| 严燕芳,倪彬斐,章斌,张海燕.基于疼痛感受、功能障碍及多裂肌参数评价腰背肌核心稳定性训练结合肌内效贴用于CNLBP的效果[J].浙江中西医结合杂志,2026,36(1): |
| 基于疼痛感受、功能障碍及多裂肌参数评价腰背肌核心稳定性训练结合肌内效贴用于CNLBP的效果 |
| Effect of lumbodorsal core stability training combined with intramuscular plaster on CNLBP |
| 投稿时间：2024-06-23 修订日期：2025-10-10 |
| DOI： |
| 中文关键词: 慢性非特异性下背痛 腰背肌核心稳定性训练 肌内效贴 功能障碍 多裂肌 |
| 英文关键词:: chronic non-specific low back pain Lumbar and back muscle core stability training Kinesio taping Functional impairment Multifidus muscle |
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| 中文摘要: |
| 目的:探寻基于疼痛感受、功能障碍及多裂肌参数评价腰背肌核心稳定性训练结合肌内效贴用于慢性非特异性下背痛(CNLBP)的效果。方法:选取2021.12~202.02 CNLBP患者116例,随机分为观察组(58例,常规干预基础上,给予腰背肌核心稳定性训练结合肌内效贴干预)和对照组(58例,常规药物、常规理疗干预)。观察两组干预前后疼痛感受[视觉模拟评分量表(VAS)]、功能障碍[Oswestry功能障碍指数(ODI),魁北克腰痛障碍评分量表(QBPDS)]、多裂肌参数[多裂肌表面肌电信号平均振幅值(AEMG)],心理状态[焦虑自评量表(SAS),抑郁自评量表(SDS)]、生活质量[健康状况调查简表(SF-36)]以及满意度情况。结果:对比干预后VAS疼痛等级,观察组患者疼痛等级较低和对照组具有显著差异(P＜0.05)。干预后,两组在ODI评分、QBPDS评分、SAS评分、SDS评分较干预前均有显著下降(P＜0.05)。观察组干预后ODI评分、QBPDS评分、SAS评分、SDS评分低于对照组(P＜0.05)。干预后,两组AEMG、SF-36评分较干预前均上升(P＜0.05)。观察组干预后多裂肌痛侧AEMG、多裂肌对侧AEMG、SF-36评分高于对照组(P＜0.05)。观察组满意度高于对照组(P＜0.05)。结论:腰背肌核心稳定性训练结合肌内效贴干预能降低CNLBP患者疼痛程度,改善功能障碍、提高多裂肌肌力,提高满意度,对改善CNLBP患者心理健康和生活质量具有显著积极影响。 |
| 英文摘要: |
| Objective: To explore the effect of lumbar core stability training combined with kinesio taping in the treatment of chronic nonspecific low back pain (CNLBP) based on pain perception, dysfunction and multifidus muscle parameters. Methods: 116 patients with cnlbp from December 2021 to February 2024 were randomly divided into the observation group (58 cases, on the basis of conventional intervention, given the core stability training of lumbar and dorsal muscles combined with intramuscular plaster intervention) and the control group (58 cases, conventional drugs and conventional physiotherapy intervention). The pain perception [visual analogue scale (VAS)], dysfunction [Oswestry disability index (ODI), Quebec low back pain disorder scale (qbpds)], multifidus muscle parameters [average amplitude of multifidus surface electromyography (AEMG)], psychological status [self rating Anxiety Scale (SAS), self rating Depression Scale (SDS)], quality of life [short form of Health Survey (SF-36)] and satisfaction of the two groups were observed before and after the intervention.Results: Compared with the VAS pain grade after intervention, there was a significant difference between the observation group and the control group (P < 0.05). After intervention, ODI scores, QBPDS scores, SAS scores and SDS scores in both groups were significantly decreased compared with those before intervention (P < 0.05). After intervention, ODI score, QBPDS score, SAS score and SDS score in observation group were lower than those in control group (P < 0.05). After intervention, AEMG and SF-36 scores in both groups were increased compared with those before intervention (P < 0.05). The scores of AEMG on the multifidus side, AEMG on the opposite side of the multifidus side and SF-36 in the observation group were higher than those in the control group after intervention (P < 0.05). The satisfaction of observation group was higher than that of control group (P < 0.05). Conclusion: The lumbar and back core stability training combined with kinesio taping can reduce the pain degree, improve the dysfunction, improve the multifidus muscle strength, and improve the satisfaction of patients with CNLBP. It has a significant positive effect on improving the mental health and quality of life of patients with CNLBP. |
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