神经肌肉激活技术在慢性非特异性下腰痛中的应用效果分析

目的 分析神经肌肉激活技术在慢性非特异性下腰痛患者临床治疗中的应用效果,探讨患者腰痛、腰椎功能以及腰部肌耐力的改善情况。 方法 筛选温州市中西医结合医院2018年8月—2019年8月收治的96例慢性非特异性下腰痛患者,根据不同疗法分为A组与B组,每组48例,A组采取常规康复训练,B组应用神经肌肉激活技术进行康复训练,比较2组患者的临床疗效、腰痛程度(VAS评分)、腰椎功能(ODI指数)以及腰部肌耐力,所得数据应用SPSS 22.0统计学软件进行统计与分析。 结果 B组的总有效率为97.92%(47/48),高于A组的83.33%(40/48),差异有统计学意义(χ2=6.008,P=0.014)。2组治疗后的VAS评分均低于本组治疗前,差异有统计学意义(P<0.05);B组治疗后的VAS评分[(1.27±1.16)分]低于A组[(3.56±1.21)分],差异有统计学意义(t=9.465,P<0.001)。2组治疗后的ODI指数均低于本组治疗前,差异有统计学意义(均P<0.05);B组治疗后的ODI指数[(9.81±1.33)分]低于A组[(13.59±1.47)分],差异有统计学意义(t=13.211,P<0.001)。2组治疗后的静态、动态腰部肌耐力均强于本组治疗前,差异有统计学意义(均P<0.05);B组治疗后的静态、动态腰部肌耐力[(84.18±13.05)s、(26.83±7.87)次]均强于A组[(67.45±15.62)s、(21.47±8.63)次],差异有统计学意义(t=5.695、3.179,均P<0.05)。 结论 神经肌肉激活技术在慢性非特异性下腰痛中的应用效果显著,可明显缓解腰部疼痛,改善腰椎功能,提高腰部肌耐力。 

The application of neuromuscular activation in chronic nonspecific low back pain

Objective To analyze the effect of neuromuscular activation on the clinical treatment of chronic nonspecific low back pain, and to explore the improvement of low back pain, lumbar function and lumbar muscle endurance. Methods A total of 96 patients with chronic nonspecific low back pain admitted to our hospital from August 2018 to August 2019 were selected and divided into group A and group B according to different therapies, 48 in each group. The patients in Group A received routine rehabilitation training and group B received rehabilitation training with neuromuscular activation technology. The clinical effect, VAS score, ODI index and lumbar muscle endurance of the two groups were compared. The data were analyzed by SPSS 22.0 software. Results The total effective rate of group B was 97.92%(47/48), higher than 83.33%(40/48) of group A, the difference was statistically significant(χ2=6.008, P=0.014). The VAS score of the two groups after treatment was lower than that before treatment, the difference was statistically significant(all P<0.05). The VAS score of group B after treatment(1.27±1.16) was lower than that of group A(3.56±1.21), the difference was statistically significant(t=9.465, P<0.001). The ODI index of the two groups after treatment was lower than that before treatment(P<0.05). The ODI index of group B after treatment(9.81±1.33) was lower than that of group A(13.59±1.47), the difference was statistically significant(t=13.211, P<0.001). The static and dynamic lumbar muscle endurance of the two groups were stronger than that of the group before treatment, the difference was statistically significant(all P<0.05). The static and dynamic lumbar muscle endurance of group B after treatment [(84.18±13.05)s,(26.83±7.87)times] was stronger than that of group A [(67.45±15.62)s,(21.47±8.63)times],the difference was statistically significant(t=5.695, 3.179; all P<0.05). Conclusion Neuromuscular activation technology has a significant effect on chronic nonspecific low back pain, which can obviously alleviate the low back pain, improve the lumbar function and improve the endurance of the low back muscle, and it is worthy of clinical application.