肌肉能量技术对非特异性腰痛患者动态姿势控制和腰神经肌肉功能效果的随机对照试验

doi:10.3969/j.issn.1006-9771.2024.09.013

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (9): 1092-1098.doi: 10.3969/j.issn.1006-9771.2024.09.013

肌肉能量技术对非特异性腰痛患者动态姿势控制和腰神经肌肉功能效果的随机对照试验

赵建斌, 姚英策, 吴菁, 薛博士, 杨晓巍, 周志鹏, 郑亮亮()

山东体育学院运动与健康学院，山东济南市 250102

收稿日期:2024-05-31 修回日期:2024-07-08 出版日期:2024-09-25 发布日期:2024-10-15
通讯作者: 郑亮亮(1980-)，女，汉族，黑龙江齐齐哈尔市人，硕士，副教授，主要研究方向：运动健康促进。E-mail： zhengliangliang@sdpei.edu.cn
作者简介:赵建斌(1995-)，男，汉族，安徽宿州市人，硕士，康复治疗师，主要研究方向：慢性肌骨系统疾病的生物力学和运动康复。
基金资助:
山东省社会科学规划研究项目(20CTYJ17)

Effect of muscle energy technique on dynamic postural control and lumbar neuromuscular function in patients with non-specific low back pain: a randomized controlled trial

ZHAO Jianbin, YAO Yingce, WU Jing, XUE Boshi, YANG Xiaowei, ZHOU Zhipeng, ZHENG Liangliang()

College of Sports and Health, Shandong Sport University, Ji'nan, Shandong 250102, China

Received:2024-05-31 Revised:2024-07-08 Published:2024-09-25 Online:2024-10-15
Contact: ZHENG Liangliang, E-mail: zhengliangliang@sdpei.edu.cn
Supported by:
Shandong Social Science Research Plan(20CTYJ17)

摘要/Abstract

摘要：

目的探讨肌肉能量技术(MET)对非特异性腰痛患者动态姿势控制能力以及腰部神经肌肉功能的影响。
方法 2022年3月至6月，于山东体育学院招募非特异性腰痛在校大学生30例，随机分为对照组(n = 15)和干预组(n = 15)。对照组进行健康宣教，干预组采用MET进行干预，共4周。干预前后，采用疼痛视觉模拟量表(VAS)、腰部功能障碍指数(ODI)、Y平衡测试和躯干屈曲-放松测试评定腰部神经肌肉功能的变化。
结果干预后，两组VAS评分(|t| > 2.449, P < 0.05)均下降，干预组VAS评分显著小于对照组(t = -5.068, P < 0.001)；干预组ODI评分下降(t = 4.785, P < 0.001)，干预组ODI评分明显小于对照组(t = -2.895, P = 0.007)；干预组Y平衡测试成绩明显提高(t = -3.662, P = 0.003)；干预组多裂肌屈曲放松比增加(t = -2.460, P = 0.029)。
结论 MET能有效改善非特异腰痛患者的疼痛、腰部功能障碍、动态姿势控制和腰部多裂肌屈曲功能。

关键词: 非特异性腰痛, 肌肉能量技术, 动态姿势控制, 屈曲-放松现象, 随机对照试验

Abstract:

Objective To explore the effect of muscle energy technique (MET) on dynamic posture control and lumbar neuromuscular function in patients with non-specific low back pain.
Methods From March to June, 2022, 30 college students with non-specific low back pain from Shandong Sport University were randomly divided into control group (n = 15) and intervention group (n = 15). The control group received health education, and the intervention group received MET, for four weeks. They were assessed with Visual Analogue Scale (VAS) of pain, Oswestry Disability Index (ODI), Y-balance test and trunk flexion-relaxation test before and after intervention.
Results VAS scores decreased in both groups after intervention (|t| > 2.449, P < 0.05), and it was less in the intervention group than in the control group (t = -5.068, P < 0.001); while ODI score decreased in the intervention group (t = 4.785, P < 0.001), and it was less in the intervention group than in the control group (t = -2.895, P = 0.007); the performance of Y-balance test increased (t = -3.662, P = 0.003) in the intervention group, as well as flexion-relaxation ratio of multifidus (t = -2.460, P = 0.029).
Conclusion MET is effective on alleviating pain and lumbar dysfunction, improving dynamic posture control and enhancing the function of the multifidus during flexion in patients with non-specific low back pain.

