Li Shao-Kang, Zhao Jie, Cao Xiao-Wen, Zhu Sen, Liu Zhi-Qing, Fan Yuan-Xiao
Department of Acupuncture and Moxibustion, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China.
Zhen Ci Yan Jiu. 2022 Feb 25;47(2):160-4. doi: 10.13702/j.1000-0607.201050.
To investigate the clinical effect of core stability training combined with acupuncture in the treatment of chronic nonspecific low back pain (CLBP).
Seventy-five CLBP patients were randomly divided into experimental group (=38) and control group (=37) according to a random number table. Patients in the control group were required to perform core stability training, whereas those in the experimental group received core stability training combined with fire needle acupuncture, once every two days, three times per week, for four successive weeks. The Oswestry disability index (ODI), visual analogue scale (VAS), lumbar muscular endurance index, clinical efficacy, as well as average electromyographic (AEMG), root mean square (RMS), median frequency (MF), and average median frequency (AMF) values during multifidus muscle contraction in the two groups before and after the treatment were compared.
After treatment, ODI, VAS, MF, and AMF of the two groups were lower than those before the treatment (<0.01), while the lumbar static and dynamic muscular endurance, AEMG, and RMS values were higher (<0.01). The ODI, VAS, MF, and AMF of the experimental group significantly declined as compared with those of the control group (<0.01), whereas the lumbar static and dynamic muscular endurance, AEMG, and RMS values were elevated (<0.01). The total effective rate of the experimental group was 97.14%(34/35), higher than 85.71%(30/35) of the control group(<0.01).
Core stability training combined with acupuncture effectively enhances lumbar muscular endurance, improves electromyographic signals of multifidus muscle and lumbar function, and relieves pain, implying the good efficacy of such combined therapy in treating CLBP.
探讨核心稳定性训练联合针刺治疗慢性非特异性下腰痛（CLBP）的临床疗效。
将75例CLBP患者按随机数字表法随机分为实验组（n = 38）和对照组（n = 37）。对照组患者进行核心稳定性训练，而实验组患者接受核心稳定性训练联合火针针刺治疗，每两天1次，每周3次，连续治疗4周。比较两组治疗前后的Oswestry功能障碍指数（ODI）、视觉模拟评分法（VAS）、腰部肌肉耐力指数、临床疗效，以及多裂肌收缩时的平均肌电图（AEMG）、均方根（RMS）、中位频率（MF）和平均中位频率（AMF）值。
治疗后，两组的ODI、VAS、MF和AMF均低于治疗前（P < 0.01），而腰部静态和动态肌肉耐力、AEMG和RMS值均高于治疗前（P < 0.01）。与对照组相比，实验组的ODI、VAS、MF和AMF显著下降（P < 0.01），而腰部静态和动态肌肉耐力、AEMG和RMS值升高（P < 0.01）。实验组的总有效率为97.14%（34/35），高于对照组的85.71%（30/35）（P < 0.01）。
核心稳定性训练联合针刺可有效增强腰部肌肉耐力，改善多裂肌肌电信号和腰部功能，缓解疼痛，提示该联合疗法治疗CLBP疗效良好。
