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[1]熊國星,王鑫,程元輝,等.動推療法與單純推拿療法治療慢性非特異性腰痛的近期療效對比研究[J].中醫(yī)正骨,2017,29(11):33-37.
　XIONG Guoxing,WANG Xin,CHENG Yuanhui,et al.A comparative study of short-term clinical curative effect of massage during exercise versus monotherapy of TUINA for treatment of chronic nonspecific low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(11):33-37.
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動推療法與單純推拿療法治療慢性非特異性腰痛的近期療效對比研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年11期
頁碼:
33-37
欄目:
臨床研究
出版日期:
2017-11-20

文章信息/Info

Title:
A comparative study of short-term clinical curative effect of massage during exercise versus monotherapy of TUINA for treatment of chronic nonspecific low back pain
作者:
熊國星; 王鑫; 程元輝; 肖湘; 吳夏
重慶醫(yī)藥高等專科學(xué)校,重慶 401331
Author(s):
XIONG Guoxing; WANG Xin; CHENG Yuanhui; XIAO Xiang; WU Xia
Chongqing Medical and Pharmaceutical College,Chongqing 401331,China
關(guān)鍵詞:
腰痛;  慢性非特異性腰痛;  推拿;  運(yùn)動療法;  動推療法;  臨床試驗(yàn)
Keywords:
Key words low back pain;  chronic nonspecific low back pain;  TUINA;  exercise therapy;  massage during exercise;  clinical trial
摘要:
目的:比較動推療法與單純推拿療法治療慢性非特異性腰痛(chronic nonspecific low back pain,CNLBP)的近期療效。方法:將180例CNLBP患者隨機(jī)分為動推療法組和單純推拿組,每組90例。2組患者每周均治療2次,每次10 min,連續(xù)治療3周。分別于治療前和治療結(jié)束后1個月,比較2組患者腰部疼痛視覺模擬量表(visual analogue scale,VAS)評分、Roland腰椎功能障礙評分和Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)評分。結(jié)果:①腰部疼痛VAS評分。治療前2組患者腰部疼痛VAS評分比較,差異無統(tǒng)計(jì)學(xué)意義[(2.6±0.7)分,(2.4±0.8)分,t=0.672,P=0.678]; 治療結(jié)束后1個月,動推療法組腰部疼痛VAS評分低于單純推拿組[(1.2±0.6)分,(1.8±0.8)分,t=2.652,P=0.014],2組患者腰部疼痛VAS評分均低于治療前(t=27.465,P=0.000; t=2.533,P=0.012)。②Roland腰椎功能障礙評分。治療前2組患者Roland腰椎功能障礙評分比較,差異無統(tǒng)計(jì)學(xué)意義[(10.3±1.5)分,(9.8±1.8)分,t=0.473,P=0.908]; 治療結(jié)束后1個月,動推療法組Roland腰椎功能障礙評分低于單純推拿組[(1.6±0.6)分,(3.7±1.1)分,t=41.951,P=0.000],2組患者Roland腰椎功能障礙評分均低于治療前(t=29.456,P=0.000; t=21.013,P=0.000)。③ODI評分。治療前2組患者ODI評分比較,差異無統(tǒng)計(jì)學(xué)意義[(15.35±2.62)分,(14.81±3.41)分,t=0.612,P=0.532]; 治療結(jié)束后1個月,動推療法組ODI評分低于單純推拿組[(6.52±1.64)分,(9.34±2.41)分,t=2.413,P=0.025],2組患者ODI評分均低于治療前(t=32.467,P=0.000; t=19.314,P=0.000)。結(jié)論:采用動推療法和單純推拿法治療CNLBP均能緩解腰部疼痛,改善腰部功能,但前者的近期臨床療效優(yōu)于后者。
Abstract:
