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神经松动术悬吊运动对慢性下腰痛患者姿势平衡调整及肌肉反应模式的影响。

The effect of the neurac sling exercise on postural balance adjustment and muscular response patterns in chronic low back pain patients.

作者信息

Kim Ji Hae, Kim Young Eok, Bae Sea Hyun, Kim Kyung Yoon

机构信息

Department of Physical Therapy, Dongshin University Oriental Hospital.

出版信息

J Phys Ther Sci. 2013 Aug;25(8):1015-9. doi: 10.1589/jpts.25.1015. Epub 2013 Sep 20.

Abstract

[Purpose] This study aimed to examine the effects of the Neurac sling exercise on postural balance adjustment and muscular response patterns in chronic low back pain (CLBP) patients. [Subjects and Methods] Sixteen CLBP patients participated in this study. They were randomly and equally assigned to group I, whose members received ordinary physical therapy (40 minutes per time, four times per week), and group II, whose members performed a lumbar stabilization exercise using the Neurac sling after ordinary physical therapy (40 minutes per time, four times per week). The visual analogue scale (VAS) and Oswestry Disability Index (ODI) were used to evaluate exercise effects. BioRescue and electromyography were utilized for the measurement of changes in postural balance adjustment and muscular response patterns, respectively. [Results] Both groups saw their VAS and ODI decrease significantly. There were significant decreases in both groups in posturography as well, but group II recorded a greater decrease. There were significant increases in the flexion-relaxation ratio in both groups, and there were significant increases in the extension-flexion ratio in the left L1-2 of group I and in all elements of group II. [Conclusion] Lumbar stabilization exercise using the Neurac sling is effective in decreasing pain, improving damaged postural balance adjustment, and normalizing muscle response patterns of CLBP patients.

摘要

[目的] 本研究旨在探讨神经松动悬吊运动对慢性下腰痛(CLBP)患者姿势平衡调整及肌肉反应模式的影响。[对象与方法] 16例CLBP患者参与本研究。他们被随机且平均分为两组,第一组接受普通物理治疗(每次40分钟,每周4次),第二组在普通物理治疗(每次40分钟,每周4次)后使用神经松动悬吊装置进行腰椎稳定运动。采用视觉模拟评分法(VAS)和Oswestry功能障碍指数(ODI)评估运动效果。分别利用BioRescue和肌电图测量姿势平衡调整及肌肉反应模式的变化。[结果] 两组患者的VAS和ODI均显著降低。两组患者的姿势描记图也均显著降低,但第二组降低幅度更大。两组患者的屈伸放松比值均显著增加,第一组左侧L1-2节段的伸屈比值及第二组所有节段的伸屈比值均显著增加。[结论] 使用神经松动悬吊装置进行腰椎稳定运动可有效减轻CLBP患者的疼痛,改善受损的姿势平衡调整,并使肌肉反应模式恢复正常。

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