Lee Ju-Hyun, Kim Tae-Ho
Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University: Jillyang, Gyeongsan, Gyeongbuk 712-714, Republic of Korea.
J Phys Ther Sci. 2017 Sep;29(9):1578-1582. doi: 10.1589/jpts.29.1578. Epub 2017 Sep 15.
[Purpose] In this paper, hamstring stretching and nerve mobilization are conducted on patients with radicular lower back pain, and changes to pain levels, pressure thresholds, angles of knee joint extension, and disorder levels of lower back pain were studied. [Subjects and Methods] The subjects were divided into two groups: one group conducted hamstring stretches and was comprised of 6 male and 5 female subjects, and the other group received nerve mobilization treatment and was comprised of 5 male and 6 female subjects. [Results] Pain level and the disorder index of lower back pain were significantly alleviated after the intervention in both groups. Pressure threshold and angles of knee extension were significantly increased after the intervention in both groups. Comparing the two groups, the alleviation of pain was more significant in the nerve mobilization group. [Conclusion] Patients with radicular lower back pain showed significant differences in pain level, pressure threshold, knee extension angle, and disorder index of lower back pain for both the hamstring stretching group and nerve mobilization group after the treatment. Hamstring stretching and nerve mobilization can be usefully applied for the therapy of patients with radicular lower back pain.
[目的] 本文对患有神经根型下背痛的患者进行了腘绳肌拉伸和神经松动术,并研究了疼痛程度、压力阈值、膝关节伸展角度以及下背痛紊乱程度的变化。[对象与方法] 将受试者分为两组:一组进行腘绳肌拉伸,由6名男性和5名女性受试者组成;另一组接受神经松动术治疗,由5名男性和6名女性受试者组成。[结果] 两组干预后疼痛程度和下背痛紊乱指数均显著减轻。两组干预后压力阈值和膝关节伸展角度均显著增加。比较两组,神经松动术组疼痛缓解更为显著。[结论] 治疗后,腘绳肌拉伸组和神经松动术组的神经根型下背痛患者在疼痛程度、压力阈值、膝关节伸展角度和下背痛紊乱指数方面均存在显著差异。腘绳肌拉伸和神经松动术可有效应用于神经根型下背痛患者的治疗。