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Received:November 26, 2021 Published Online:June 20, 2022
Received:November 26, 2021 Published Online:June 20, 2022
中文摘要: 目的 观察运用运动疗法结合脉冲短波治疗慢性下腰痛(CLBP)运动员的疗效,以期为今后治疗和预防CLBP提供参考。方法 用回顾性研究方法选择2012年12月至2014年2月来自北京、四川、上海的花样游泳、举重、羽毛球等CLBP运动员30名,采取8周运动疗法并配合脉冲短波治疗。经8周治疗后进行治疗效果评估,主要为腰部疼痛评定、肌力评定和腰椎稳定性评定。用JOA下腰痛评估表评价运动员的腰椎功能改善情况,并计算改善率;用Biodex System Ⅲ等速测试仪在角速度60°/s下进行腰部力量测试评定;用White标准评价腰椎的稳定性。结果 与治疗前比较,治疗8周后腰部力量测试结果,躯干伸肌峰力矩(PT)和峰力矩体重比(PT/BW)显著提高(P<0.05),躯干屈肌PT和PT/BW均无显著变化(P>0.05);腰椎X片显示L3~4、L4~5侧位移有下降趋势,但差异无统计学意义(P>0.05);经8周治疗后,腰部JOA评分与治疗前比较有显著提高(P<0.01),治疗显效率达到83.3%。结论 8周运动疗法结合脉冲短波治疗可提高运动员躯干屈、伸肌力量,尤其是躯干伸肌力量,增强脊柱的稳定性并使运动员腰痛症状明显好转。
Abstract:Objective To observe the efficacy of exercise therapy combined with pulsed short wave (PSW) in the treatment of athletes with chronic low back pain (CLBP) to provide reference for the treatment and prevention of CLBP in the future. Methods From December 2012 to February 2014, 30 CLBP athletes engaged in synchronized swimming, weightlifting and badminton from Beijing, Sichuan and Shanghai were selected for a retrospective analysis. The exercise therapy combined with PSW treatment was conducted in all CLBP athletes. After 8 weeks of treatment, lumbar pain, muscle strength and lumbar stability were evaluated. The improvement of lumbar function, the lumbar muscle strength and the stability of lumbar spine were respectively evaluated by Japanese Orthopaedic Association (JOA), Biodex system Ⅲ isokinetic dynamometer at an angular speed of 60°/s and White standard. Results Compared with those before treatment, the peak torque (PT) and peak torque to body weight (PT/BW) of trunk extensor muscle were significantly increased after 8 weeks of treatment (P<0.05). There was no significant difference in PT and PT/BW of trunk flexors muscle (P>0.05). Lumbar X-ray showed a decreasing trend of L3-4 and L4-5 lateral displacement after therapy, but there was no significant difference between pro-and post-treatment(P>0.05). The JOA score of athletes with waist pain was significantly higher than that before treatment (P<0.01), and the effective rate was 83.3%. Conclusion Exercise therapy combined with PSW treatment can improve the strength of trunk flexor and extensor muscle, especially the trunk extensor muscle strength and enhance the stability of spine, so as to obviously improve the symptoms of athletes with CLBP.
keywords: Chronic low back pain Athlete Exercise therapy Pulsed short wave Peak torque Lumbar instability
文章编号: 中图分类号:R455 R454 文献标志码:A
基金项目:国家体育总局重点研究领域课题(2012B007)
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