024,28(6):1144-1147.
通督扶阳推拿联合核心肌群训练对腰椎间盘突出症的临床效果
Clinical effect of Tongdu Fuyang massage combined with core muscle group training on lumbar disc herniation
  
DOI:10.3969/j.issn.1009-6469.2024.06.018
中文关键词: 椎间盘移位  通督扶阳推拿  核心肌群训练  腰椎  疼痛  腰背伸肌群力学性能
英文关键词: Intervertebral disc displacement  Tongdu Fuyang massage  Core muscle training  Lumbar vertebrae  Pain  Me chanical properties of lumbar extensor muscles
基金项目:
作者单位
高晓哲 中国人民解放军联勤保障部队第九一〇医院中医康复科福建泉州 362000 
夏美玲 中国人民解放军联勤保障部队第九一〇医院中医康复科福建泉州 362000 
吴晓萍 中国人民解放军联勤保障部队第九一〇医院中医康复科福建泉州 362000 
向盼 中国人民解放军联勤保障部队第九一〇医院中医康复科福建泉州 362000 
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中文摘要:
      目的研究通督扶阳推拿联合核心肌群训练对腰椎间盘突出症( LDH)的临床效果。方法根据随机数字表法将 2020年 8月至 2022年 9月中国人民解放军联勤保障部队第九一〇医院接收的腰椎间盘突出病人( 150例)分为对照组( 75例,常规基础治疗)和联合组( 75例,常规基础治疗 +通督扶阳推拿和核心肌群训练)。对两组治疗前后生活功能障碍、疼痛程度以及腰背伸肌群力学性能进行比较。结果联合组的总有效率( 94.67%比 80.00%)高于对照组( P<0.05)。治疗后,联合组病人日本整形外科学会( JOA)评分[(22.98±3.77)分比( 18.98±3.56)分]、平均功率[( 44.03±11.09)W比( 38.98±10.79)W]、腰背伸状态下峰力矩[(88.65±15.42)Nm比( 79.99±15.66)Nm]明显高于对照组, VAS评分[( 1.78±0.56)分比( 2.39±0.67)分]、腰背屈伸比[( 69.53±9.15)%比( 74.42±9.52)%]明显低于对照组( P<0.05)。结论通督扶阳推拿与核心肌群训练联合治疗 LDH病人的效果较好,可减轻病人疼痛,改善病人腰背伸肌群力学性能,减少其生活功能障碍。
英文摘要:
      Objective To investigate the clinical effect of Tongdu Fuyang massage combined with core muscle group training on lum bar disc herniation (LDH).Methods According to the random number table method, 150 patients with lumbar disc herniation admitted to the 910th Hospital of the Chinese People's Liberation Army Joint Logistics Support Force from August 2020 to September 2022were divided into a control group (75 cases, conventional basic treatment) and a combination group (75 cases, conventional basic treatment+Tongdu Fuyang massage and core muscle group training). The functional impairments, pain levels, and mechanical properties ofthe lumbar and dorsal extensor muscles between two groups before and after treatment were compared.Results The total effective rate of the combination group (94.67% vs. 80.00%) was higher than that of the control group (P<0.05). After treatment, the JOA score [(22.98±3.77) points vs. (18.98±3.56) points], average power [(44.03±11.09) W vs. (38.98±10.79) W], and peak torque in the lumbar and dorsal extension state [(88.65±15.42) Nm vs. (79.99±15.66) Nm] of patients in the combination group were significantly higher thanthose in the control group. The VAS score [(1.78±0.56) points vs. (2.39±0.67) points] and lumbar and dorsal flexion to extension ratio [(69.53±9.15)% vs. (74.42±9.52)%] were significantly lower than those in the control group (P<0.05).Conclusion The combination of Tongdu Fuyang massage and core muscle group training has a good effect on the treatment of LDH patients, which can reduce pain, improve the mechanical properties of the lower back extensor muscle group, and reduce their life dysfunction.
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