ABSTRACT Objective:To compare the short-term clinical curative effect of massage during exercise versus monotherapy of TUINA in the treatment of chronic nonspecific low back pain(CNLBP).Methods:One hundred and eighty patients with CNLBP were randomly divided into monotherapy of massage during exercise group(group A)and TUINA group(group B),90 cases in each group.All patients were treated twice a week,10 minutes at a time for consecutive 3 weeks.The low back pain visual analogue scale(VAS)scores,Roland lumbar dysfunction scores and Oswestry disability index(ODI)scores were compared between the 2 groups before treatment and at 1 month after the end of the treatment respectively.Results:There was no statistical difference in the low back pain VAS scores between the 2 groups before treatment(2.6+/-0.7 vs 2.4+/-0.8 points,t=0.672,P=0.678).The low back pain VAS scores were lower in group A compared to group B at 1 month after the end of the treatment(1.2+/-0.6 vs 1.8+/-0.8 points,t=2.652,P=0.014),and the low back pain VAS scores of the 2 groups were lower at 1 month after the end of the treatment compared to pre-treatment(t=27.465,P=0.000; t=2.533,P=0.012).There was no statistical difference in the Roland lumbar dysfunction scores between the 2 groups before treatment(10.3+/-1.5 vs 9.8+/-1.8 points,t=0.473,P=0.908).The Roland lumbar dysfunction scores were lower in group A compared to group B at 1 month after the end of the treatment(1.6+/-0.6 vs 3.7+/-1.1 points,t=41.951,P=0.000),and the Roland lumbar dysfunction scores of the 2 groups were lower at 1 month after the end of the treatment compared to pre-treatment(t=29.456,P=0.000; t=21.013,P=0.000).There was no statistical difference in the ODI scores between the 2 groups before treatment(15.35+/-2.62 vs 14.81+/-3.41 points,t=0.612,P=0.532).The ODI scores were lower in group A compared to group B at 1 month after the end of the treatment----------------------------------------------- (6.52+/-1.64 vs 9.34+/-2.41 points,t=2.413,P=0.025),and the ODI scores of the 2 groups were lower at 1 month after the end of the treatment compared to pre-treatment(t=32.467,P=0.000; t=19.314,P=0.000).Conclusion:Both massage during exercise and monotherapy of TUINA can relieve the low back pain and improve the low back function in the treatment of CNLBP,however,the short-term clinical curative effect of the former is better than that of the latter.

