高级检索

悬吊运动系统训练激活腹横肌治疗产后腰痛的临床研究

欧阳玉臣, 向文海, 肖伟, 陈晶晶, 董家豪, 丁洁

欧阳玉臣, 向文海, 肖伟, 陈晶晶, 董家豪, 丁洁. 悬吊运动系统训练激活腹横肌治疗产后腰痛的临床研究[J]. 实用临床医药杂志, 2020, 24(19): 107-110. DOI: 10.7619/jcmp.202019031
引用本文: 欧阳玉臣, 向文海, 肖伟, 陈晶晶, 董家豪, 丁洁. 悬吊运动系统训练激活腹横肌治疗产后腰痛的临床研究[J]. 实用临床医药杂志, 2020, 24(19): 107-110. DOI: 10.7619/jcmp.202019031
shu
OUYANG Yuchen, XIANG Wenhai, XIAO Wei, CHEN Jingjing, DONG Jiahao, DING Jie. Clinical study on postpartum low back pain by activating transverse abdominal muscles under sling exercise therapy system[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 107-110. DOI: 10.7619/jcmp.202019031
Citation: OUYANG Yuchen, XIANG Wenhai, XIAO Wei, CHEN Jingjing, DONG Jiahao, DING Jie. Clinical study on postpartum low back pain by activating transverse abdominal muscles under sling exercise therapy system[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 107-110. DOI: 10.7619/jcmp.202019031
shu

悬吊运动系统训练激活腹横肌治疗产后腰痛的临床研究

  • 上海市嘉定区南翔医院 康复医学科, 上海, 201802

基金项目: 

上海市嘉定区卫生健康委青年科研课题(2017-QN-03)

详细信息
    通讯作者:

    丁洁,E-mail:ai642212208@qq.com

  • 中图分类号: R714.46

Clinical study on postpartum low back pain by activating transverse abdominal muscles under sling exercise therapy system

  • Department of Rehabilitation Medicine, Nanxiang Hospital of Jiading District in Shanghai, Shanghai, 201802

摘要

    摘要
  • 摘要: 目的 观察悬吊运动(SET)系统下激活腹横肌治疗产后腰痛的疗效。 方法 将100例产后腰痛患者随机分为2组,推拿组49例患者采用传统推拿方法, SET组51例患者采用SET系统训练。治疗前后分别使用日本骨科学会评分系统(JOA)、Oswestry功能障碍指数评分和视觉模拟评分法(VAS)对患者腰椎功能及疼痛情况进行评定。随访3、6个月后,再次对患者的康复情况进行评估。 结果 治疗后, 2组JOA评分、VAS评分、Oswestry评分均较治疗前改善,差异有统计学意义(P<0.05); SET组疗效优于推拿组,差异有统计学意义(P<0.05)。随访3、6个月后, 2组总有效率比较,差异有统计学意义(P<0.05)。SET组出组3例,无效4例,复发6例。推拿组出组4例,无效7例,复发18例。 结论 SET系统训练下激活腹横肌治疗产后腰痛优于传统推拿治疗。
    Abstract: Objective To observe the therapeutic effect of postpartum low back pain by activating transverse abdominal muscles under sling exercise therapy(SET)system. Methods A total of 100 patients with postpartum low back pain were collected and randomly divided into two groups, a total of 49 cases in the massage group used traditional massage method, and 51 cases in the SET group used SET system. Before and after treatment, the scores of Japanese Orthopaedic Association Scoring System(JOA), Oswestry Disability Index, and Visual Analogue Scale(VAS)were used to assess the patient's function of lumbar vertebrae and pain. The patients were followed up after 3 and 6 months, and the rehabilitation conditions were assessed again. Results After treatment, the JOA score, VAS score and Oswestry score of the two groups were significantly improved compared with before treatment(P<0.05). Compared with the massage group, the SET group had better clinical efficacy(P<0.05). After 3 and 6 months of follow-up, the total effective rates of the two groups showed statistically significant differences(P<0.05). The SET group and the massage group had 3 and 4 patients out of the study, 4 and 7 cases with no responding to the treatment, and 6 and 18 relapsed patients. Conclusion Activating transverse abdominal muscles under SET system is better than traditional massage treatment for postpartum low back pain.
    • HTML全文
    • 参考文献(23)
  • 许强强, 李丽, 陈前, 等. 灵龟八法配合悬吊运动疗法治疗产后慢性腰背痛[J]. 长春中医药大学学报, 2018, 34(6): 1165-1168.

