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呼吸训练联合核心稳定性训练对慢性非特异性下腰痛的临床疗效

Clinical efficacy of breathing training combined with core stability training in chronic nonspecific low back pain.

作者信息

Yu Duoduo, Yu Yaming, Peng Qian, Luo Jingting, He Xu

机构信息

Duoduo Yu, Department of Orthopedics, Sichuan Province Orthopedic Hospital, Chengdu 610041 Sichuan, China.

Yaming Yu, Department of Orthopedics, Sichuan Province Orthopedic Hospital, Chengdu 610041 Sichuan, China.

出版信息

Pak J Med Sci. 2023 Jul-Aug;39(4):1008-1012. doi: 10.12669/pjms.39.4.6918.

Abstract

OBJECTIVE

The study aimed to assess the clinical efficacy of breathing training combined with core stability training in chronic nonspecific low back pain (CNLBP).

METHODS

This was a retrospective study. Of 60 included patients with CNLBP admitted by the Sichuan Province Orthopedic Hospital between December 2020 and February 2022. Random number table method was used to divide thirty patients to a control group, and the rest 30 to an observation group. The control group received core stability training, while the observation group underwent breathing training in addition to the exact treatment provided for the control group. To assess the utility of breathing and core stability training for CNLBP treatment, intergroup comparisons were made for clinical outcomes, the VAS, SF- 36, and SCODI scores before treatment and at three and seven weeks post-treatment, and static and dynamic low-back muscular endurance before and after treatment.

RESULTS

The observation group had an overall response rate (ORR) of 96.67%, significantly higher than that (73.33%) of the control group ( 0.05). Following the intervention, the VAS and SCODI scores declined in both groups; The SF-36 score was elevated in both groups, and likewise. At the end of treatment, both groups exhibited improved static and dynamic muscular endurance of the low back, and the improvement was significantly more distinct in the observation group ( 0.05).

CONCLUSION

Compared with core stability training as a sole treatment, breathing training combined with core stability training can yield better outcomes, ameliorate lumbar spine function, relieve pain and enhance low-back muscular endurance in patients with CNLBP.

摘要

目的

本研究旨在评估呼吸训练联合核心稳定性训练对慢性非特异性下腰痛(CNLBP)的临床疗效。

方法

这是一项回顾性研究。纳入2020年12月至2022年2月期间四川省骨科医院收治的60例CNLBP患者。采用随机数字表法将30例患者分为对照组,其余30例分为观察组。对照组接受核心稳定性训练,观察组除接受与对照组相同的治疗外,还进行呼吸训练。为评估呼吸和核心稳定性训练对CNLBP治疗的效用,对治疗前、治疗后3周和7周的临床结局、视觉模拟评分(VAS)、健康调查简表(SF-36)和脊柱侧凸研究学会-22(SCODI)评分以及治疗前后的静态和动态下背部肌肉耐力进行组间比较。

结果

观察组的总有效率(ORR)为96.67%,显著高于对照组的73.33%(P<0.05)。干预后,两组的VAS和SCODI评分均下降;两组的SF-36评分均升高,同样如此。治疗结束时,两组的下背部静态和动态肌肉耐力均有所改善,且观察组的改善更为明显(P<0.05)。

结论

与单纯进行核心稳定性训练相比,呼吸训练联合核心稳定性训练可取得更好的效果,改善腰椎功能,缓解疼痛,并增强CNLBP患者的下背部肌肉耐力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3abc/10364287/51cf8ebcc470/PJMS-39-1008-g001.jpg

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