參考文獻(xiàn)/References:

[1] SEARLE A,SPINK M,HO A,et al.Exercise interventions for the treatment of chronic low back pain:a systematic review and meta-analysis of randomised controlled trials[J].Clin Rehabil,2015,29(12):1155-1167.
[2] KUMAR S,BEATON K,HUGHES T.The effectiveness of massage therapy for the treatment of nonspecific low back pain:a systematic review of systematic reviews[J].Int J Gen Med,2013,6(6):733-741.
[3] BROSSEAU L,WELLS GA,POITRAS S,et al.Ottawa panel evidence-based clinical practice guidelines on therapeutic massage for low back pain[J].J Bodyw Mov Ther,2012,16(4):424-455.
[4] BROSSEAU L,WELLS GA,TUGWELL P,et al.Ottawa panel evidence-based clinical practice guidelines on therapeutic massage for neck pain[J].J Bodyw Mov Ther,2012,16(3):300-325.
[5] 孫戴,林德快,蔡涵,等.推拿結(jié)合懸吊運(yùn)動訓(xùn)練對慢性非特異性腰痛的臨床療效觀察[J].頸腰痛雜志,2014,35(2):134-136.
[6] 梁宇,盧鐵元,馬景全.手法按摩結(jié)合運(yùn)動療法指導(dǎo)治療腰椎間盤突出癥的療效觀察[J].頸腰痛雜志,2014,35(1):69-70.
[7] 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(yùn)動員腰痛的療效觀察[J].中醫(yī)正骨,2014,26(9):15-18.
[8] 袁啟令,劉亮,馬江濤,等.針刺治療慢性非特異性腰痛的臨床研究[J].中醫(yī)正骨,2016,28(6):12-17.
[9] DORSI M,Belzberg A.Low back pain[M]//Jeffery.Non-specific low back pain,New York:McGraw Hill,2005:141-146.
[10] 蔣協(xié)遠(yuǎn),王大偉.骨科臨床療效評價標(biāo)準(zhǔn)[M].北京:人民衛(wèi)生出版社,2005:123-124.
[11] CHIAROTTO A,MAXWELL LJ,TERWEE CB,et al.Roland-Morris disability questionnaire and oswestry disability index:which has better measurement properties for measuring physical functioning in nonspecific low back pain?systematic review and Meta-Analysis[J].Phys Ther,2016,96(10):1620-1637.
[12] FAIRBANK JC,PYNSENT PB.The oswestry disability index[J].Spine(Phila Pa 1976),2000,25(22):2940-2952.
[13] BUNZLI S,WATKINS R,SMITH A,et al.Lives on hold:a qualitative synthesis exploring the experience of chronic low-back pain[J].Clin J Pain,2013,29(10):907-916.
[14] WIESER S,HORISBERGER B,SCHMIDHAUSER S,et al.Cost of low back pain in Switzerland in 2005[J].Eur J Health Econ,2011,12(5):455-467.
[15] MAZAHERI M,COENEN P,PARNIANPOUR M,et al.Low back pain and postural sway during quiet standing with and without sensory manipulation:a systematic review[J].Gait Posture,2013,37(1):12-22.
[16] WELLS C,KOLT GS,MARSHALL P,et al.The effectiveness of pilates exercise in people with chronic low back pain:a systematic review[J].PLos One,2014,9(7):e100402.
[17] SHEERAN L,SPARKES V,CATERSON B,et al.Spinal position sense and trunk muscle activity during sitting and standing in nonspecific chronic low back pain:classification analysis[J].Spine(Phila Pa 1976),2012,37(8):E486-E495.
[18] 陳香仙,朱國萍.肱骨外上髁炎的推拿與抗阻運(yùn)動康復(fù)研究[J].北京體育大學(xué)學(xué)報,2011,34(6):71-74.
[19] 王何,萬里.關(guān)節(jié)松動術(shù)結(jié)合運(yùn)動治療對腰痛患者功能恢復(fù)的影響[J].中國傷殘醫(yī)學(xué),2014,22(2):2-4.
[20] 林煒,王文彪.宣氏壓痛點(diǎn)強(qiáng)刺激推拿療法配合懸吊運(yùn)動療法治療腰肌勞損62例[J].中醫(yī)外治雜志,2010,19(4):34-35.
[21] 張秀華.針推配合太極拳運(yùn)動治療腰椎間盤突出癥的臨床回顧[J].光明中醫(yī),2009,24(8):1523-1524.
[22] 王曉紅,張益珍,張黎明,等.McKenzie力學(xué)療法結(jié)合推拿治療腰椎間盤突出癥的臨床研究[J].中國康復(fù)醫(yī)學(xué)雜志,2004,19(9):10-12.
[23] 丁益群.推拿牽引結(jié)合運(yùn)動治療腰椎間盤突出癥30例[J].南京中醫(yī)藥大學(xué)學(xué)報,2011,27(4):390-392.
[24] 彭程,王燕飛.推拿配合運(yùn)動療法治療粘連期肩關(guān)節(jié)周圍炎的臨床研究[J].中華中醫(yī)藥學(xué)刊,2012,30(12):2778-2781.
[25] CORTÉS GODOY V,GALLEGO IZQUIERDO T,LÁZARO NAVAS I,et al.Effectiveness of massage therapy as co-adjuvant treatment to exercise in osteoarthritis of the knee:a randomized control trial[J].J Back Musculoskelet Rehabil,2014,27(4):521-529.

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備注/Memo

備注/Memo:
基金項(xiàng)目:重慶醫(yī)藥高等專科學(xué)校人才引進(jìn)計(jì)劃項(xiàng)目(ygz2016303) 通訊作者:王鑫 E-mail:[email protected]
更新日期/Last Update: 2018-04-02