关节松动术结合运动治疗对腰痛患者功能恢复的影响

目的：观察关节松动术结合运动治疗对腰痛患者功能恢复的影响。方法：选择2012年1月～2012年12月金华职业技术学院医学院门诊部收治的慢性腰痛男性患者30例，随机分为2组，对照组和治疗组各15例。对照组予以中医推拿、红外线灯照射治疗，总的治疗时间为1h/d，10天为1个疗程，共进行2个疗程，疗程间无间隔。治疗组予以SNAG（Sustained Natural A-pophyseal Glides ）关节松动术治疗并结合以多裂肌强化训练为主的运动治疗，每次治疗时间为1小时，1次/d。治疗2个疗程后，对2组患者腰部运动功能及下腰痛疼痛程度进行评定，并对2组患者临床疗效进行比较。结果：2组患者分别经过2个疗程治疗后，M-JOA评分及疼痛VAS评分结果均较治疗前改善，并且上述指标均以治疗组的改善相对显著，与对照组间差异具有统计学意义（P＜0．05）；同时治疗组临床疗效显著优于对照组。结论：SNAG关节松动技术结合多裂肌强化训练为主的腰背肌运动疗法可以显著缓解下腰痛患者症状，效果优于中医推拿、红外线照射等传统治疗方法。

Impact of joint mobilization with move ment therapy in functional recovery of pait ents with lumbar pain

Objective：To observe the impact of joint mobilization with movement therapy in the functional recovery of patients with lumbar pain .Me thods ：Choosing from January 2012 to December 2012 , 30 treated cases of male patients with chronic low back pain in the outpatient clinical of Jinhua Vocational and Technical College , they were randomly divided into two groups , each with 15 cases in control group and treatment group.Control group received traditional massage , infrared light therapy.The total treatment time was 1h /d, and 10d was a course of treatment .It would last 2 courses, and there was not pause between the courses .Treatment group received joint mobi-lization therapy combined with dominating by the exercise therapy on intensiving training multifidus muscle .Each treatment time was 1h, 1 time /d.Assessing the degree of pain in two groups of patients with low back pain and the lumbar motor function , and comparing the clinical efficacy of the two groups after 2 courses of treatment .Results：After the two groups of patients received two courses of treatment re-spectively , the results of M-JOA score and pain VAS score were improved than before .And these indicators were significantly improved in the treatment group relatively.And there was statistical significance compared with the control group （P〈0.05）.While the clinical ef-ficacy of the treatment group was significantly better than the control group .Conclusion：Joint mobilization techniques combined with domi-nating by the exercise therapy on intensive training multifidus muscle could significantly relieve symptoms in patients with low back pain , and the effect might be better than traditional massage , infrared radiation and other traditional treatments .