核心稳定康复训练系统对慢性非特异性腰痛干预效果研究

摘要： 背景 传统核心稳定康复训练在慢性非特异性腰痛（CNSLBP）患者康复训练中的效果确切，但存在患者长期依从性差的问题。本课题组自主研发了核心稳定康复训练系统（专利号：2021107165452），但其在CNSLBP患者中的干预效果尚不明晰。 目的 探究核心稳定康复训练系统对CNSLBP患者的干预效果。 方法 选取2021年12月至2022年1月在广西师范大学、桂林学院内招募的21例男性CNSLBP患者为研究对象，将其随机分为试验组（n=11）与对照组（n=10）。试验组采用课题组自主研发的核心稳定康复训练系统进行训练，对照组采用传统核心稳定训练，共干预6周。干预前后分别采用视觉模拟评分法（VAS）评估患者疼痛程度，采用功能障碍指数（ODI）评价腰部功能障碍，采用Hoggan MicroFet 2肌肉与骨骼检测仪测定患者腰部前屈肌群、后伸肌群、回旋肌群肌力及肌力信号，采用Y平衡测试（YBT）评定动态平衡能力。 结果 试验组、对照组干预后VAS值、ODI值低于干预前（P<0.05），上腹屈、脊柱伸、脊柱左旋、脊柱右旋肌力高于干预前（P<0.05）；干预后试验组VAS值、ODI值低于对照组（P<0.05）；试验组与对照组干预后左侧、右侧YBT得分高于干预前（P<0.05），干预后试验组左侧、右侧YBT得分高于对照组（P<0.05）。 结论 传统核心稳定训练与采用核心稳定康复训练系统进行训练均能减轻CNSLBP患者腰部疼痛，改善腰部功能障碍，增加上腹屈、脊柱伸和脊柱回旋肌力，提高动态平衡能力，而采用核心稳定康复训练系统进行训练在减轻腰部疼痛、改善腰部功能障碍、提高动态平衡能力方面效果更好。

关键词: 腰痛, 医学康复, 核心稳定, 康复训练系统, 慢性非特异性, 干预效果

Abstract:

Background

The traditional core stability rehabilitation training has been proven to be effective in improving the rehabilitation in patients with chronic non-specific low back pain (CNSLBP) , but with poor long-term compliance. We independently developed a new core stabilization rehabilitation training program (NO.2021107165452) for CNSLBP patients, but the intervention effects of which are still unclear.

Objective

To explore the intervention effect of a novel core stabilization rehabilitation training program in CNSLBP patients.

Methods

Twenty-one male CNSLBP patients were recruited from Guangxi Normal University and Guilin College from December 2021 to January 2022, and randomly divided into an experimental group (n=11) and a control group (n=10) , receiving a six-week intervention using the core stabilization rehabilitation training program independently developed by our research group, and traditional core stability rehabilitation training, respectively. The visual analogue scale (VAS) was used to evaluate the pain level. The Oswestry Disability Index (ODI) was used to evaluate the status of lumbar dysfunction. The Hoggan MicroFET 2 was used to measure muscle force and muscle force signals of the flexor muscles, extensor muscles, and rotatores muscles of the low back. The Y-balance test (YBT) was used to assess the dynamic balance ability.

Results

The values of VAS and ODI were significantly reduced in both groups after the intervention (P<0.05) , and they were more lower in the experimental group (P<0.05) . The muscle strength of upper abdominal flexors, spinal extensors, spinal left rotators, and spinal right rotators increased significantly in both groups after the intervention (P<0.05) . The left and right YBT scores were increased notably in both groups after the intervention (P<0.05) , and they were more higher in the experimental group (P<0.05) .

Conclusion

Both kinds of intervention programs could improve the lumbar pain, lumbar dysfunction, the muscle strength of upper abdominal flexors, spinal extensors, and spinal rotators, and dynamic balance in CNSLBP patients, but our core stability rehabilitation training program was more effective in reducing lumbar pain, improving lumbar dysfunction, and enhancing dynamic balance, so this novel program is worth promoting.

Key words: Core stability, Rehabilitation, Rehabilitation training system, Chronic non-specific, Low back pain, Intervention effect

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