瑞士球运动治疗对腰椎间盘突出症患者疼痛和肌力的影响

目的:探讨瑞士球运动康复治疗对腰椎间盘突出症患者临床疗效和腰椎稳定性的影响。方法:30例非急性期腰椎间盘突出症患者，按性别和就诊次序依次分成对照组和运动组。选用Roland-Morris问卷（RMQ）和视觉模拟疼痛评分（VAS），在治疗前、2周后和4周后分别进行疼痛、腹、腰背肌力评定。运动组采用瑞士球运动治疗和牵引治疗。对照组采用牵引治疗。结果:与治疗前相比，对照组和运动组4周后 RMQ 和VAS评分显著降低（P<0.05，P<0.01）；与对照组相比，运动组2周后、4周后的RMQ和VAS评分显著降低（P<0.05，P<0.01）。与对照组相比，运动组2周后、4周后腹、腰背肌力增强（P<0.05，P<0.01）。结论：瑞士球运动治疗结合腰椎牵引能显著缓解腰椎间盘突出症患者腰腿痛症状，增强腹、腰背肌力和腰椎的稳定性。

The influence of Swiss ball exercises on pain symptom and muscle strength in patients with protrusion of lumber intervertebral disc

Objective: To investigate the influence of Swiss ball exercises on clinical efficacy and stability of lumbar vertebra in patients with protrusion of lumber intervertebral disc. Method: Thirty patients with non-acute protrusion of lumber intervertebral disc were divided by gender and clinics orders into control and exercises group. Roland Morris questionaire(RMQ) and visual analogue seale(VAS) were selected as pain assessment. Pain, abdominal and back muscle strength were assessed respectively before treatment, 2 and 4 weeks after Swiss ball exercises. Both Swiss ball exercises and lumbar traction were used in exercises group. Lumbar traction was used in control group. Result: Compared with before treatment, RMQ and VAS scores decreased significantly after 4 weeks in control and exercises groups(P<0.05, P<0.01). Compared with control, RMQ and VAS scores in exercises group decreased significantly after 2 and 4 weeks respectively(P<0.05, P<0.01). Compared with control, abdominal and back muscle strength in exercises group increased significantly after 2 and 4 weeks respectively(P<0.05, P<0.01). Conclusion: The low back pain symptom of patients with protrusion of lumber intervertebral disc decreased significantly and abdominal and back muscle strength increased significantly by both Swiss ball exercises and lumbar traction. The stability of lumbar vertebra of patients with protrusion of lumber intervertebral disc increased significantly.