不同核心训练运动处方对办公室文员非特异性腰痛的治疗效果

陈胜雄; 周文钰

doi:10.16369/j.oher.issn.1007-1326.2022.05.003

不同核心训练运动处方对办公室文员非特异性腰痛的治疗效果

陈胜雄^{1, 2},
周文钰^{1, 3, ,}

1.
汕头大学医学院, 广东汕头 515041
2.
深圳市职业病防治院, 广东深圳 518022
3.
深圳市第二人民医院, 广东深圳 518025

基金项目:

深圳市科创委课题项目 JCYJ20210324093808021

详细信息

作者简介:
陈胜雄(1984-), 男, 大学本科, 主治医师

通讯作者:
周文钰, 主任医师, E-mail: drzhouwenyu@163.com

中图分类号: R274.34
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出版历程
- 收稿日期: 2022-04-28
- 网络出版日期: 2022-10-21
- 刊出日期: 2022-10-25

Therapeutic effect of different core training exercise prescriptions on non-specific low back pain of office clerks

CHEN Shengxiong^{1, 2},
ZHOU Wenyu^{1, 3, ,}

1.
School of Medicine, Shantou University, Shantou, Guangdong 515041, China
2.
Shenzhen Preventionand Treatmentcenterfor Occupational Disease, Shenzhen, Guangdong 518022, China
3.
Shenzhen Second People's Hospital, Shenzhen, Guangdong 518025, China

摘要

摘要:
目的使用2种核心训练运动处方治疗非特异性腰痛患者，探讨不同运动处方的优缺点。
方法选取20名患有非特异性腰痛的办公室文员为研究对象，按随机数字表法分为腹肌训练组、腰肌训练组进行训练，测量训练前、训练后4周、3个月、6个月的腰腹肌厚度、肌力，以及视觉模拟评分法（visual analogue scale，VAS）评分和Oswestry功能障碍指数（Oswestry disability index，ODI）评分；采用重复测量资料的方差分析探讨不同训练运动处方的治疗效果。
结果两组患者治疗后4周、3个月、6个月的VAS评分、ODI评分、屈腹肌力和治疗前比较，均有改善，差异有统计学意义（P < 0.05），腹肌训练组的ODI评分在治疗后6个月的效果优于腰肌训练组（P < 0.05）；两组竖脊肌厚度、伸腰肌力均没有随着治疗时间的推移而改善（P>0.05）；两组在治疗4周和3个月后，两侧腹直肌厚度均有明显改变（P < 0.05），但在两组间差异无统计学意义（P>0.05）；所有患者右侧腹直肌厚度的均值大于左侧均值（P < 0.05）。不同组别与测量时间对以上指标的交互效应均无统计学意义（P>0.05）。
结论腹肌训练及腰肌训练两种核心训练运动处方对于改善非特异性腰痛患者的VAS、ODI、屈腹肌力、腹直肌厚度均有明显效果，腹肌训练对ODI的长期（6个月）改善效果更佳。两种训练对于改善伸腰肌力、竖脊肌厚度均不明显。
- 核心训练 /
- 运动处方 /
- 非特异性腰痛 /
- 腹肌训练 /
- 腰肌训练 /
- 屈腹肌力 /
- 腹直肌 /
- Oswestry功能障碍指数
+ English
Abstract:
Objective Two core training exercises were prescribed to treat patients with nonspecific low back pain, and to explore the advantages and disadvantages of these exercise prescriptions.
Methods Totally 20 office clerks with nonspecific low back pain were recruited and divided into abdominal muscle training group and lumbar muscle training group according to random number table method. The thickness and muscle strength of lumbar and abdominal muscles, as well as the visual analogue scale (VAS) score and Oswestry disability index (ODI) score, were measured before training, and 4 weeks, 3 months and 6 months after training. The treatment effects of different training exercise prescriptions were investigated by repeated measurement data ANOVA.
Results The VAS score, ODI scoreand abdominal flexor strength of the patients in both two groups were improved at 4 weeks, 3 months and 6 months after treatment compared with that before treatment, and the difference was statistically significant (P < 0.05). The ODI score of the patients in abdominal muscle training group was better than that in the psoas muscle training group after 6 months treatment (P < 0.05)；the thickness of erector spinalis muscle and the strength of lumbar extensor muscle were not improved in both groups after treatment (P > 0.05)； the thickness of rectus abdominis on both sides was significantly changed in the two groups after 4 weeks and 3 months treatment compared with that before treatment (P < 0.05), while there was no statistical difference between two groups (P > 0.05)；the mean thickness of right rectus abdominis was greater than that of left rectus abdominis in all patients (P < 0.05). The interaction effects of different groups and measurement time on these indicators were not statistically significant (P > 0.05).
Conclusions Both core training exercise prescriptions of abdominal muscle training and lumbar muscle training have obvious effects on improving VAS, ODI, abdominal flexor strength and rectus abdominis thickness of patients with nonspecific low back pain, and abdominal muscle training has better long-term (6 months) improvement effect on ODI. These two kinds of training have no obvious effect on improving the strength of the extensor muscle and the thickness of the erector spinalis muscle.
- core training /
- exercise prescription /
- nonspecific low back pain /
- abdominal muscle training /
- psoas muscle training /
- abdominal flexor strength /
- rectus abdominis /
- Oswestry dysfunction index
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表 1 两组患者一般资料比较（x ± s）

