从脊柱稳定性角度探讨下背痛的治疗

根据脊柱稳定的维持是由三个亚系统相互协同的原理,从脊柱稳定性中的主动亚系统失衡方面分析下背痛发病机制。同时,结合核心稳定性训练的方法指导下背痛的临床治疗。本文就脊柱稳定性角度指导下背痛的治疗作了具体论述。     

脂氧素与类风湿关节炎的相关性研究进展

<正>类风湿关节炎(Rheumatoid Arthritis)是一种以慢性关节滑膜炎为主要特征的自身免疫性疾病,以形成侵袭性滑膜血管翳,破坏软骨、骨与周围组织为基本病理改变,统计表明~([1]),RA在全世界均有发病,平均发病率为1%,而我国患病率为0.3%~0.4%,是一种致残率较高的疾病,严重影响患者的生活质量。目前临床上治疗RA的方法,主要是对     

理筋正骨手法联合运动疗法治疗肱骨外上髁炎的效果

目的：评价理筋正骨手法联合运动疗法治疗肱骨外上髁炎的临床疗效。方法将60例患者随机分为观察组和对照组各30例,观察组采用理筋正骨手法联合运动疗法,对照组采用单纯推拿手法,两组均隔日治疗1次,30 min／次,14次为1个疗程。分别于治疗前后采用VAS量表及压痛仪评估两组患者的疼痛程度,参考改良An和Morrey肘关节功能评分对患者的症状包括活动度、力量、稳定性、疼痛进行评分,并观察临床疗效。结果观察组总有效率为93.3％,对照组总有效率为83.3％,两组比较差异有统计学意义（ P＜0.05）;治疗后两组患者压痛程度、改良An和Morrey肘关节功能评分较本组治疗前明显改善（ P＜0.05）,且观察组以上各评价指标均明显优于对照组（P＜0.05）。结论理筋正骨手法联合运动疗法治疗肱骨外上髁炎可减轻患者的局部疼痛,改善临床疗效。     

理筋正骨手法联合运动疗法治疗膝骨关节炎30例临床观察

目的观察理筋正骨手法联合运动疗法治疗膝骨关节炎的临床疗效。方法将60例膝骨关节炎患者按照随机数字表法分为治疗组和对照组,各30例。对照组给予常规推拿疗法,治疗组给予理筋正骨手法联合运动疗法,2组均1次/d,7 d为1个疗程,共治疗3个疗程。比较2组治疗前后视觉模拟评分法(VAS)评分、压痛值、临床症状评分及2组股四头肌积分肌电值(i EMG)。结果治疗后2组VAS评分明显降低,压痛值明显升高,与同组治疗前比较差异均有统计学意义(P0.05),且治疗组改善作用明显优于对照组,2组治疗后比较差异均有统计学意义(P0.05)。治疗后2组除肿胀程度外其他各项临床症状评分均明显升高,与同组治疗前比较差异有统计学意义(P0.05),且治疗组升高幅度显著大于对照组,2组治疗后比较差异均有统计学意义(P0.05)。治疗组20 s被动牵伸与20 s主动运动i EMG均明显高于对照组,2组比较差异均有统计学意义(P0.05)。结论理筋正骨手法联合运动疗法可缓解膝骨关节炎患者疼痛,改善膝关节活动功能,从而提高患者的生活质量。     

Clinical observation of tendon-regulating manipulation plus core stability training for non-specific low back pain

Objective

To evaluate the clinical efficacy of tendon-regulating manipulation plus kinesiotherapy in treating low back pain.

Methods

Sixty patients were randomized into a treatment group and a control group by using the random number table, 30 cases in each group. The treatment group was intervened by tendon-regulating manipulation plus kinesiotherapy, while the control group was by the tendon-regulating manipulation alone. The lumbar lordosis was measured by X-ray (side view), the pain was evaluated by analgesy meter, the lumbar range of motion was by using goniometer, and the function was judged by Oswestry disability index (ODI) before and after treatment, and the therapeutic efficacy was also observed.

Results

After treatment, the pain level was significantly reduced, lumbar lordosis was significantly increased, the lumbar range of motion was markedly improved, and the ODI score significantly dropped (all P<0.05) in both groups; the improvement of each item in the treatment group was more significant than that in the control group (all P<0.05). The total effective rate was 90.0% in the treatment group versus 63.3% in the control group, and the difference was statistically significant (P<0.05).

Conclusion

In the treatment of low back pain, tendon-regulating manipulation plus kinesiotherapy can mitigate topical pain, improve the motion of low back, enhance the quality of life, and produce a more significant therapeutic efficacy compared to tendon-regulating manipulation alone.