肌内效贴配合关节松动术治疗老年非特异性下腰痛患者的临床疗效观察

Clinical Effect of Kinesio Taping Combined with Joint Mobilization on Elderly Patients with Non-specific Low Back Pain

中文关键词: 老年  下腰痛  肌内效贴  关节松动术  临床疗效

英文关键词: elderly  low back pain  kinesio taping (KT)  joint mobilization (JM)  clinical effect

中文摘要:

      目的 探讨肌内效贴配合关节松动术治疗老年非特异性下腰痛患者的临床疗效,为寻求有效的治疗方法提供参考.方法 选择老年非特异性下腰痛患者31例,用随机数字表法分为观察组(n=18)和对照组(n=13).对照组仅采用常规理疗,观察组在与对照组的常规理疗基础上加肌内效贴配合关节松动术治疗.在入选时及治疗后1周分别对2组进行腰背肌屈伸肌群峰力矩(peak torque,PT)测试、疼痛程度的视觉模拟评分(visual analogue scale,VAS)及Oswestry腰痛失能问卷调查量表(Oswestry pain&disability questionnaire,OPDQ)评定.结果 治疗1周后,2组PT值、VAS及OPDQ得分均明显优于治疗前(P＜0.05、P＜0.01),且观察组PT值较对照组显著增加(P＜0.05),观察组VAS及OPDQ得分均较对照组明显下降(P＜0.05).结论 肌内效贴配合关节松动术可在近期更好地改善老年非特异性下腰痛患者的症状及功能障碍.

英文摘要:

      Objective To explore the clinical effect of kinesio taping (KT) combined with joint mobilization (JM) on elderly patients with non-specific low back pain.Methods 31 elderly patients with non-specific low back pain were selected and randomly divided into 2 groups:observation group (n =18) and control group (n =13);routine physical therapy was performed on patients in both groups while KT combined with JM was added to patients in observation group;before treatment and 1 week after treatment,back flexion and extension muscle peak torque (PT),visual analogue scale (VAS) and Oswestry pain & disability questionnaire (OPDQ) were made to all the patients.Results 1 week after treatment,the PT values,the scores of VAS and OPDQ of the patients in both groups were much superior to those before treatment (P＜0.05,P＜0.01);the PT values of the patients in observation group increased much more while the scores of VAS and OPDQ dropped down much more than those in control group (P ＜ 0.05).Conclusions KT combined with JM can make better improvement of symptoms and dysfunction in elderly patients with non-specific low back pain.