| 黄聚财,王杰,康春梅.实时超声成像生物反馈脊柱稳定训练对慢性腰肌劳损病人的影响[J].安徽医药,2024,28(1):114-118. |
| 实时超声成像生物反馈脊柱稳定训练对慢性腰肌劳损病人的影响 |
| Effect of real-time ultrasound imaging biofeedback spinal stabilization training on patients with chronic lumbar muscle strain |
| |
| DOI：10.3969/j.issn.1009-6469.2024.01.024 |
| 中文关键词: 腰痛 多裂肌 超声检查 脊柱稳定训练 生物反馈 |
| 英文关键词: Low back pain Multifidi Ultrasonography Spinal stability training Biofeedback |
| 基金项目: |
|
| 摘要点击次数: 173 |
| 全文下载次数: 85 |
| 中文摘要: |
| 目的探讨实时超声成像( RUSI)生物反馈脊柱稳定训练对慢性腰肌劳损( chronic lumbar muscle strain，CLMS)病人的影响。方法选择 2019年 1月至 2020年 6月在中国人民解放军联勤保障部队第九一〇医院就诊的 74例 CLMS病人作为研究对象，采用随机数字表法将病人分为对照组和观察组各 37例。观察组给予 RUSI生物反馈脊柱稳定训练，对照组给予脊柱稳定训练。于治疗前后观察病人多裂肌厚度［静息时( T0)、收缩 10 s(T1)、收缩 20 s(T2)、收缩 30 s(T3)］、疼痛视觉模拟评分(VAS)、功能障碍指数( ODI)和生活质量( SF-12 MCS和 SF-12PCS)。结果干预后两组病人 T1、T2、T3时的多裂肌厚度均高于干预前( P<0.05)且干预后观察组 T1［( 27.93±2.60)比( 25.35±2.14)mm］、 T2［( 27.11±2.13)比( 24.89±1.89)mm］、 T3［( 24.36±2.86)比( 26.85±2)mm］时的多裂肌厚度高于对照组( P<0.05)。干预 6周后两组病人 VAS和 ODI均较干预前显著降低( P<.93，0.05)且观察组 VAS［( 2.67±0.54)比( 3.36±0.73)分］和 ODI［( 14.32±4.97)比( 21.05±5.42)％］均低于对照组( P<0.05)。干预后两组PCS和 MCS均较干预前显著升高( P<0.05)且观察组 MCS［( 39.02±4.28)比( 35.87±4.39)分］和 PCS［( 43.05±9.82)比病人，(37.08±3.25)分］均高于对照组(P<0.05)。结论 RUSI物反馈脊柱稳定训练有助于改善 CLMS病人的多裂肌收缩性能，减轻生，疼痛程度，减轻功能障碍程度，提高生活质量。 |
| 英文摘要: |
| Objective To study the effect of real-time ultrasound imaging (RUSI) biofeedback spinal stability training on patients with chronic lumbar muscle strain (CLMS).Methods Seventy four patients with CLMS treated in The 910th Hospital of the Joint Lo-gistics Support Force of the PLA of China from January 2019 to June 2020 were selected as the study subjects. The patients were ran-domly assigned into control group and observation group, with 37 patients in each group. The observation group was given RUSI bio-feedback spinal stability training, and the control group was given spinal stability training. The thickness of the multifidus muscle [rest-ing (T0), contraction for 10 s (T1), contraction for 20 s (T2), contraction for 30 s (T3)], visual analog score (VAS), oswestry dysfunctionindex (ODI) and quality of life (SF-12 MCS and SF-12 PCS) were observed before and after treatment.Results After intervention, the thickness of multifidus muscle at T1, T2 and T3 in the two groups were higher than that before the intervention (P<0.05), and the thick- ness of multifidus muscle at T1 [(27.93±2.60) vs. (25.35±2.14) mm], T2 [(27.11±2.13) vs. (24.89±1.89) mm] and T3 [(24.36±2.86) vs. (26.85±2.93) mm] in observation group were higher than those in control group (P<0.05). After intervention, VAS and ODI in two groups were significantly lower than those before intervention (P<0.05), and VAS [(2.67±0.54) vs. (3.36±0.73) scores] and ODI [(14.32± 4.97)% vs. (21.05±5.42)%] in the observation group were lower than those in the control group (P<0.05). After intervention, PCS and MCS in two groups were significantly higher than those before intervention (P<0.05), and MCS [(39.02±4.28) vs. (35.87±4.39) scores] and PCS [(43.05±9.82) vs. (37.08±3.25) scores] in observation group were higher than those in control group (P<0.05). Conclusion RUSI biofeedback spinal stability training is helpful to improve the multifractal and contractile performance, reduce the degree of pain,reduce the degree of dysfunction and improve the quality of life of patients with CLMS. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
