手法联合核心稳定训练治疗老年非特异性腰痛临床研究

目的:观察手法联合核心稳定训练治疗老年非特异性腰痛的临床疗效。方法:124例随机分为研究组和对照组各62例。两组均行手法治疗,观察组加用核心稳定训练治疗。结果:治疗后两组VAS、ODI评分均较治疗前改善(P<0.01),观察组改善程度优于对照组(P<0.01)。治疗后两组闭眼单脚站立时间、闭目原地踏步时间均较治疗前延长(P<0.01),观察组延长程度大于对照组(P<0.05)。结论:手法可以瞬间纠正腰椎“骨错缝、筋出槽”,恢复力学平衡。配合核心稳定性训练,使筋强骨健,维持腰椎稳定,疗效较好且安全。

A Clinical Study of Manipulation Combined with Core Stabilization Training on Non-specific Low Back Pain in the Elderly

Objective:To observe the clinical effect of manipulation combined with core stabilization training on non-specific low back pain in the elderly.Methods:A total of 124 cases were randomly divided into study group and control group,with 62 cases in each group.Both groups received manipulation therapy,and the observation group received additional core stabilization training.Results:After treatment,the VAS and ODI scores of the two groups were improved compared with those before treatment(P<0.01),and the improvement degree of the observation group was better than that of the control group(P<0.01).After treatment,the time of standing on one foot with closed eyes and stepping time with eyes closed in the two groups were prolonged than that before treatment(P<0.01),and the prolonged time of the observation group was more than that of the control group(P<0.05).Conclusion:Manipulation can instantly correct the"dislocation of bones and tendons out of grooves"of the lumbar spine and restore the mechanical balance,cooperated with core stability training to strengthen the muscles and bones and further maintain the stability of the lumbar spine.The effect is remarkable and safe.