本文選題：非特異性腰痛　切入點：肌力失衡　出處：《成都中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：通過臨床觀察,將飛燕式、核心肌力訓(xùn)練和五禽戲治療慢性非特異性腰痛的臨床療效作對比研究,評價核心肌力訓(xùn)練治療慢性非特異性腰痛的療效,以期為慢性非特異性腰痛制定臨床康復(fù)訓(xùn)練方案提供參考。方法：本試驗采用隨機、單盲原則,將符合納入標(biāo)準(zhǔn)的78例慢性非特異性腰痛患者分為飛燕式鍛煉組(A組)、核心肌力功能鍛煉組(B組)和五禽戲功能鍛煉組(C組),連續(xù)治療12周。于治療前、后分別采集受試者疼痛VAS評分、Oswestry功能障礙指數(shù)、schober測量、腹背肌肌耐力等指標(biāo),對三組的臨床療效進行統(tǒng)計學(xué)比較與分析,且隨訪12周。結(jié)果：(1)核心肌力組、五禽戲組治療后VAS評分明顯低于飛燕式組,而核心肌力組又低于五禽戲組。(2)核心肌力組、五禽戲組治療后OSWESTRY評分明顯低于飛燕式組,而五禽戲組略低于核心肌力組。(3)核心肌力組、五禽戲組治療后schober測量明顯大于飛燕式組,而核心肌力組略高于五禽戲組。(4)核心肌力組、五禽戲組治療后腹肌耐力測試明顯大于飛燕式組,而核心肌力組略高于五禽戲組。(5)核心肌力組、五禽戲組治療后背肌耐力測試明顯大于飛燕式組,而核心肌力組略高于五禽戲組。(6)核心肌力組、五禽戲組兩組療效明顯優(yōu)于飛燕式組,且核心肌力組療效略優(yōu)于五禽戲組。(7)核心肌力組、五禽戲組兩組復(fù)發(fā)率明顯低于飛燕式組,且核心肌力組復(fù)發(fā)率略低于五禽戲組。結(jié)論：本研究三種功能訓(xùn)練方法的臨床結(jié)果表明：核心肌力訓(xùn)練在改善疼痛、腰椎活動度和腰背肌耐力以及12周復(fù)發(fā)率方面優(yōu)于五禽戲和飛燕式腰背肌訓(xùn)練,但五禽戲在改善ODI方面效果優(yōu)于飛燕式腰背肌訓(xùn)練、略優(yōu)于核心肌力訓(xùn)練。
[Abstract]:Objective: to compare the clinical effects of Feiyan type, core muscle strength training and Wuqiexi in the treatment of chronic nonspecific low back pain, and to evaluate the effect of core muscle strength training on chronic nonspecific low back pain.In order to provide reference for the establishment of clinical rehabilitation training program for chronic non-specific low back pain.Methods: random, single blind principle was used in this study.Seventy-eight patients with chronic nonspecific low back pain were divided into Feiyan exercise group (group A) and core muscle function exercise group (group B) and group C (group C) for 12 weeks.Before and after treatment, the VAS score of pain and the measurement of Oswestry dysfunction index and abdominal dorsal muscle endurance were collected respectively. The clinical effects of the three groups were compared and analyzed statistically, and followed up for 12 weeks.Results the VAS score in the core muscle strength group was significantly lower than that in the Feiyan group after treatment, and the core muscle strength group was lower than that in the core muscle strength group. The OSWESTRY score in the Wuqixi group was significantly lower than that in the Feiyan type group after treatment.After treatment, the abdominal muscle endurance test in Wuqixi group was significantly larger than that in Feiyan type group, while the core muscle strength group was slightly higher than that in Wuqixi group, and the back muscle endurance test in Wuqixi group was significantly greater than that in Feiyan type group.The recurrence rate of core muscle strength group was slightly lower than that of five birds play group.Conclusion: the clinical results of the three functional training methods showed that the core muscle strength training was superior to that of five birds and flying swallow training in improving pain, lumbar movement, lumbar dorsal muscle endurance and recurrence rate of 12 weeks.However, the effect of Wuqixi on improving ODI is better than that of Feiyan type psoas dorsalis training, and slightly superior to core muscle strength training.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R274.9

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本文編號：1709941