摘要： 背景 傳統(tǒng)核心穩(wěn)定康復(fù)訓(xùn)練在慢性非特異性腰痛（CNSLBP）患者康復(fù)訓(xùn)練中的效果確切，但存在患者長期依從性差的問題。本課題組自主研發(fā)了核心穩(wěn)定康復(fù)訓(xùn)練系統(tǒng)（專利號：2021107165452），但其在CNSLBP患者中的干預(yù)效果尚不明晰。 目的 探究核心穩(wěn)定康復(fù)訓(xùn)練系統(tǒng)對CNSLBP患者的干預(yù)效果。 方法 選取2021年12月至2022年1月在廣西師范大學(xué)、桂林學(xué)院內(nèi)招募的21例男性CNSLBP患者為研究對象，將其隨機(jī)分為試驗組（n=11）與對照組（n=10）。試驗組采用課題組自主研發(fā)的核心穩(wěn)定康復(fù)訓(xùn)練系統(tǒng)進(jìn)行訓(xùn)練，對照組采用傳統(tǒng)核心穩(wěn)定訓(xùn)練，共干預(yù)6周。干預(yù)前后分別采用視覺模擬評分法（VAS）評估患者疼痛程度，采用功能障礙指數(shù)（ODI）評價腰部功能障礙，采用Hoggan MicroFet 2肌肉與骨骼檢測儀測定患者腰部前屈肌群、后伸肌群、回旋肌群肌力及肌力信號，采用Y平衡測試（YBT）評定動態(tài)平衡能力。 結(jié)果 試驗組、對照組干預(yù)后VAS值、ODI值低于干預(yù)前（P<0.05），上腹屈、脊柱伸、脊柱左旋、脊柱右旋肌力高于干預(yù)前（P<0.05）；干預(yù)后試驗組VAS值、ODI值低于對照組（P<0.05）；試驗組與對照組干預(yù)后左側(cè)、右側(cè)YBT得分高于干預(yù)前（P<0.05），干預(yù)后試驗組左側(cè)、右側(cè)YBT得分高于對照組（P<0.05）。 結(jié)論 傳統(tǒng)核心穩(wěn)定訓(xùn)練與采用核心穩(wěn)定康復(fù)訓(xùn)練系統(tǒng)進(jìn)行訓(xùn)練均能減輕CNSLBP患者腰部疼痛，改善腰部功能障礙，增加上腹屈、脊柱伸和脊柱回旋肌力，提高動態(tài)平衡能力，而采用核心穩(wěn)定康復(fù)訓(xùn)練系統(tǒng)進(jìn)行訓(xùn)練在減輕腰部疼痛、改善腰部功能障礙、提高動態(tài)平衡能力方面效果更好。

關(guān)鍵詞: 腰痛, 醫(yī)學(xué)康復(fù), 核心穩(wěn)定, 康復(fù)訓(xùn)練系統(tǒng), 慢性非特異性, 干預(yù)效果

Abstract:

Background

The traditional core stability rehabilitation training has been proven to be effective in improving the rehabilitation in patients with chronic non-specific low back pain (CNSLBP) , but with poor long-term compliance. We independently developed a new core stabilization rehabilitation training program (NO.2021107165452) for CNSLBP patients, but the intervention effects of which are still unclear.

Objective

To explore the intervention effect of a novel core stabilization rehabilitation training program in CNSLBP patients.

Methods

Twenty-one male CNSLBP patients were recruited from Guangxi Normal University and Guilin College from December 2021 to January 2022, and randomly divided into an experimental group (n=11) and a control group (n=10) , receiving a six-week intervention using the core stabilization rehabilitation training program independently developed by our research group, and traditional core stability rehabilitation training, respectively. The visual analogue scale (VAS) was used to evaluate the pain level. The Oswestry Disability Index (ODI) was used to evaluate the status of lumbar dysfunction. The Hoggan MicroFET 2 was used to measure muscle force and muscle force signals of the flexor muscles, extensor muscles, and rotatores muscles of the low back. The Y-balance test (YBT) was used to assess the dynamic balance ability.

Results

The values of VAS and ODI were significantly reduced in both groups after the intervention (P<0.05) , and they were more lower in the experimental group (P<0.05) . The muscle strength of upper abdominal flexors, spinal extensors, spinal left rotators, and spinal right rotators increased significantly in both groups after the intervention (P<0.05) . The left and right YBT scores were increased notably in both groups after the intervention (P<0.05) , and they were more higher in the experimental group (P<0.05) .

Conclusion

Both kinds of intervention programs could improve the lumbar pain, lumbar dysfunction, the muscle strength of upper abdominal flexors, spinal extensors, and spinal rotators, and dynamic balance in CNSLBP patients, but our core stability rehabilitation training program was more effective in reducing lumbar pain, improving lumbar dysfunction, and enhancing dynamic balance, so this novel program is worth promoting.

Key words: Core stability, Rehabilitation, Rehabilitation training system, Chronic non-specific, Low back pain, Intervention effect

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