本文選題：核心穩(wěn)定性訓(xùn)練 + 慢性非特異性下腰痛�。� 參考：《首都體育學(xué)院學(xué)報(bào)》2017年05期

【摘要】：通過(guò)拍攝立位X光片來(lái)分析慢性非特異性下腰痛(chronic non-specific low back pain,CN LBP)患者腰骶形態(tài)結(jié)構(gòu)的改變,評(píng)價(jià)核心穩(wěn)定性運(yùn)動(dòng)對(duì)CN LBP的影響,旨在為CN LBP的臨床康復(fù)提供參考。方法:招募篩選CNLBP患者23例為實(shí)驗(yàn)組(CNLBP組),及29名無(wú)腰痛者為對(duì)照組(Con組)。CNLBP組自愿參與6周核心穩(wěn)定性運(yùn)動(dòng),最終完成運(yùn)動(dòng)干預(yù)共20人。Con組拍攝1次X片;CNLBP組填寫(xiě)評(píng)估疼痛程度(VAS)和腰功能障礙(ODI)問(wèn)卷,并在運(yùn)動(dòng)干預(yù)前后分別拍攝X光片,測(cè)定腰椎前凸程度和骨盆側(cè)傾程度。結(jié)果:1)運(yùn)動(dòng)前,CNLBP組總腰椎前凸角和骨盆傾斜角與Con組相比有顯著差異(P0.05),腰曲明顯變直,骨盆明顯側(cè)傾;2)CN LBP組運(yùn)動(dòng)前后,VAS和O DI均出現(xiàn)非常顯著性下降(P0.01),下降約50%;3)CNLBP組運(yùn)動(dòng)前后,腰椎前凸程度雖未出現(xiàn)顯著改變(P0.05),但數(shù)值更接近Con組,腰椎變直的程度有改善的趨勢(shì);而骨盆傾斜則發(fā)生顯著下降(P0.05)。結(jié)論:1)青年CNLBP患者出現(xiàn)明顯腰椎變直和骨盆側(cè)傾,此為青年CNLBP的一大特征;2)6周核心穩(wěn)定性訓(xùn)練可有效改善CNLBP患者的骨盆側(cè)傾程度;3)6周核心穩(wěn)定性訓(xùn)練可有效改善CNLBP患者的疼痛程度和功能;4)骨盆傾斜角為CNLBP的敏感指標(biāo),可為臨床診斷和康復(fù)療效評(píng)估提供參考。
[Abstract]:The changes of lumbosacral morphologic structure in patients with chronic non-specific low back pain CN LBP were analyzed by standing X ray, and the effects of core stability exercise on CN LBP were evaluated. The aim of this study was to provide reference for the clinical rehabilitation of CN LBP. Methods: 23 patients with CNLBP were recruited as experimental group and 29 patients without low back pain as control group. CNLBP group voluntarily participated in 6 weeks core stability exercise. A total of 20 patients in the Con group were taken one time in the exercise intervention group. The CNLBP group filled out the questionnaire to assess the pain degree and the lumbar dysfunction. X-ray films were taken before and after exercise intervention to determine the degree of lumbar kyphosis and the degree of pelvic tilting. Results compared with Con group, the total lumbar kyphosis angle and pelvic inclination angle of CNLBP group before exercise were significantly different from those of Con group. Although there was no significant change in the degree of lumbar lordosis, but the value was closer to that in the Con group, the degree of lumbar vertebrae straightening had a tendency to improve, while the pelvic tilt decreased significantly (P0.05). Conclusion (1) the lumbar vertebrae became straight and pelvis tilted significantly in young patients with CNLBP. This is a major characteristic of young CNLBP. The 6 weeks core stability training can effectively improve the pelvic tilting degree of CNLBP patients and the 6 weeks core stability training can effectively improve the pain degree and function of CNLBP patients. The pelvic tilt angle is a sensitive index of CNLBP. It can provide reference for clinical diagnosis and evaluation of rehabilitation effect.
【作者單位】： 成都體育學(xué)院運(yùn)動(dòng)醫(yī)學(xué)與健康學(xué)院;
【基金】：“十二五“國(guó)家科技支撐計(jì)劃重點(diǎn)項(xiàng)目(2012BAK21B01) 四川省科技計(jì)劃項(xiàng)目(2017SZ0018) 四川省教育廳科研項(xiàng)目(D60060417) 國(guó)家體育總局運(yùn)動(dòng)醫(yī)學(xué)重點(diǎn)實(shí)驗(yàn)室暨運(yùn)動(dòng)醫(yī)學(xué)四川省重點(diǎn)實(shí)驗(yàn)室資助基金(2016CTYY011)
【分類(lèi)號(hào)】：G804.2
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本文編號(hào)：1793988