本文選題：DAVID + 非特異性下腰痛��； 參考：《成都體育學(xué)院》2017年碩士論文

【摘要】：目的:運(yùn)用大衛(wèi)(DAVID)脊柱智能檢測(cè)康復(fù)系統(tǒng),探究非特異性下腰痛(Nonspecific low back pain,NLBP)患者的腰背部6個(gè)運(yùn)動(dòng)方向的活動(dòng)度、肌力、肌耐力的特征,為今后防治NLBP提供科學(xué)的運(yùn)動(dòng)干預(yù)方案。方法:本研究收集自2016年3月至2016年9月在門(mén)診就診的符合診斷標(biāo)準(zhǔn)的非特異性下腰痛患者60例為腰痛組,正常人(無(wú)脊柱手術(shù)史,6個(gè)月內(nèi)無(wú)下腰痛)30例為正常組;運(yùn)用大衛(wèi)(DAVID)脊柱智能檢測(cè)康復(fù)系統(tǒng),分別對(duì)腰痛組和正常組腰背部6個(gè)運(yùn)動(dòng)方向的活動(dòng)度(后伸、前屈、右旋、左旋、右側(cè)屈、左側(cè)屈活動(dòng)度),肌力(后伸、前屈、右旋、左旋、右側(cè)屈、左側(cè)屈肌力),肌耐力(后伸、前屈、右旋、左旋、右側(cè)屈、左側(cè)屈肌耐力)進(jìn)行檢測(cè);對(duì)檢測(cè)所得數(shù)據(jù)分別進(jìn)行記錄;運(yùn)用SPSS21.0統(tǒng)計(jì)軟件的獨(dú)立樣本T檢驗(yàn)分別分析兩組各個(gè)實(shí)驗(yàn)數(shù)據(jù)的均值差異大小。結(jié)果:1)腰痛組在后伸肌力(P0.001)、右側(cè)屈肌力(P=0.034)、左側(cè)屈肌力(P=0.032)、后伸肌耐力(P0.001)方面,顯著低于正常組;腰痛組在前屈肌力(P0.05)、右旋肌力(P0.05)、左旋肌力(P0.05)方面,低于正常組不顯著;2)腰痛組在前屈肌耐力(P0.05)、右旋肌耐力(P0.05)、左旋肌耐力(P0.05)、右側(cè)屈肌耐力(P0.05)、左側(cè)屈肌耐力(P0.05)方面,低于正常組不顯著;3)腰痛組在前屈活動(dòng)度(P0.05)、后伸活動(dòng)度(P0.05)、右旋活動(dòng)度(P0.05)、左旋活動(dòng)度(P0.05)、右側(cè)屈活動(dòng)度(P0.05)、左側(cè)屈活動(dòng)度(P0.05)方面,低于正常組不顯著。結(jié)論:非特異性下腰痛患者腰背部后伸肌力、右側(cè)屈肌力、左側(cè)屈肌力、后伸肌耐力的下降是顯著的,建議運(yùn)動(dòng)療法應(yīng)在準(zhǔn)確評(píng)定這些改變的基礎(chǔ)上,制定合適的、有針對(duì)性的運(yùn)動(dòng)干預(yù)方案如:1)針對(duì)非特異性下腰痛患者腰背部后伸肌力、肌耐力的下降采用俯臥背伸等動(dòng)作進(jìn)行康復(fù)鍛煉;2)針對(duì)非特異性下腰痛患者腰背部的右側(cè)屈肌力、左側(cè)屈肌力下降采用側(cè)臥單腿懸吊等方法進(jìn)行康復(fù)鍛煉,加快NLBP患者的康復(fù)。
[Abstract]:Objective: to explore the movement, muscle strength and muscle endurance characteristics of 6 movements in the lumbar and back of patients with nonspecific low back pain (NLBP) by using David's david spine intelligence detection and rehabilitation system, and to provide a scientific scheme of exercise intervention for the prevention and treatment of NLBP in the future. Methods: from March 2016 to September 2016, 60 patients with nonspecific low back pain who met the diagnostic criteria were selected as low back pain group and 30 normal subjects (no history of spinal surgery, no lower back pain within 6 months). Using David's DAVID-based spinal intelligence system, the activities of 6 movements (extension, forward flexion, right rotation, left lateral rotation, right flexion, left flexion), muscle strength (extension, forward flexion, dextral) of lumbar back pain group and normal group were measured, respectively. Left rotation, right flexion, left flexor muscle strength, muscle endurance (extension, flexion, dextral, left rotation, right flexion, left flexor endurance) were measured, and the measured data were recorded. An independent sample T test of SPSS 21.0 was used to analyze the mean value difference between the two groups of experimental data. Results in the low back pain group, the extensor muscle strength (P 0.001), the right flexor muscle strength (P0. 034), the left flexor muscle strength (P < 0. 032), and the extensor muscle endurance (P 0. 001) were significantly lower in the low back pain group than those in the normal group, while in the low back pain group, they were significantly lower than those in the normal group (P 0. 05, P 0. 05, P 0. 05, P 0. 05). The tolerance of flexor anterior muscle, dextral muscle tolerance, left flexor muscle tolerance, right flexor muscle tolerance, left flexor muscle tolerance and left flexor muscle tolerance were lower than normal group (P 0.05, P 0.05, P 0.05, P 0.05, P 0.05). Compared with the normal group, the patients in the low back pain group were lower than those in the normal group (P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05). Conclusion: the decrease of extensor muscle strength, right flexor muscle strength, left flexor muscle strength and extensor posterior endurance in patients with non-specific low back pain is significant. It is suggested that exercise therapy should be based on accurate evaluation of these changes and appropriate. Specific exercise intervention programs such as: 1) for non-specific low back pain patients with back extensor muscle strength, muscle endurance decline with prone back extension and other actions for rehabilitation exercises (2) for non-specific low back pain patients with right back flexor muscle strength, In order to accelerate the rehabilitation of patients with NLBP, the left flexor strength was decreased by side-lying single-leg suspension.
【學(xué)位授予單位】：成都體育學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R681.5

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