《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (4): 382-385.

• 论文 • 上一篇    下一篇

理筋手法结合运动疗法早期介入对腰椎间盘突出症患者术后疗效的影响

张建坡1，朱鸿飞2，禇立希2   

  1. 1.上海中医药大学附属岳阳中西医结合医院，上海市 200437；2.上海中医药大学康复学院，上海市 201203。
  • 收稿日期:2011-09-20 修回日期:1900-01-01 出版日期:2012-04-25 发布日期:2012-04-25

Efficacy of Early Intervention of Tendon Technique Combined with Physical Therapy on Patients after Lumbar Disc Herniation Surgery

ZHANG Jian-po, ZHU Hong-fei, CHU Li-xi.   

  1. Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
  • Received:2011-09-20 Revised:1900-01-01 Published:2012-04-25 Online:2012-04-25

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被引次数

5

摘要： 目的探讨理筋手法结合运动疗法早期介入对腰椎间盘突出症(LDH)术后患者功能恢复的影响并评价其疗效。方法将44 例LDH患者分为干预组(n=20)和对照组(n=24)，在术前、术后2 周及术后3 个月分别对腰、臀、下肢疼痛情况及功能改善情况用JOA评分系统、Oswestry 功能障碍指数(ODI)和肌电图(腓总神经)进行评价。结果干预组术后2 周和3 个月JOA评分、ODI 评分均优于对照组(P<0.05)；两组腓总神经在潜伏时、传导速度、波幅方面无显著性差异(P>0.05)，但两组术后运动传导速度均有恢复的趋势，且干预组趋势较对照组更明显。结论理筋手法结合运动疗法干预早期介入对LDH术后患者近期和远期的功能恢复、术后残留症状的消除均有积极作用，而且对促进神经功能的早期恢复也有积极意义。

关键词: 腰椎间盘突出症, 理筋手法, 运动疗法, 手术

Abstract: Objective To evaluate the efficacy of early intervention of tendon technique combined with physical therapy on patients afterlumbar disc herniation (LDH) surgery in functional recovery. Methods 44 patients after LDH surgery were randomly divided into interventiongroup (n=20) and control group (n=24). They were accessed by Japanese Orthopaedic Association score (JOA score), Oswestry DisabilityIndex (ODI) and electromyogram (EMG) before surgery, 2 weeks and 3 months after surgery. Results The scores of JOA and ODIwere better in intervention group than in the control group (P<0.05) 2 weeks and 3 months after surgery. There was no significant differencebetween 2 groups in latency, amplitude, nerve conduction velocity during the same period (P>0.05). The absolute value added of motornerve conduction velocity 3 months after surgery was higher in the intervention group than in the control group. Conclusion Early interventionof tendon technique combined with physical therapy on patients after LDH surgery has positive effect in functional recovery, and wasuseful in promoting recovery of neurological function.

Key words: lumbar disc herniation, tendon technique, physical therapy, surgery