《中国康复理论与实践》

《中国康复理论与实践》

• 临床观察 • 上一篇    下一篇

抗阻训练联合有氧训练治疗孕期下腰痛的效果观察①

毛立伟1，赵梦飞1，王静静2，王磊1   

  1. 1. 南京中医药大学第二临床医学院，江苏南京市210023；2. 南京市妇幼保健医院康复科，江苏南京市210004。
  • 出版日期:2016-07-25 发布日期:2016-09-22

Resistance Training Combined with Aerobic Training for Pregnancy-related Low Back Pain

MAO Li-wei1, ZHAO Meng-fei1, WANG Jing-jing2, WANG Lei1   

  1. 1. The Second Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210023, China; 2.Department of Rehabilitation, Maternity and Child Health Care Hospital, Nanjing, Jiangsu 210004, China
  • Published:2016-07-25 Online:2016-09-22

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摘要： 目的观察个体化抗阻训练联合有氧训练对孕期下腰痛孕妇的有效性和安全性。方法2015 年6~10 月，34 例妊娠22~23 周的下腰痛孕妇，在治疗师指导下行轻中度抗阻力训练及有氧体操训练，每周2 次，共12 周。治疗前后测量血压以及体质量指数(BMI)，采用疼痛视觉模拟评分(VAS)、3 min 腰椎伸展耐力测试、焦虑自评量表(SAS)、Oswestry 功能障碍指数(ODI)进行评定，问卷调查训练过程中是否出现损伤或不适。结果训练过程中未发生骨骼肌肉损伤、阴道出血等严重损伤，眩晕、骨盆区疼痛等症状发病率1.5%。训练后BMI 显著增高(t=-5.791, P<0.001)，血压无明显改变(t=1.441, P=0.159)。腰部肌力(t=-5.081, P<0.001)和耐力(t=-5.019, P<0.001)均显著增加，VAS (t=-5.179, P<0.001)、ODI (t=-5.206, P<0.001)及SAS (t=-5.024, P<0.001)评分均显著改善。结论轻中强度抗阻训练联合有氧训练能够安全地运用于下腰痛孕妇，增强肌力与耐力，减轻下腰部疼痛。

关键词: 下腰痛, 妊娠, 抗阻训练, 有氧训练

Abstract: Objective To explore the safety and efficacy of resistance training (RT) and aerobic exercise (AT) for low back pain during pregnancy. Methods From June to October, 2015, 34 women gestated 20-23 weeks with low back pain accepted resistance training and aerobic gymnastics exercises twice a week for 12 weeks. They were measured with blood pressure and body mass index (BMI), and assessed with Visual Analogue Scale (VAS) of pain, Self-rating Anxiety Scale (SAS) and Oswestry Disability Index (ODI) before and after treatment. They were investigated the injury and symptoms with questionnaire. Results No musculoskeletal injuries and groin bleeding occurred. Symptoms, such as dizziness and pelvic pain were infrequent (1.5%). The BMI increased (t=-5.791, P<0.001) and the blood pressure did not obviously change (t=1.441, P=0.159). The muscle strength (t=-5.081, P<0.001) and endurance (t=-5.019, P<0.001) increased, and the scores of VAS (t=-5.179, P<0.001), ODI (t=-5.206, P<0.001) and SAS (t=-5.024, P<0.001) significantly improved after treatment. Conclusion The resistance training combined with aerobic training program during pregnancy is safe and efficacious for pregnant women with low back pain.

Key words: low back pain, pregnancy, resistance training, aerobic training