Key words: non-specific low back pain, muscle energy technique, dynamic posture control, flexion-relaxation phenomenon, randomized controlled trial

中图分类号:

R685

赵建斌, 姚英策, 吴菁, 薛博士, 杨晓巍, 周志鹏, 郑亮亮. 肌肉能量技术对非特异性腰痛患者动态姿势控制和腰神经肌肉功能效果的随机对照试验[J]. 《中国康复理论与实践》, 2024, 30(9): 1092-1098.

ZHAO Jianbin, YAO Yingce, WU Jing, XUE Boshi, YANG Xiaowei, ZHOU Zhipeng, ZHENG Liangliang. Effect of muscle energy technique on dynamic postural control and lumbar neuromuscular function in patients with non-specific low back pain: a randomized controlled trial[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(9): 1092-1098.

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组别	n	性别(男/女)/n	年龄/岁	身高/m	体质量/kg	体质量指数/(kg·m^-2)
干预组	15	10/5	21.9±2.0	1.72±0.09	67.3±14.0	22.6±3.1
对照组	15	8/7	20.9±1.2	1.73±0.09	65.0±9.6	21.7±2.0
χ²/t值		0.733	1.743	0.338	0.529	1.026
P值		0.464	0.092	0.738	0.601	0.314

变量	组别	n	测试	$\bar{x}±s$	t值	P值
VAS	对照组	15	前测	5.67±0.90	2.449	0.028
			后测	4.87±1.55
	干预组	15	前测	5.07±1.39	5.891	< 0.001
			后测	2.20±1.32
	治疗前两组均值差			-0.60±0.43	-1.406	0.171
	治疗后两组均值差			-2.67±0.53	-5.068	< 0.001
ODI	对照组	15	前测	19.20±5.65	0.897	0.385
			后测	17.80±6.12
	干预组	15	前测	18.53±5.83	4.785	< 0.001
			后测	10.00±8.45
	治疗前两组均值差			-0.67±2.10	-0.318	0.753
	治疗后两组均值差			-7.80±2.69	-2.895	0.007

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	15	前测	95.36±7.47	1.245	0.234
		后测	94.19±7.51
干预组	15	前测	95.08±4.76	-3.662	0.003
		后测	98.62±5.17
治疗前两组均值差			-0.28±2.29	-0.124	0.902
治疗后两组均值差			4.43±2.35	1.882	0.070

变量	组别	n	测试	$\bar{x}±s$	t值	P值
竖脊肌FRR	对照组	15	前测	17.30±4.19	2.034	0.065
			后测	14.92±4.47
	干预组	15	前测	15.00±5.91	-1.977	0.070
			后测	16.89±5.65
	治疗前两组均值差			-2.30±1.87	-1.159	0.257
	治疗后两组均值差			1.97±1.86	0.998	0.328
竖脊肌ERR	对照组	15	前测	30.74±9.44	0.920	0.376
			后测	29.06±9.74
	干预组	15	前测	26.06±10.69	-1.444	0.172
			后测	31.21±10.44
	治疗前两组均值差			-4.68±3.68	-1.201	0.241
	治疗后两组均值差			2.15±3.69	0.553	0.585
多裂肌FRR	对照组	15	前测	16.10±6.11	0.621	0.546
			后测	15.20±5.86
	干预组	15	前测	11.72±5.73	-2.460	0.029
			后测	14.79±6.52
	治疗前两组均值差			-4.37±2.16	-1.916	0.067
	治疗后两组均值差			-0.41±2.26	-0.173	0.864
多裂肌ERR	对照组	15	前测	26.53±11.12	-0.117	0.909
			后测	26.77±11.13
	干预组	15	前测	20.64±10.66	-2.130	0.053
			后测	24.71±11.25
	治疗前两组均值差			-5.90±3.98	-1.405	0.172
	治疗后两组均值差			-2.06±4.09	0.479	0.636

肌肉能量技术对非特异性腰痛患者动态姿势控制和腰神经肌肉功能效果的随机对照试验

Effect of muscle energy technique on dynamic postural control and lumbar neuromuscular function in patients with non-specific low back pain: a randomized controlled trial

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