School of Traditional Chinese Medicine, Naval Medical University, Shanghai 200433, China.
Department of Rehabilitation, Changhai Hospital, Naval Medical University, Shanghai 200433, China.
J Integr Med. 2022 Mar;20(2):145-152. doi: 10.1016/j.joim.2021.12.002. Epub 2021 Dec 16.
Core muscle functional strength training (CMFST) has been reported to reduce injuries to the lower extremity. However, no study has confirmed whether CMFST can reduce the risk of low back pain (LBP).
This study identified the effects of CMFST on the incidence of LBP in military recruits.
DESIGN, SETTING, PARTICIPANTS AND INTERVENTION: We performed a prospective, open-label, randomized, controlled study in a population of young healthy male naval recruits from a Chinese basic combat training program. Participants were randomly assigned to either the core group or the control group. In additional to normal basic combat training, recruits in the core group underwent a CMFST program for 12 weeks, while recruits in the control group received no extra training.
At the beginning of the study and at the 12th week, the number of participants with LBP was counted, and lumbar muscle endurance was measured. In addition, when participants complained of LBP, they were assessed using the visual analog scale (VAS) and Roland Morris Disability Questionnaire (RMDQ).
A total of 588 participants were included in the final analysis (295 in the core group and 293 in the control group). The incidence of LBP in the control group was about twice that of the core group over the 12-week study (20.8% vs 10.8%, odds ratio: 2.161-2.159, P < 0.001). The core group had better lumbar muscle endurance at 12 weeks than the control group ([200.80 ± 92.98] s vs [147.00 ± 84.51] s, P < 0.01). There was no significant difference in VAS score between groups, but the core group had a significantly lower RMDQ score at week 12 than the control group (3.33 ± 0.58 vs 5.47 ± 4.41, P < 0.05).
This study demonstrated that the CMFST effectively reduced the incidence of LBP, improved lumbar muscle endurance, and relieved the dysfunction of LBP during basic military training.
核心肌群功能力量训练（CMFST）已被报道可降低下肢损伤的风险。然而，尚无研究证实 CMFST 是否可以降低腰痛（LBP）的风险。
本研究旨在确定 CMFST 对新兵 LBP 发生率的影响。
设计、地点、参与者和干预措施：我们在中国基础战斗训练计划的年轻健康男性海军新兵中进行了一项前瞻性、开放标签、随机、对照研究。参与者被随机分配到核心组或对照组。除了正常的基础战斗训练外，核心组新兵还进行了 12 周的 CMFST 计划，而对照组新兵则没有接受额外的训练。
在研究开始时和第 12 周，统计参与者中出现 LBP 的人数，并测量腰椎肌肉耐力。此外，当参与者出现 LBP 时，使用视觉模拟量表（VAS）和 Roland Morris 残疾问卷（RMDQ）对其进行评估。
共有 588 名参与者进入最终分析（核心组 295 名，对照组 293 名）。在 12 周的研究过程中，对照组的 LBP 发生率约为核心组的两倍（20.8%比 10.8%，优势比：2.161-2.159，P<0.001）。12 周时，核心组的腰椎肌肉耐力明显优于对照组（[200.80±92.98]s 比 [147.00±84.51]s，P<0.01）。两组间 VAS 评分无显著差异，但核心组的 RMDQ 评分在第 12 周时明显低于对照组（3.33±0.58 比 5.47±4.41，P<0.05）。
本研究表明，CMFST 可有效降低 LBP 的发生率，提高腰椎肌肉耐力，并缓解基础军事训练期间 LBP 的功能障碍。
