【摘要】：本文的主要目的是通過(guò)慢性下腰痛水中康復(fù)訓(xùn)練的方法分析水中康復(fù)對(duì)慢性下腰痛癥狀康復(fù)的影響。針對(duì)慢性下腰痛人群研究并設(shè)計(jì)出相關(guān)符合慢性下腰痛人群康復(fù)動(dòng)作特點(diǎn)的水中康復(fù)動(dòng)作,對(duì)慢性下腰痛人群實(shí)施具有針對(duì)性的水中訓(xùn)練方案,并對(duì)水中健身動(dòng)作進(jìn)行分析研究以及評(píng)價(jià),從而為慢性下腰痛人群提供具體、可行的的水中訓(xùn)練方案及相關(guān)康復(fù)措施。通過(guò)實(shí)驗(yàn)法、問(wèn)卷調(diào)查法對(duì)慢性下腰痛水中康復(fù)訓(xùn)練的受試者進(jìn)行每周2次的水中健身訓(xùn)練,實(shí)驗(yàn)前后各進(jìn)行測(cè)試,以疼痛程度視覺(jué)模擬量尺(VAS)、0swestry功能障礙指數(shù)(ODI)、腰椎活動(dòng)度測(cè)試等測(cè)試手段為測(cè)評(píng)依據(jù),從而得出以下結(jié)論：1.慢性下腰痛人群采用水中康復(fù)的方式共進(jìn)行為期21周的水中健身訓(xùn)練,為慢性下腰痛人群設(shè)計(jì)的動(dòng)作有：水中頂髖、水中擺髖、、水中擺腿、水中擺臂弓步走、水中前、后、側(cè)、橫踢腿等。在實(shí)驗(yàn)過(guò)程中根據(jù)不同階段增加訓(xùn)練負(fù)荷、強(qiáng)度與時(shí)間。2.通過(guò)實(shí)驗(yàn)前后的VAS疼痛評(píng)分測(cè)試,實(shí)驗(yàn)后休息時(shí)疼痛、活動(dòng)時(shí)疼痛、夜間疼痛,三個(gè)階段疼痛的評(píng)分都得到了改變,其中水中健身動(dòng)作原地蹲起跳躍、水中懸掛收腿等動(dòng)作能有效伸展腹背肌肉,消除肌肉緊張,從而使腰背肌疼痛得到緩解。與實(shí)驗(yàn)前相比測(cè)試評(píng)分均有所減少,尤其在活動(dòng)時(shí)的疼痛得到顯著減輕(P0.05)。3.水中康復(fù)訓(xùn)練對(duì)慢性下腰痛人群腰部功能障的緩解具有一定作用。其中水中前踢腿、后踢腿、橫向擺腿動(dòng)作可使慢性下腰痛患者機(jī)體的平衡能力和各部位的協(xié)調(diào)能力得到提升,從而有效改善腰部功能障礙。4.實(shí)驗(yàn)后,腰椎前屈與后伸關(guān)節(jié)活動(dòng)度均得到了改變,與實(shí)驗(yàn)前相比關(guān)節(jié)活動(dòng)度有顯著增加,實(shí)驗(yàn)后關(guān)節(jié)活動(dòng)度大于實(shí)驗(yàn)前(P0.05)。其中頂髖、擺髖、擺臂跨步走等動(dòng)作的訓(xùn)練,一方面可以在水環(huán)境下更大范圍的伸展軀干部的軟組織,活動(dòng)腰椎關(guān)節(jié)；另一方面可以通過(guò)水給運(yùn)動(dòng)的部位產(chǎn)生的阻力,進(jìn)一步增強(qiáng)腰背肌肌肉力量、緩解腰背肌痙攣,矯正肌力的失衡。
[Abstract]:The main purpose of this paper is to analyze the effect of water rehabilitation on the rehabilitation of chronic low back pain. According to the research of chronic low back pain population, the related rehabilitation action in water was designed according with the characteristics of rehabilitation action of chronic low back pain population, and the specific water training program was carried out for the people with chronic low back pain. In order to provide specific and feasible underwater training plan and related rehabilitation measures for people with chronic low back pain, the author analyzed and evaluated the exercise in water. By means of experiment and questionnaire, the subjects of rehabilitation training in water for chronic low back pain were trained twice a week in water, and were tested before and after the experiment. Based on the pain degree visual analogue scale (VAS) / 0 swestry dysfunction index (ODI),) lumbar movement test and so on, the following conclusions are drawn: 1: 1. People with chronic low back pain were trained in water for 21 weeks by the way of rehabilitation in water. The actions designed for people with chronic low back pain were as follows: top hip in water, leg in water, bow in water, front, back and side in water. Cross kick, etc In the experiment process, according to different stages of training load, intensity and time. 2. Through the VAS pain score before and after the experiment, the scores of pain during rest, pain during activity, pain at night and pain in three stages were all changed. Suspension of legs in the water can effectively stretch the abdominal back muscles, eliminate muscle tension, and ease pain in the back of the psoas. Compared with before the test, the test scores were reduced, especially in the movement of pain was significantly reduced (P0.05). 3. The rehabilitation training in water has a certain effect on relieving the lumbar dysfunction in people with chronic low back pain. The body balance ability and coordination ability of the patients with chronic low back pain can be improved by the front kick, the back kick and the lateral leg swinging in the water, thus effectively improving the waist dysfunction. 4. After the experiment, the lumbar flexion and extension joint motion were all changed, compared with before the experiment, the joint motion was significantly increased, after the experiment, the joint motion was larger than that before the experiment (P0.05). On the one hand, the training of the top hip, the swing arm, and other movements can, on the one hand, extend the soft tissue of the trunk on a wider scale in the water environment and move the lumbar joints; on the other hand, it can give resistance to the parts of the movement through water. Further strengthen the muscle strength of the lumbar dorsal muscle, ease the spasm of the lumbar dorsal muscle, and correct the imbalance of muscle strength.
【學(xué)位授予單位】：北京體育大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R681.5

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