    RICHARDSON C A, SNIJDERS C J, HIDES J A, et al. The relation between the transversus abdominis muscles, sacroiliac joint mechanics and low back pain[J]. Spine, 2002, 27(4): 399-405.

    STUGE B, LAERUM E, KIRKESOLA G, et al. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy. A randomized con-trolled trial[J]. Spine, 2004, 29(4): 351-359.
    叶颖, 陈倩婧, 陈彦, 等. 推拿配合腰背肌功能锻炼治疗产后腰痛20例[J]. 按摩与康复医学杂志, 2014, 5(2): 48-50.

    TSENG P C, PUTHUSSERY S, PAPPAS Y, et al. A systematic review of randomised controlled trials on the effectiveness of exercise programs onlumbo pelvic pain among postnatal women [J]. BMC Pregnancy Childbirth, 2015, 15: 316-321.
    张瑞红. 初产妇104例产后心理护理[J]. 齐鲁护理杂志, 2014, 17(2): 115-115.

    BAGG M K, HÜBSCHER M, RABEY M, et al. The RESOLVE Trial for people with chronic low back pain: protocol for a randomised clinical trial[J]. J Physiother, 2017, 63(1): 47-48.

    OH B H, KIM H H, KIM C Y, et al. Comparison of physical function according to the lumbar movement method of stabilizing a patient with chronic low back pain[J]. J Phys Ther Sci, 2015, 27(12): 3655-3658.
    肖建墙. 腰间盘突出症患者应用针灸理疗治疗的康复分析[J]. 世界最新医学信息文摘, 2015, 15(32): 160-160.
    黄一琳, 侯晓桦, 李西林, 等. 针刺配合推拿治疗腰椎间盘突出症的临床观察[J]. 陕西中医, 2015, 36(8): 1063-1065.
    税晓平, 李春莹, 曹艳霞. 针灸配合本体神经肌肉促进技术治疗妇女产后腰痛临床观察[J]. 吉林医学, 2014, 35(36): 8027-8029.
    尚涛. 针灸推拿结合康复训练治疗腰椎间盘突出症的疗效观察[J]. 中国药物经济学, 2014(z2): 90-91.

    LEGGE D. Acupuncture Treatment of Chronic Low Back Pain by Using the Jingjin(Meridian Sinews)Model[J]. J Acupunct Meridian Stud, 2015, 8(5): 255-258.

    GANIYU S O, GUJBA K F. Effects of Acupuncture, Core-stabilityExercises, and Treadmill Walking Exercises in Treating a Patient with Postsurgical Lumbar Disc Herniation: A Clinical Case Report [J]. J Acupunct Meridian Stud, 2015, 8(1): 48-52.

    HIDES J A, STANTON W R, MCMAHON S, et al. Effect of stabili-zation training on multifidus muscle cross-sectional area among young elite cricketers with low back pain[J]. J Orthop Sports Phys Ther, 2008, 38(3): 101-108.

    UNSGAARD-TØNDEL M, FLADMARK A M, SALVESEN Ø, et al. Motor control exercises, sling exercises, and general exercises for patients withchronic low back pain: a randomized controlled trial with 1-year follow-up[J]. Phys Ther, 2010, 90(10): 1426-1440.

    ROH H S, CHO W J, RYU W J, et al. The change of pain and lumbosacral sagittal alignment after sling exercise therapy for patients with chronic low back pain[J]. J Phys Ther Sci, 2016, 28(10): 2789-2792.

