目的: 研究确认核心稳定性康复锻炼对腰痛患者多裂肌肌肉厚度与横截面积的影响。方法: 选择2021年11月—2022年12月到我院进行治疗的慢性非特异性下腰痛患者102例,按照随机数字表法将患者分为2组,试验组和对照组各51例。对照组患者进行常规康复训练,主要是在俯卧位、侧卧位和仰卧位悬吊状态下进行训练。试验组患者进行核心稳定性训练,主要包括热身、拉伸和核心训练。治疗前后,对患者进行肌骨超声检测,对比治疗前后两组患者多裂肌厚度和横截面积,对两组患者治疗效果和腰部活动度进行评价。结果: 治疗前连续对患者多裂肌厚度和横截面积进行测量,测量可信度在0.89~0.96,可信度较好。治疗结束后,两组患者的双侧L4/L5多裂肌厚度均有所增大,且试验组患者的双侧L4/L5多裂肌厚度大于对照组,治疗后两组患者的双侧L4/L5多裂肌横截面积均有所增大,试验组患者双侧L4/L5多裂肌横截面积大于对照组。治疗后,两组患者的前屈、后伸和侧弯腰部活动度均有所增大,观察组患者的前屈、后伸和侧弯腰部活动度高于对照组。经过治疗后,试验组患者地总有效率为84.32%,对照组患者的总有效率为62.75%,试验组患者的总有效率高于对照组。结论: 核心稳定性康复锻炼对慢性非特异性下腰痛患者多裂肌肌肉厚度和横截面积有改善作用,且肌骨超声能够有效评估患者多裂肌肌肉厚度和横截面积改变。
Abstract
Objective To study and confirm the influence of core stability rehabilitation exercise on the muscle thickness and cross-sectional area of multifidus muscle in patients with low back pain. Methods A total of 102 patients with chronic nonspecific low back pain who were treated in our hospital from November 2021 to December 2022 were selected and divided into 2 groups according to random number table method, with 51 cases in each group. Patients in the control group received routine rehabilitation training, mainly in the prone position, lateral position and supine position suspended state training. The test group underwent core stability training, including warm-up, stretching and core training. Before and after treatment, musculoskeletal ultrasonography was performed to compare the multifidus muscle thickness and cross-sectional area of the two groups before and after treatment, and to evaluate the therapeutic effect and lumbar motion of the two groups. Results The multifidus muscle thickness and cross-sectional area were measured continuously before treatment, and the reliability of measurement was 0.89-0.96, indicating good reliability. After treatment, the thickness of bilateral L4/L5 multifidus muscle increased in both groups, and the thickness of bilateral L4/L5 multifidus muscle in experimental group was greater than that in control group, and the cross-sectional area of bilateral L4/L5 multifidus muscle increased in both groups after treatment. The cross-sectional area of L4/L5 multifidus muscle in experimental group was larger than that in control group. After treatment, the motion of flexion, extension and lateral flexion in both groups was increased, and the motion of flexion, extension and lateral flexion in the observation group was higher than that in the control group. After treatment, the total effective rate of the experimental group was 84.32%, and that of the control group was 62.75%. The total effective rate of the experimental group was higher than that of the control group. Conclusions Core stability rehabilitation exercises can improve the muscle thickness and cross-sectional area of multifidus muscle in patients with chronic nonspecific low back pain, and musculoskeletal ultrasound can effectively evaluate the changes in the muscle thickness and cross-sectional area of multifidus muscle in patients with chronic nonspecific low back pain.
关键词
核心稳定性康复锻炼 /
多裂肌 /
肌骨超声 /
横截面积 /
慢性非特异性下腰痛
Key words
core stability rehabilitation exercise /
multifidus muscle /
musculoskeletal ultrasound /
cross sectional area /
chronic nonspecific low back pain
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基金
首都卫生发展科研专项资助项目 “2021—2023年科研发展专项基金”（2021-025）
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