组别	例数	年龄/岁	身高/cm	体重/kg	体质量指数/(kg/m²)
腹肌训练组	10	36.20 ±5.12	164.05 ± 4.32	62.02 ± 6.42	22.98 ± 1.45
腰肌训练组	10	35.10 ±5.71	163.33 ± 5.04	61.21 ± 5.37	23.01 ± 2.43
t值		0.454	0.343	0.306	0.026
P值		0.655	0.736	0.763	0.980

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表 2 两组患者疼痛视觉模拟量表（VAS）评分（x ± s，分）

组别	治疗前	治疗后4周	治疗后3个月	治疗后6个月
腰肌训练组	5.23 ± 0.54	2.87 ± 0.46	2.13 ± 0.33	2.02 ± 0.32
腹肌训练组	5.34 ±0.61	2.32 ± 0.48	2.07 ± 0.34	1.96 ±0.36

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表 3 两组患者Oswestry功能指数（ODI）评分（x ± s，%）

组别	治疗前	治疗后4周	治疗后3个月	治疗后6个月
腰肌训练组	36.40 ± 2.37	19.90 ± 1.29	17.89 ± 1.23	16.70 ± 0.95
腹肌训练组	36.70 ±3.09	20.00 ± 1.56	17.10± 1.10	15.20 ± 1.03

下载: 导出CSV

表 4 两组患者屈腹、伸腰肌力（x ± s，kg）

肌肉	治疗前	治疗后4周	治疗后3个月	治疗后6个月
屈腹肌力
腰肌训练组	21.62 ±7.04	22.14 ± 7.07	22.02 ± 7.09	22.23 ±7.33
腹肌训练组	21.10 ± 9.47	23.46 ± 10.27	23.46 ± 10.16	23.27 ± 10.17
伸腰肌力
腰肌训练组	33.94 ± 11.46	36.42 ± 11.73	36.83 ± 11.75	36.73 ± 11.72
腹肌训练组	30.34 ± 9.12	31.09 ± 9.09	31.39 ± 8.97	31.22 ±9.15

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表 5 两组患者双侧竖脊肌、腹直肌肌肉厚度（x ± s，mm）

组别	测量位置	治疗前	治疗后4周	治疗后3个月	治疗后6个月
竖脊肌
腰肌训练组	左侧	22.30 ± 1.34	22.90 ± 1.10	22.70 ± 1.34	20.60 ± 1.27
腰肌训练组	右侧	22.30 ±0.95	23.1 ± 0.74	22.90 ± 0.57	22.60 ± 0.84
腹肌训练组	左侧	22.10 ± 1.45	22.70 ± 1.16	22.50 ± 1.27	22.40 ± 1.17
腹肌训练组	右侧	21.90 ± 1.40	22.70 ± 1.34	22.40 ± 1.35	22.20 ± 1.40
腹直肌
腰肌训练组	左侧	7.4 ± 1.08	8.0 ± 0.94	7.8 ± 0.79	7.6 ± 1.06
腰肌训练组	右侧	7.6 ± 0.97	8.2 ± 0.79	7.9 ± 0.74	7.7 ± 0.95
腹肌训练组	左侧	7.5 ±1.18	8.2 ± 1.32	8.0 ± 1.16	8.1 ± 1.14
腹肌训练组	右侧	7.9 ± 1.10	8.5 ± 0.97	8.4 ± 0.84	8.1 ± 1.10

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不同核心训练运动处方对办公室文员非特异性腰痛的治疗效果

作者简介: 陈胜雄(1984-), 男, 大学本科, 主治医师

通讯作者: 周文钰, 主任医师, E-mail: drzhouwenyu@163.com

计量

出版历程

Therapeutic effect of different core training exercise prescriptions on non-specific low back pain of office clerks

计量

出版历程

目录

作者简介:
陈胜雄(1984-), 男, 大学本科, 主治医师

通讯作者:
周文钰, 主任医师, E-mail: drzhouwenyu@163.com