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童 艳,郭险峰,张 兰,吕艳伟.脊柱功能评估训练系统用于非特异性腰痛治疗的研究[J].中国康复医学杂志,2010,25(12):1161~1165
脊柱功能评估训练系统用于非特异性腰痛治疗的研究    点此下载全文
童 艳  郭险峰  张 兰  吕艳伟
北京积水潭医院物理康复科,北京市,100035
基金项目:
DOI:
摘要点击次数: 2475
全文下载次数: 2030
摘要:
      摘要 目的:研究脊柱功能评估训练系统(Tergumed)对非特异性腰痛患者的治疗结果。 方法:将40例非特异性腰痛患者随机分为A组和B组各20例。A组接受Tergumed治疗,B组采用传统治疗,即主动运动配合磁疗和中频电温热治疗。在患者初次就诊、治疗7周后分别用目测类比评分法(VAS)和Roland-Morris功能障碍问卷表(RDQ)评价其疼痛程度和功能障碍程度,同时测量躯干肌(屈伸、左右侧屈、左右旋转)等长收缩肌力。 结果: 治疗7周后,两组患者VAS评分、RDQ评价值、躯干肌等长收缩肌力均较治疗前有明显改善(P<0.05),A组躯干肌等长收缩肌力的各项参数指标增加幅度明显优于B组(P<0.001),两组间患者VAS评分、RDQ评价值差异无显著性意义(P>0.05)。 结论:Tergumed治疗可以显著缓解非特异性腰痛患者的疼痛,改善功能障碍,在增强躯干肌力方面优于传统治疗。
关键词:非特异性腰痛  运动疗法  物理疗法
A study on spinal functional assessment training system in treatment for non-specific low back pain    Download Fulltext
Dept. Of Rehabilitation, Beijing Jishuitan Hospital, 100035
Fund Project:
Abstract:
      Abstract Objective:To evaluate the effects of spinal functional assessment training system (Tergumed) non-specific low back pain. Method:Forty non-specific low back pain patients were randomly allocated to receive either Tergumed treatment (group A, n=20) or active exercise combined with magnetic and medium frequency electrical-thermal therapy (group B, n=20).Pain and dysfunction scale were assessed with visual analogue scale (VAS) and Roland-Morris disability questionaire(RDQ) respectively before and seven weeks after treatment. Isometric strength of trunk muscles were also measured. Result:Scores of VAS,RDQ and isometric strength of trunk muscles improved significantly in both groups(P<0.05).Isometric strength of trunk muscles in group A increased much more than that in group B(P<0.001) with no significant difference in VAS and RDQ scores between two groups(P>0.05). Conclusion:Tergumed is effective in relieving non-specific low back pain and dysfunction and can provide advantage over traditional therapy in increasing strength of trunk muscles.
Keywords:non-specific low back pain  exercise therapy  physiotherapy
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