核心肌力训练对运动员慢性非特异性腰痛的治疗作用分析

目的研究核心肌力训练对运动员慢性非特异性腰痛（CNLBP）的治疗作用。方法选取60例运动员CNLBP病人，随机均分为对照组与观察组。对照组病人采用短波、干扰电等常规物理治疗，观察组在常规物理治疗基础上采用核心肌力训练，每周3次，连续治疗2个月。比较治疗前后腰椎疾患（JOA）评分、疼痛视觉模拟（VAS）评分以及Roland-Morris功能障碍（RDQ）评分，记录治疗前后总腰椎前凸角（TLL）、骶骨倾斜角（SI）、腰骶角（LSA）等腰骶结构变化，评估治疗2个月后的综合疗效。结果治疗后，2组VAS评分、RDQ评分较治疗前均明显降低（P < 0.01），JOA评分均明显升高（P < 0.01），且治疗后观察组评分的变化幅度大于对照组（P < 0.01）；观察组治疗后TLL、SI均高于对照组（P < 0.01），LSA低于对照组（P < 0.05）；观察组治疗总有效率93.33%，与对照组83.33%比较差异无统计学意义（P>0.05）。结果核心肌力训练能显著降低运动员CNLBP病人腰痛症状，改善功能障碍及腰骶结构，有助于恢复专业运动员正常训练，适用于运动员CNLBP的康复治疗。

Analysis on the effect of core muscle force training in the treatment of chronic non-specific low back pain of athletes

ObjectiveTo study the therapeutic effects of core muscle force training on chronic non-specific low back pain(CNLBP) in athletes.MethodsSixty athletes with CNLBP were randomly divided into the control group and observation group.The control group was treated with conventional physical therapy(including short-wave and electrical interference), and the observation group was treated with core muscle force training on the basis of conventional physical therapy, 3 times a week, for 2 months.The lumbar spine disease(JOA) score, pain visual analogue(VAS) score and Roland-Morris dysfunction(RDQ) score in two groups were compared between before and after treatment.The changes in total lumbar lordosis(TLL), sacral tilt angle(SI) and lumbosacral angle(LSA) in two groups before and after treatment were recorded.The comprehensive therapeutic effects in two groups were evaluated after 2 months of treatment.ResultsAfter treatment, the VAS score and RDQ score in two groups significantly decreased compared with before treatment, and the JOA score significantly increased, and the difference of the change range of score in observation group was larger than that in control group(P < 0.01).After treatment, the TLL and SI, and LSA in observation group were higher and lower than those in control group, respectively(P < 0.01 and P < 0.05).The difference of the total effective rate between observation group(93.33%) and control group(83.33%) was not statistically significant(P>0.05).ConclusionsThe core muscle force training can significantly reduce the symptoms of low back pain in athletes with CNLBP, improve dysfunction and lumbosacral structure, help to restore the normal training of professional athletes, and is suitable for the rehabilitation of athletes with CNLBP.