《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (7): 860-864.doi: 10.3969/j.issn.1006-9771.2018.07.021

• 临床研究 • 上一篇    下一篇

悬吊运动疗法结合整脊手法对退行性腰椎滑脱症的效果

姚沅勉1, 周永生1, 聂响斌1, 杨华中1, 葛君2, 言晶2   

  1. 1.湘雅博爱康复医院,湖南长沙市 410151;
    2.武汉侨亚博爱康复医院,湖北武汉市 430205
  • 收稿日期:2018-04-21 修回日期:2018-05-28 出版日期:2018-07-25 发布日期:2018-08-01
  • 通讯作者: 杨华中。E-mail: 542428857@qq.com
  • 作者简介:姚沅勉(1987-),男,侗族,湖南怀化市人,主管治疗师,主要从事物理治疗。通讯作者:杨华中,男,主管治疗师。
  • 基金资助:
    国家临床重点专科建设项目(国卫办函〔2013〕544号)

Effects of Suspension Training and Chiropractic on Degenerative Lumbar Spondylolisthesis

YAO Yuan-mian1, ZHOU Yong-sheng1, NIE Xiang-bin1, YANG Hua-zhong1, GE Jun2, YAN Jing2   

  1. 1. Xiangya Fraternity Rehabilitation Hospital, Changsha, Hunan 410151, China;
    2. Wuhan Qiaoya Fraternity Rehabilitation Hospital, Wuhan, Hubei 430205, China
  • Received:2018-04-21 Revised:2018-05-28 Published:2018-07-25 Online:2018-08-01
  • Contact: YANG Hua-zhong. E-mail: 542428857@qq.com

摘要: 目的 研究悬吊运动疗法结合整脊手法对退行性腰椎滑脱症患者的临床疗效。方法 2016年6月至12月,64例退行性腰椎向前滑脱症患者随机分为对照组(n=32)和试验组(n=32),对照组采用麦肯基疗法结合常规腰椎牵引和功能训练,试验组予悬吊运动疗法结合整脊手法,共治疗45 d。治疗前后采用X线片Meyerding分度、疼痛视觉模拟评分法(VAS)和Oswestry功能障碍指数(ODI)进行评定。结果 治疗后,两组Meyerding分度、VAS评分、ODI评分均显著改善(t>9.157, P<0.001),试验组优于对照组(t>2.069, P<0.05)。结论 悬吊运动疗法结合整脊手法治疗退行性腰椎滑脱症安全有效。

关键词: 退行性腰椎滑脱症, 悬吊运动疗法, 整脊手法, 康复

Abstract: Objective To observe the effects of suspension training along with chiropractic on degenerative lumbar spondylolisthesis. Methods From June to December, 2016, 64 patients with degenerative lumbar spondylolisthesis were randomly divided into control group (n=32) and treatment group (n=32). The control group accepted McKenzie approach, lumbar traction and functional training, while the treatment group accepted suspension training and chiropractic, for 45 days. They were evaluated with Meyerding Rating, Visual Analogue Scale (VAS) of pain and Oswestry Disability Index (ODI) before and after treatment. Results The scores of Meyerding Rating, VAS and ODI improved in both groups after treatment (t>9.157, P<0.001), and improved more in the treatment group than in the control group (t>2.069, P<0.05). Conclusion Suspension training combining with chiropractic is safe and effective for degenerative lumbar spondylolisthesis.

Key words: degenerative lumbar spondylolisthesis, suspension training, chiropractic, rehabilitation

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