Core stability exercises combined with manipulation therapy in 30 patients with lumbar disc herniation

ZHANG Guohui; MOU Xin; GUO Qingjuan; QIU Fengxi; ZHANG Hong

doi:10.16305/j.1007-1334.2019.07.013

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Core stability exercises combined with manipulation therapy in 30 patients with lumbar disc herniation

更新时间：2022-08-31

- Core stability exercises combined with manipulation therapy in 30 patients with lumbar disc herniation
- Shanghai Journal of Traditional Chinese Medicine Vol. 53, Issue 7, Pages: 48-51(2019)
- 作者机构：
  
  1. 上海中医药大学附属岳阳中西医结合医院康复科,上海,200437
  2. 广州中医药大学附属重庆北碚中医院康复科,重庆,400700
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2019.07.013
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ZHANG Guohui, MOU Xin, GUO Qingjuan, et al. Core stability exercises combined with manipulation therapy in 30 patients with lumbar disc herniation. [J]. Shanghai Journal of Traditional Chinese Medicine 53(7):48-51(2019)
DOI：

ZHANG Guohui, MOU Xin, GUO Qingjuan, et al. Core stability exercises combined with manipulation therapy in 30 patients with lumbar disc herniation. [J]. Shanghai Journal of Traditional Chinese Medicine 53(7):48-51(2019) DOI： 10.16305/j.1007-1334.2019.07.013.

摘要

目的：观察核心稳定训练联合手法治疗腰椎间盘突出症的临床疗效。方法：将60例腰椎间盘突出症患者随机分为治疗组和对照组,每组30例。对照组予推拿手法治疗,治疗组在对照组治疗措施的基础上加用核心稳定训练。两组疗程均为20天,比较疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)及腹部屈肌群、腰背部伸肌群峰力矩(PT)值的变化情况。结果：①治疗前后组内比较,两组VAS评分、ODI值均较治疗前减少(P<0.05)；组间治疗后比较,治疗组VAS评分、ODI值少于对照组(P<0.05)。②治疗前后组内比较,两组腹部屈肌群、腰背部伸肌群的PT值均升高(P<0.05)；组间治疗后比较,腹部屈肌群、腰背部伸肌群的PT值差异无统计学意义(P>0.05)。结论：核心稳定训练联合手法对腰椎间盘突出症疗效满意,较单纯手法能更好地缓解疼痛,提高患者的日常生活能力。

Abstract

Objective:To observe the clinical efficacy of core stability exercises combined with manipulation therapy in the treatment of lumbar disc herniation (LDH). Methods60 patients with LDH were randomly assigned into treatment group and control group, 30 patients in each group. Both groups received manipulation therapy, and the treatment group was treated with core stability exercises additionally. The treatment course was 20 days. The changes in the visual analogue score (VAS) of pain, Oswestry disability index (ODI), and values of peak torque (PT) of the abdominal flexors and the extensors of lumbar and dorsal region were compared. Results:①After treatment, the VAS score and ODI decreased in both groups compared to those before treatment (P<0.05); and they were lower in the treatment group than in the control group (P<0.05). ②After treatment, the PT values of the abdominal flexors and the extensors of lumbar and dorsal region increased in both groups compared to those before treatment (P<0.05), with no statistically significant differences between the groups (P<0.05). Conclusion:Core stability exercises combined with manipulation therapy shows satisfactory effects in treating LDH, is more effective in relieving pain, and improves activities of daily living of patients compared to manipulation therapy alone.

关键词

腰椎间盘突出症核心稳定训练推拿等速肌力峰力矩

Keywords

lumbar disc herniationcore stability exercisesmanipulation therapyisokinetic muscle strengthpeak torque

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