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| 核心稳定性训练对腰椎间盘突出症患者的康复效果 |
| Effect of core stability training for patients with lumbar disc herniation |
| 投稿时间：2018-04-04 |
| DOI：10.3969/j.issn.1000-0399.2018.11.005 |
| 中文关键词: 核心稳定性 单桥耐力试验 非手术脊柱减压 腰椎间盘突出症 |
| 英文关键词: Core stability Unilateral hip bridge endurance test Non-operative spinal decompression Lumbar disc herniation |
| 基金项目:安徽省省级质量工程项目（项目编号：2014tszy095） |
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| 中文摘要: |
| 目的 分析核心稳定性训练对腰椎间盘突出症患者的康复效果。方法 选取2016年3月至2017年3月于安徽医科大学第一附属医院康复医学科住院治疗的有单侧下肢放射痛的腰椎间盘突出症患者91例，按随机数字表法将其分为观察组（46例）和对照组（45例）。对照组患者给予常规康复治疗和非手术脊柱减压治疗2周。观察组患者在对照组的基础上给予核心稳定性训练，持续2周。于治疗前、治疗后、随访6个月后分别采用功能障碍指数（ODI）、单桥耐力试验（UHBE）评估两组患者日常生活活动和核心稳定性的情况。结果 两组患者治疗前ODI评分、UHBE时间差异无统计学意义（P>0.05）。治疗后、随访6个月后，两组患者的ODI评分、UHBE时间均较治疗前改善，差异有统计学意义（P<0.05）。治疗后及随访6个月后，观察组患者ODI评分低于对照组，而UHBE时间多于对照组患者，差异均有统计学意义（P<0.05）。与治疗后相比，随访6个月后的观察组患者的ODI评分较治疗后增高，UHBE时间较治疗后减少，差异均无统计学意义（P>0.05）；而对照患者的ODI评分较治疗后增高，UHBE时间较治疗后减少，差异均有统计学意义（P<0.05）。结论 核心稳定性训练有助于腰椎间盘突出症患者临床康复，坚持训练可巩固疗效。 |
| 英文摘要: |
| Objective To observe the clinical effect of core stability training combined with non-operativespinal decompression treatment for patients with lumbar disc herniation. Methods Ninety-one patients with lumbar disc herniation admitted to the hospital from March 2016 to March 2017 were divided into treatment group of forty-six cases and control group of forty-five cases according to a random number table. All patients received non-operative spinal decompression treatment and other baseline rehabilitation including medication, physical therapy and manual therapy for two weeks, while patients in treatment group were given core stability training additionally. For the assessment, Oswestrydisability index (ODI) and unilateral hip bridge endurance test (UHBE) were used to evaluate patients'activities of daily living and core stability before and after 2 weeks, 6months of treatment. Results The baseline data and the data of ODI and UHBE before treatment had no significant difference between the two groups (P>0.05), while they were improved greatly in both groups after 2 weeks' rehabilitation and 6 months after treatment (P<0.05). Compared to control group, the data of ODI and UHBE improved significantly(P<0.05). The ODI scores increased and UHBE time decreased in two groups 6 months after treatment. There was no significant difference in ODI score and UHBE time in treatment group (P<0.05), while the control group had statistical differences (P<0.05). Conclusion The core stability training can significantly improve the activities of daily living and core stability in patients with lumbar disc herniation, and should be maintained. |
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