《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (1): 110-118.doi: 10.3969/j.issn.1006-9771.2023.01.017
王钊1,2, 贾凡1,2, 赵莹1,2, 徐付国2, 朱伟伟2, 厉航2, 张明1,2,3,4()
收稿日期:
2022-10-12
修回日期:
2022-11-30
出版日期:
2023-01-25
发布日期:
2023-02-17
通讯作者:
张明(1985-),男,硕士,副教授、副主任治疗师,硕士生导师,主要研究方向:神经和骨关节疾病的康复,E-mail: zm1455@163.com。
作者简介:
王钊(1995-),男,汉族,江苏盐城市人,初级治疗师,主要研究方向:神经和骨关节疾病的运动治疗。
基金资助:
WANG Zhao1,2, JIA Fan1,2, ZHAO Ying1,2, XU Fuguo2, ZHU Weiwei2, LI Hang2, ZHANG Ming1,2,3,4()
Received:
2022-10-12
Revised:
2022-11-30
Published:
2023-01-25
Online:
2023-02-17
Contact:
ZHANG Ming, E-mail: zm1455@163.com
Supported by:
摘要:
目的 探讨坐位压力生物反馈(PBU)疗法联合Flexi-bar运动对慢性非特异性腰痛(CNSLBP)患者的效果。
方法 2022年6至9月,招募徐州医科大学及周边高校CNSLBP大学生27例,随机分为PBU组、Flexi-bar组和联合组各9例。在常规康复指导的基础上,PBU组行PBU疗法,Flexi-bar组行振动疗法,联合组行振动疗法+PBU疗法。分别于治疗前、治疗3周后,采用Stabilizer压力生物反馈仪评估核心稳定性,采用iHandy水平仪测量腰椎重新定位误差(LJRE),B型超声测量双侧腹横肌厚度和多裂肌横截面积,采用视觉模拟量表(VAS)和Oswestry功能障碍指数(ODI)进行疼痛和功能评定;首次治疗后加测核心稳定性1次。
结果 首次治疗后,3组双下肢滑动试验波动值、腹横肌重压测试值和多裂肌轻抬测试值均改善(|t| > 3.000, P < 0.05),联合组的增强程度均优于其余两组(F > 10.909, P < 0.001)。治疗3周后,除PBU组LJRE无显著性差异外,3组其他各项指标均有改善(|t| > 2.604, P < 0.05)。联合组除LJRE与Flexi-bar组无显著性差异(P > 0.05)外,其余指标均最优(|F| > 4.061, P < 0.05)。
结论 坐位压力生物反馈疗法联合Flexi-bar运动可以更有效地改善CNSLBP患者的核心稳定性和核心肌力,改善本体感觉,缓解疼痛。
中图分类号:
王钊, 贾凡, 赵莹, 徐付国, 朱伟伟, 厉航, 张明. 坐位压力生物反馈疗法联合Flexi-bar对慢性非特异性腰痛的效果[J]. 《中国康复理论与实践》, 2023, 29(1): 110-118.
WANG Zhao, JIA Fan, ZHAO Ying, XU Fuguo, ZHU Weiwei, LI Hang, ZHANG Ming. Effect of combination of pressure biofeedback therapy and Flexi-bar in sitting on chronic non-specific low back pain[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(1): 110-118.
表1
3组一般资料比较"
组别 | n | 性别(男/女)/n | 年龄/岁 | 身高/cm | 体质量/kg | 体质量指数/(kg·m-2) | 病程/月 |
---|---|---|---|---|---|---|---|
PBU组 | 9 | 4/5 | 21.00±1.11 | 165.89±10.78 | 59.00±12.42 | 21.24±2.83 | 13.67±1.32 |
Flexi-bar组 | 9 | 5/4 | 20.44±1.67 | 169.22±11.00 | 60.94±11.01 | 21.16±2.41 | 13.67±1.41 |
联合组 | 9 | 5/4 | 20.89±0.93 | 168.56±10.37 | 59.00±12.58 | 20.63±2.70 | 13.22±1.48 |
χ²/F值 | 0.297 | 0.477 | 0.244 | 0.078 | 0.143 | 0.299 | |
P值 | 0.862 | 0.626 | 0.786 | 0.925 | 0.868 | 0.744 |
表2
3组治疗前后BLES比较 单位:mmHg"
组别 | n | 治疗前 | 首次治疗后 | 差值 | 治疗3周后 | 差值 | t1值 | P1值 | t2值 | P2值 |
---|---|---|---|---|---|---|---|---|---|---|
PBU组 | 9 | 15.56±3.47 | 14.67±2.83 | 0.89±0.78 | 7.33±1.66 | 8.22±3.11 | -3.411 | 0.009 | -7.922 | < 0.001 |
Flexi-bar组 | 9 | 15.67±3.43 | 10.78±2.95 | 4.89±2.03a | 3.33±1.73 | 12.33±3.16a | -7.234 | < 0.001 | -11.700 | < 0.001 |
联合组 | 9 | 19.22±5.12 | 11.33±3.28 | 7.89±3.55a,b | 2.89±1.17 | 16.33±5.15a,b | -6.664 | < 0.001 | -9.519 | < 0.001 |
F值 | 2.350 | 19.212 | 9.614 | |||||||
P值 | 0.117 | < 0.001 | 0.001 |
表3
3组治疗前后TAPT比较 单位:mmHg"
组别 | n | 治疗前 | 首次治疗后 | 差值 | 治疗3周后 | 差值 | t1值 | P1值 | t2值 | P2值 |
---|---|---|---|---|---|---|---|---|---|---|
PBU组 | 9 | 13.44±9.81 | 14.56±9.76 | 1.11±0.93 | 23.78±9.50 | 10.33±1.66 | 3.592 | 0.007 | 18.694 | < 0.001 |
Flexi-bar组 | 9 | 17.33±18.46 | 21.89±17.48 | 4.56±2.83a | 34.67±15.47 | 17.33±4.74a | 4.824 | 0.001 | 10.963 | < 0.001 |
联合组 | 9 | 14.44±13.63 | 25.22±14.65 | 10.78±5.17a,b | 40.44±14.51 | 26.00±8.05a,b | 6.258 | < 0.001 | 9.693 | < 0.001 |
F值 | 0.177 | 18.214 | 18.478 | |||||||
P值 | 0.839 | < 0.001 | < 0.001 |
表4
3组治疗前后MPT比较 单位:mmHg"
组别 | n | 治疗前 | 首次治疗后 | 差值 | 治疗3周后 | 差值 | t1值 | P1值 | t2值 | P2值 |
---|---|---|---|---|---|---|---|---|---|---|
PBU组 | 9 | 5.67±1.94 | 4.67±1.32 | 1.00±1.00 | 2.67±0.71 | 3.00±1.66 | -3.000 | 0.017 | -5.427 | 0.001 |
Flexi-bar组 | 9 | 4.78±1.48 | 2.67±1.12 | 2.11±0.78a | 1.89±0.60 | 2.89±1.17 | -8.102 | < 0.001 | -7.429 | < 0.001 |
联合组 | 9 | 6.33±2.12 | 3.11±4.54 | 3.22±1.20a,b | 1.56±0.73 | 4.78±2.39a,b | -8.043 | < 0.001 | -6.007 | < 0.001 |
F值 | 1.574 | 10.909 | 3.093 | |||||||
P值 | 0.228 | < 0.001 | 0.064 |
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