本文選題：非特異性下腰痛　切入點：運動療法　出處：《成都體育學院》2017年碩士論文

【摘要】：研究目的:為研發(fā)一款非特異性下腰痛(NLBP)個體化運動療法APP進行初步的程序設計,驗證個體化的運動療法方案對非特異性下腰痛的治療效果及程序的可行性。研究方法:1.通過查閱大量文獻及相關(guān)書籍歸納總結(jié)成動作庫,并設計運動療法定制方案。2.選取非特異性下腰痛患者30人,隨機分為實驗組和對照組,各15人。在治療前對所有受試者進行日常生活正確姿勢的指導。實驗組由測試人員模擬APP程序制定個體化的運動療法方案;對照組則采用傳統(tǒng)的運動療法。兩組鍛煉的時間均為6周,每周5天,每天20-25分鐘。分別在治療前、治療3周后及治療6周后進行測評,測評得到的數(shù)據(jù)采用SPSS19.0軟件進行統(tǒng)計學分析。3.查閱APP制作相關(guān)文獻并研究移動醫(yī)療類APP,初步設計出非特異性下腰痛個體化運動療法APP的基本功能及界面模塊。研究結(jié)果:1.歸納總結(jié)形成動作庫,并根據(jù)腰椎活動度、肌肉柔韌性、肌耐力及平衡功能的評定將所有動作分類。2.通過模擬APP程序可以實現(xiàn)非特異性下腰痛個體化運動療法的定制,實驗結(jié)果如下:(1)VAS視覺模擬評分:實驗組在3周及6周較治療前均有顯著性差異(P0.01),疼痛評分明顯下降,且實驗組較對照組有非常顯著性差異(P0.01)。(2)Roland-Morris功能障礙評分:治療3周及6周后兩組較本組治療前均有非常顯著性差異(P0.01),3周時兩組之間無顯著性差異,6周時兩組之間有非常顯著性差異(P0.01)。(3)腰椎活動度:兩組治療3周及6周后本組較治療前均有非常顯著性差異(P0.01),兩組間在治療3周時左右側(cè)屈出現(xiàn)顯著性差異(P0.05),6周時兩組之間在各方向的活動度均出現(xiàn)顯著性差異(P0.05)。(4)肌肉柔韌性:實驗組在治療3周及6周后較治療前均存在非常顯著性差異(P0.01),對照組在治療后與治療前無顯著性差異(P0.05),6周時兩組之間存在非常顯著性差異(P0.01),實驗組明顯優(yōu)于對照組。(5)肌耐力測試:兩組治療后較治療前均存在非常顯著性差異(P0.01),且實驗組比對照組有更顯著的提高作用,治療后較治療前存在顯著性差異。(6)穩(wěn)定性測試:兩組治療3周及6周后與治療前均有非常顯著性差異(P0.01),但兩組之間無顯著性差異(P0.05)。3.APP程序初步設計完成,基本功能模塊及界面已確定。研究結(jié)論:非特異性下腰痛個體化運動療法APP可以實現(xiàn)患者定制個體化的運動療法方案、督促患者堅持鍛煉并向大眾普及腰痛知識。個體化的運動療法可以有效緩解NLBP患者的疼痛程度、顯著改善生存質(zhì)量、增加腰椎活動度、改善柔韌性、提高核心耐力、改善平衡能力,能多維度提高NLBP患者的核心穩(wěn)定性、緩解癥狀、提高生存質(zhì)量。
[Abstract]:Objective: to design a program for the development of a non-specific low back pain (NLBP) individual exercise therapy (APP). To verify the feasibility of individualized exercise therapy in the treatment of non-specific low back pain. And designed a customized exercise therapy program .2. 30 patients with non-specific low back pain were randomly divided into experimental group and control group. Before treatment, all subjects were given correct posture instruction in daily life. In the experimental group, the individual exercise therapy program was developed by simulating the APP program. The control group was treated with traditional exercise therapy. The exercise time of the two groups was 6 weeks, 5 days a week, 20-25 minutes per day, respectively before treatment, 3 weeks after treatment and 6 weeks after treatment. The data were analyzed by SPSS19.0 software. 3. The basic function and interface module of APP for individual exercise therapy of non-specific low back pain were preliminarily designed by consulting the related documents of APP and studying the mobile medical app. The result is: 1.Induction and summary form the action database, According to the evaluation of lumbar motion, muscle flexibility, muscle endurance and balance function, all the movements were classified. 2. The customization of individual exercise therapy for non-specific low back pain can be realized by simulating APP program. The results were as follows: the visual analogue score of VAS in the experimental group was significantly different from that before treatment at 3 weeks and 6 weeks, and the pain score was significantly decreased. The scores of Roland-Morris dysfunction in the experimental group were significantly higher than those in the control group. There was no significant difference between the two groups after 3 weeks and 6 weeks of treatment compared with that before treatment. There was no significant difference between the two groups at 6 weeks after treatment. Significant difference in lumbar movement: there was a significant difference between the two groups after 3 weeks and 6 weeks of treatment than before treatment. There was a significant difference between the two groups in the left and right side flexion at 3 weeks after treatment, and there was a significant difference between the two groups at 6 weeks after treatment. There was significant difference in muscle flexibility in the experimental group after 3 weeks and 6 weeks compared with that before treatment (P 0.01), and there was no significant difference between the control group and the control group after treatment and before treatment at 6 weeks after treatment (P 0. 05 and P 0. 05%) (P < 0. 05), and there was no significant difference between the control group and the control group at 6 weeks after treatment (P < 0. 05). There was a very significant difference between the two groups. The experimental group was obviously superior to the control group in muscle endurance test. There was a very significant difference between the two groups after treatment than before, and the experimental group had a more significant improvement than the control group. There was significant difference in stability between the two groups after treatment 3 weeks and 6 weeks after treatment (P 0.01), but there was no significant difference between the two groups. The basic functional modules and interfaces have been determined. Conclusion: APP can be used to customize individual exercise therapy for patients with low back pain. The individualized exercise therapy can effectively alleviate the pain degree of NLBP patients, significantly improve the quality of life, increase lumbar mobility, improve flexibility, improve core endurance. Improving the balance ability can improve the core stability, alleviate symptoms and improve the quality of life of patients with NLBP.
【學位授予單位】：成都體育學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：TP311.56;R681.5

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