《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (10): 1218-1221.

• 基础研究 • 上一篇    下一篇

重复周围磁刺激治疗慢性非特异性下腰痛的临床效果

郄淑燕，王丛笑，宋德军，马全胜，汪杰，米立新   

  1. 首都医科大学附属北京康复医院康复诊疗中心，北京市 100144。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-10-25 发布日期:2015-10-25

Clinical Effect of Repetitive Peripheral Magnetic Stimulation on Chronic Non-specific Low Back Pain

QIE Shu-yan, WANG Cong-xiao, SONG De-jun, MA Quan-sheng, WANG Jie, MI Li-xin   

  1. Department of Rehabilitation Medicine, Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Beijing 100144, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-10-25 Online:2015-10-25

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被引次数

7

摘要： 目的 观察重复周围磁刺激(RPMS)对慢性非特异性下腰痛(CNLBP)的临床疗效。方法 43例CNLBP患者分为试验组(n=22)和对照组(n=21)。两组患者均接受常规理疗，试验组在此基础上增加核心稳定性训练(CST)和 RPMS，对照组增加 CST和伪刺激。两组分别在治疗前、治疗4周后采用视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评价临床疗效，应用平衡测试仪进行改良感觉整合平衡测试(mCTSIB)，观察患者在 4种不同体位下的重心摆动速度，评估患者的姿势控制能力。结果 两组治疗 4周后VAS、ODI评分显著低于治疗前(P<0.001)，试验组mCTSIB中睁眼泡沫平面、闭眼泡沫平面下重心摆动速度明显低于治疗前(P<0.01)，对照组mCTSIB中各体位下重心摆动速度与治疗前比较无显著性差异(P>0.05)。治疗4周后，试验组VAS、ODI评分显著低于对照组(P<0.001)，mCTSIB中睁眼泡沫平面、闭眼泡沫平面下重心摆动速度低于对照组(P<0.05)。结论 联合 RPMS可以改善CNLBP患者的临床疗效及复杂环境下的姿势控制能力。

关键词: 慢性非特异性下腰痛, 重复周围磁刺激, 核心稳定性训练

Abstract: Objective To observe the clinical effect of repetitive peripheral magnetic stimulation (RPMS) on chronic non-specific low back pain (CNLBP) patients. Methods 43 CNLBP patients were assigned to experimental group (n=22) and control group (n=21). Both groups received routine physical therapy. The experimental group accepted RPMS and core stability training (CST), and the control group accepted sham magnetic stimulation and CST in addition. Clinical effect was evaluated by Visual Analogue Scale (VAS) and Oswestry Dysfunction Index (ODI). All the patients were assessed with Modified Clinical Test of Sensory Integration of Balance (mCTSIB) to observe the center of gravity (COG) sway velocity under 4 testing conditions. Results 4 weeks after treatment, the VAS and ODI scores were significantly decreased in both groups (P<0.001); the COG sway velocity under eye open foam support and eye close foam support decreased in the experiment group (P<0.01), however, there was no significant difference in the control group (P>0.05). The scores of VAS and ODI were significantly lower in the experiment group than in the control group after treatment (P<0.001). The COG sway velocity under eye open foam support and eye close foam support were lower in the experiment group than in the control group after treatment (P<0.05). Conclusion Combination of RPMS could improve the clinical symptoms and the posture control ability under complex environment.

Key words: chronic non-specific low back pain, repetitive peripheral magnetic stimulation, core stability training