| 凌一鸣,韦金忠,夏炳江,沈兴潮,凌义龙.五禽戏治疗非特异性腰痛的临床观察[J].浙江中西医结合杂志,2026,36(3): |
| 五禽戏治疗非特异性腰痛的临床观察 |
| Clinical observation on the treatment of non-specific lumbago with Wuqinxi |
| 投稿时间：2025-02-14 修订日期：2025-06-22 |
| DOI： |
| 中文关键词: 五禽戏 非特异性腰痛 多裂肌 横截面积 脂肪浸润 |
| 英文关键词:Wuqinxi non-specific low back pain multifidus muscle cross-sectional area fat infiltration |
| 基金项目:五禽戏对慢性非特异性下腰痛患者腰骶部多裂肌影响的临床研究 浙江省中医药科技计划项目2022ZB360 |
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| 中文摘要: |
| 目的 观察传统五禽戏治疗非特异性腰痛的临床疗效。方法 前瞻性分析60例首次诊断为非特异性腰痛的患者，分为理疗组与理疗+五禽戏组。理疗组采用中药熏药、艾灸治疗,理疗+五禽戏组在理疗组治疗的基础上练习五禽戏。在治疗前、治疗4周和治疗8周三个时间点对理疗组与理疗+五禽戏组患者行VAS评分、JOA评分、ODI评分,测量腰椎活动度,对两组患者进行疗效对比。收集所有患者治疗前与治疗8周后磁共振的T2加权像,比较实验组与对照组,理疗组与理疗+五禽戏组多裂肌的横截面积和脂肪浸润程度。结果 与治疗前相比,治疗4周理疗组与理疗+五禽戏组VAS评分、ODI评分降低,JOA评分升高,腰椎各方向活动度较前改善(P＜0.05)。与治疗4周相比,治疗8周理疗组与理疗+五禽戏组VAS评分、ODI评分降低,JOA评分升高,腰椎各方向活动度较前改善(P＜0.05)。与理疗组治疗4周相比,理疗+五禽戏组VAS评分、ODI评分降低,JOA评分升高,腰部前屈、后伸、左侧屈、左旋转、右旋转活动度明显改善(P＜0.05)。与理疗组治疗8周相比,理疗+五禽戏组VAS评分、ODI评分降低,JOA评分升高,腰部各方向活动度明显改善(P＜0.05)。与治疗前相比，治疗后理疗组与理疗+五禽戏组多裂肌横截面积增大，脂肪浸润率减小。与理疗组治疗后相比，理疗+五禽戏组多裂肌横截面积较大，脂肪浸润率较小。结论 五禽戏联合中医理疗对于治疗非特异性腰痛效果显著,可以有效的缓解患者疼痛,改善活动度。 |
| 英文摘要: |
| Objective To investigate the clinical efficacy of traditional Wuqinxi exercise in treating nonspecific low back pain (NLBP). Methods A prospective study was conducted on 60 patients initially diagnosed with NLBP, who were divided into a physiotherapy group and a physiotherapy + Wuqinxi group. The physiotherapy group received herbal fumigation and moxibustion, while the physiotherapy + Wuqinxi group practiced Wuqinxi exercises in addition to the physiotherapy regimen. Assessments were performed at baseline, 4 weeks, and 8 weeks of treatment, including Visual Analog Scale (VAS) scores, Japanese Orthopaedic Association (JOA) scores, Oswestry Disability Index (ODI) scores, and lumbar range of motion (ROM). T2-weighted magnetic resonance imaging (MRI) was used to measure the cross-sectional area (CSA) and fat infiltration of the multifidus muscle in both groups before treatment and after 8 weeks. Results Compared with baseline, both groups showed significant reductions in VAS and ODI scores, improvements in JOA scores, and enhanced lumbar ROM in all directions at 4 and 8 weeks (P < 0.05). At 4 weeks, the physiotherapy + Wuqinxi group demonstrated lower VAS and ODI scores, higher JOA scores, and significantly greater ROM in lumbar flexion, extension, left lateral flexion, and bilateral rotation compared to the physiotherapy group alone (P < 0.05). These differences were further amplified at 8 weeks. Post-treatment MRI revealed increased multifidus CSA and reduced fat infiltration in both groups, with the physiotherapy + Wuqinxi group exhibiting superior outcomes compared to the physiotherapy group (P < 0.05). Conclusion The combination of traditional Wuqinxi exercise and physiotherapy significantly alleviates pain, improves functional mobility, and enhances structural recovery of the multifidus muscle in patients with NLBP. |
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