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[1]黃 雷.核心穩(wěn)定肌訓(xùn)練聯(lián)合鄭氏手法推拿治療中國女子曲棍球運動員腰痛的療效觀察[J].中醫(yī)正骨,2014,26(09):15-18.
　Huang Lei.Observation on the clinical curative effect of trunk stability muscle training combined with Zheng's manual massage in the treatment of low back pain in Chinese hockey sportswomen[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(09):15-18.
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核心穩(wěn)定肌訓(xùn)練聯(lián)合鄭氏手法推拿治療中國女子曲棍球 運動員腰痛的療效觀察()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期數(shù):
2014年09期
頁碼:
15-18
欄目:
骨科康復(fù)與運動療法
出版日期:
2014-09-30

文章信息/Info

Title:
Observation on the clinical curative effect of trunk stability muscle training combined with Zheng's manual massage in the treatment of low back pain in Chinese hockey sportswomen
作者:
黃 雷
四川省骨科醫(yī)院,四川 成都 610041
Author(s):
Huang Lei
Sichuan Orthopaedic Hospital,Chengdu 610041,Sichuan,China
關(guān)鍵詞:
腰痛 運動員 推拿; 脊柱 核心穩(wěn)定肌訓(xùn)練 曲棍球 治療; 臨床研究性
Keywords:
Low back pain;  Athletes;  Manipulation; spinal;  Trunk stability muscle training;  Hockey;  Therapies; investigational
摘要:
目的:觀察核心穩(wěn)定肌訓(xùn)練聯(lián)合鄭氏手法推拿治療中國女子曲棍球運動員腰痛的臨床療效。方法:回顧性分析20例患有腰痛的國家女子曲棍球隊運動員的病例資料,其中10例采用核心穩(wěn)定肌訓(xùn)練聯(lián)合鄭氏手法推拿治療(治療組)、10例單純采用鄭氏手法推拿治療(對照組)。分別于治療前后,比較2組患者的腰痛視覺模擬評分、Roland-Morris評分、指地距離及腰部肌耐力。結(jié)果:①腰痛視覺模擬評分。治療前2組患者腰痛視覺模擬評分比較,差異無統(tǒng)計學意義[(6.06±2.31)分,(6.16±2.82)分,t=1.984,P=0.067]; 治療后2組患者的腰痛視覺模擬評分均降低[(2.39±1.22)分,(3.41±1.69)分],治療組的降低程度大于對照組[(3.67±1.58)分,(2.75±1.34)分,t=2.414,P=0.035]。②Roland-Morris評分。治療前2組患者Roland-Morris評分比較,差異無統(tǒng)計學意義[(14.22±2.57)分,(14.89±2.82)分,t=1.538,P=0.179]; 治療后2組患者的Roland-Morris評分均降低[(2.64±2.12)分,(3.51±2.84)分],2組患者治療前后評分差值比較,差異無統(tǒng)計學意義[(11.58±2.46)分,(11.38±2.68)分,t=0.342,P=0.856]。③指地距離。治療前2組患者指地距離比較,差異無統(tǒng)計學意義[(9.65±1.34)cm,(9.72±1.45)cm,t=1.245,P=0.334]; 治療后2組患者的指地距離均減小[(2.40±0.67)cm,(3.80±0.84)cm],治療組的減小程度大于對照組[(7.25±1.28)cm,(5.92±1.32)cm,t=2.442,P=0.035]。④腰部肌耐力。治療前2組患者的腹肌和背肌耐力比較,組間差異均無統(tǒng)計學意義[(55.34±2.00)s,(55.76±2.26)s,t=0.786,P=0.435;(50.53±2.06)s,(50.89±2.37)s,t=0.986,P=0.385]; 治療后2組患者的腹肌和背肌耐力均增強[(87.98±2.57)s,(75.38±2.24)s;(80.34±2.46)s,(73.32±2.56)s],治療組的增強程度大于對照組[(32.64±2.34)s,(19.62±0.86)s,t=2.612,P=0.018;(29.81±2.33)s,(22.43±2.42)s,t=2.552,P=0.020]。結(jié)論:核心穩(wěn)定肌訓(xùn)練聯(lián)合鄭氏手法推拿可有效緩解腰痛運動員的疼痛癥狀、改善腰部功能、提高腰部肌肉耐力,其療效優(yōu)于單純手法推拿治療。
Abstract:
Objective:To observe the clinical curative effect of trunk stability muscle training combined with Zheng's manual massage in the treatment of low back pain in Chinese hockey sportswomen.Methods:The medical records of 20 Chinese hockey sportswomen with low back pain were analyzed retrospectively.Tten patients(treatment group)were treated with combination therapy of trunk stability muscle training and Zheng's manual massage,while the others(control group)were treated with monotherapy of Zheng's manual massage.The two groups were compared with each other in such parameters as low back pain visual analogue score(VAS),Roland-Morris score,finger and floor distance(FFD)and lumbar muscle endurance before and after the treatment.Results:There was no statistical difference in the VAS of low back pain between the 2 groups before the treatment(6.06+/-2.31 vs 6.16+/-2.82 points,t=1.984,P=0.067),while the VAS decreased in both of the 2 groups after the treatment,and the VAS decreased more significantly in the treatment group(3.67+/-1.58 vs 2.75+/-1.34 points,t=2.414,P=0.035).There was no statistical difference in the Roland-Morris score between the 2 groups before the treatment(14.22+/-2.57 vs 14.89+/-2.82 points,t=1.538,P=0.179),while the Roland-Morris score decreased in both of the 2 groups after the treatment,and there was no statistical difference in the change of Roland-Morris score between the 2 groups(11.58+/-2.46 vs 11.38+/-2.68 points,t=0.342,P=0.856).There was no statistical difference in the FFD between the 2 groups before the treatment(9.65+/-1.34 vs 9.72+/-1.45 cm,t=1.245,P=0.334),while the FFD decreased in both of the 2 groups after the treatment,and the FFD decreased more significantly in the treatment group(7.25+/-1.28 vs 5.92+/-1.32 cm,t=2.442,P=0.035).There was no statistical difference in the endurance of abdominal and dorsal muscles between the 2 groups before the treatment(55.34+/-2.00 vs 55.76+/-2.26 s,t=0.786,P=0.435; 50.53+/-2.06 vs 50.89+/-2.37 s,t=0.986,P=0.385),while the endurance of abdominal and dorsal muscles strengthened in both of the 2 groups after the treatment,and the endurance of abdominal and dorsal muscles strengthened more significantly in the treatment group(32.64+/-2.34 vs 19.62+/-0.86 s,t=2.612,P=0.018; 29.81+/-2.33 vs 22.43+/-2.42 s,t=2.552,P=0.020).Conclusion:The combination therapy of trunk stability muscle training and Zheng's manual massage can effectively relieve the pain and improve the lumbar function and increase the lumbar muscle endurance for athletes.Moreover,its curative effect is better than that of monotherapy of manual massage.

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更新日期/Last Update: 2014-09-30