    YOU Y L, SU T K, LIAW L J, et al. The effect of six weeks of sling exercise training on trunk muscular strength and endurance for clients with low back pain[J]. J Phys Ther Sci, 2015, 27(8): 2591-2596.
    王琰, 郑遵成, 匡乃峰, 等. 悬吊训练联合骨盆三维调整治疗产后耻骨联合的临床研究[J]. 泰 山 医 学 院 学 报, 2019, 10(4): 754-756.
    刘艳丽, 赵祥虎, 夏扬, 等. 悬吊训练对产后腰痛的效果[J]. 中国康复理论与实践, 2018, 12(24): 1456-1460.

    GWON A J, KIM S Y, OH D W. Effects of integrating Neurac vibration into a side-lying bridge exercise on a sling in patients with chronic low back pain: a randomized controlled study[J]. Physiother Theory Pract, 2018, 5: 1-9.
    胡智宏, 孔叶平, 叶倩. 悬吊训练作用机制及临床应用研究进展[J]. 中国康复医学杂志, 2016, 31(8): 924-927.

    KIM J H, KIM Y E, BAE S H, et al. The effect of the neurac sling exercise on postural balance adjustment and muscular response patterns in chronic low back pain patients[J]. J Phys Ther Sci, 2013, 25(8): 1015-1019.
    • 相关文章
    • 施引文献(14)

  • 期刊类型引用(10)

    1. 庄蕊如，苏文杰，庄婷婷，林天华，林友聪. 体外冲击波联合核心稳定训练对产后腰痛治疗效果的研究. 中国康复. 2025(01): 27-31 . 百度学术
    2. 李剑荣，陈春霞，吴立红，蔡涵，刘堰，袁维，杨秋红，陈志刚. Tergumed训练系统对慢性腰痛疗效的Meta分析. 现代医学. 2024(01): 18-24 . 百度学术
    3. 孙丽丽，杨勇. 中药离子导入联合核心肌群训练在产后腰痛中的应用效果. 临床医学研究与实践. 2024(08): 113-116 . 百度学术
    4. 袁世伟，朱泽智，张冰婷，陈桢华，刘思宇. “从阴引阳法”从腹治腰的临床思路探究. 中医临床研究. 2024(10): 134-137 . 百度学术
    5. 赵胜杰，赵文娟，罗桂华，李秀芹，侯珺. 针刺疗法联合运动处方治疗产后腰痛的随机对照研究. 中华全科医学. 2023(02): 313-315 . 百度学术
    6. 赵洪莲，刘欢，高俊详. 温针灸联合养元活血汤治疗产后腰痛患者的临床疗效及对其血清疼痛介质和生活质量的影响. 世界中西医结合杂志. 2023(10): 2016-2020 . 百度学术
    7. 何添艺，彭思琪，肖慧莲，曾雯慧，梁馨予，温优良. 筋膜松解手法结合悬吊训练治疗产后腰痛的临床随机对照研究. 现代医院. 2022(02): 322-324+328 . 百度学术
    8. 韩盛昊，王宝成. 针刺联合整脊疗法及核心肌群训练治疗产后腰痛临床观察. 光明中医. 2022(07): 1235-1238 . 百度学术
    9. 刘佩佩，程芳，李晓玮，朱燎原，刘素姗，陈伟. 悬吊训练联合盆底功能锻炼治疗初产妇产后盆腔器官脱垂临床观察. 河北医科大学学报. 2022(05): 560-563+569 . 百度学术
    10. 冯喆，朱秋静，胡涛，盛晓园. 产后腰痛社区康复模式初探. 浙江中西医结合杂志. 2022(08): 719-721 . 百度学术

    其他类型引用(4)

    • 资源附件(0)
计量
  • 文章访问数:  369
  • HTML全文浏览量:  103
  • PDF下载量:  32
  • 被引次数: 14
出版历程
  • 收稿日期:  2020-08-05

目录

摘要
HTML全文
    参考文献(23)
    相关文章
    施引文献
    资源附件(0)

    /

    返回文章
    返回

    © 2020 《实用临床医药杂志》编辑部

    地址：江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室邮编：225009电话：0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    本系统由 北京仁和汇智信息技术有限公司 开发  百度统计