| 陆斌,赵晨光,孙玮,等.肌内效贴联合深部肌肉刺激对战士非特异性下腰痛的疗效研究[J].安徽医药,2021,25(10):1981-1984. |
| 肌内效贴联合深部肌肉刺激对战士非特异性下腰痛的疗效研究 |
| Effects of kinesio taping combined with deep muscle stimulation on nonspecific low back pain in soldiers |
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| DOI：10.3969/j.issn.1009-6469.2021.10.017 |
| 中文关键词: 腰痛 物理治疗方法 肌内效贴 深部肌肉刺激 磁场疗法 |
| 英文关键词: Low back pain Physical therapy modalities Kinesio taping Deep muscle stimulation Magnetic field therapy |
| 基金项目:国家国际科技合作专项(2013DFA32610)；创新工程专项(16CXZ022) |
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| 中文摘要: |
| 目的观察应用肌内效贴合并深部肌肉刺激( DMS)对战士非特异性下腰痛的临床治疗效果。方法选取 2017年 7月至 2018年 12月在中国人民武装警察部队陕西省总队医院及第四军医大学第一附属医院就诊的非特异性下腰痛战士，共 85例纳入本研究。应用随机数字表法，将纳入病人随机分到对照组( 42例)和观察组( 43例)对照组病人给予干扰电及磁振热治疗，观察组病人除了基础治疗外再给予肌内效贴及 DMS治疗。肌内效帖治疗使用 2条I形，贴布，拉长至 115%贴于脊柱两侧，然后再使用 1条I形贴布拉长至 150%横向贴于胸腰段，隔日1次，每次持续 48 h。DMS治疗对竖脊肌、腰方肌、梨状肌等肌肉进行治疗，采用 36.5 Hz振动频率， 5 cm/s移动速度，每次 10 min。除肌内效帖治疗外均为 1次/天， 6天/周，共治疗 2周。分别在治疗前、治疗 1周及治疗 2周结束时采用视觉模拟评分( VAS)及功能障碍调查量表评分( RMDQ)评价疗效。结果对照组在治疗 2周后 VAS及 RMDQ评分均明显好于治疗前评分［(4.93±0.93)比( 3.87±0.87)，(7.23±1.91)比(4.48±1.25)，(P<0.05)］；观察组在治疗 1周后和 2周后评分均明显好于治疗前评分［VAS(3.88±0.79)、(3.02±0.82)比( 5.15±1.07)； RMDQ(4.84±1.78)、(3.24±1.06)比( 7.35±1.85)］、且均优于对照组评分［VAS(4.93±0.93)、(4.53±0.85)比( 3.87±0.87)； RMDQ(7.23±1.91)、(5.88±1.67)比(4.48±1.25)］(P<0.05)。结论肌内效贴联合深部肌肉刺激可显著增强常规物理因子缓解非特异性下腰痛的疗效。 |
| 英文摘要: |
| Objective To investigate the clinical effects of kinesio taping combined with deep muscle stimulation (DMS) in the treatment of nonspecific low back pain in soldiers.Methods A total of 85 patients with nonspecific low back pain treated in Shaanxi GeneralHospital of the Chinese People's Armed Police Force and The First Affiliated Hospital of The Fourth Military Medical University from July2017 to December 2018 were selected for this clinical trial. Patients were randomly assigned into control group (42 cases) and observationgroup (43 cases). The control group was treated with interference electrotherapy and magnetic vibration heat, while the study group wastreated with kinesio taping and DMS on the basis of the control group. In kinesio taping treatment, 2 I-shaped strips were stretched to 115% and pasted on both sides of the spine, and then 1 I-shaped strip were stretched to 150% and pasted on thoracolumbar area. The treatmentwas carried out every two days, and lasted for 48 hours. DMS treatment was acted on erector spinae, quadratus lumborum and piriformis using 36.5 Hz frequency vibration, 5 cm/s moving speed, 10 min/time. Except for kinesio taping treatment, the treatment time was once a day,6 days a week for total two weeks. Visual analogue scale (VAS) and Roland morris disability questionnaire (RMDQ) were used to evaluatethe efficacy before treatment, 1 week and 2 weeks after treatment.Results The VAS and RMDQ score in control group after 2 weeks of treatmentweresignificantlybetterthanbefore treatment [(4.93±0.93) vs. (3.87±0.87),(7.23±1.91) vs. (4.48±1.25), P<0.05];the scorein observation group after 1 week and 2 weeks of treatment was significantly better than before treatment [VAS (3.88±0.79), (3.02±0.82) vs. (5.15±1.07); RMDQ (4.84±1.78), (3.24±1.06) vs. (7.35±1.85), P<0.05] and also better than that in control group [VAS (4.93±0.93), (4.53± 0.85) vs. (3.87±0.87); RMDQ [(7.23±1.91), (5.88±1.67) vs. (4.48±1.25), P<0.05].Conclusion Kinesio taping treatment combined with DMS treatmentcan significantlyenhance thee ffect ofconventionalphysicaltherapyonreliefofnonspecificlow back pain. |
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