目的 探讨美式整脊技术对非特异性腰痛的疗效。 方法 2016年7月至2018年1月，选取90例非特异性腰痛患者，随机分为对照组(n = 45)和观察组(n = 45)。两组均给予核心稳定性训练和常规物理治疗，观察组在此基础上辅以美式整脊技术，治疗4周，随访半年。治疗前，治疗2周、4周后和随访半年后分别采用疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、腹背肌耐力测试、腰部主动关节活动度(AROM)进行评价。 结果 治疗2周、4周时，两组VAS评分，ODI评分，腹、背肌耐力测试和腰部AROM均较治疗前改善(P < 0.05)。观察组在治疗2周、4周时，所有指标均较对照组显著改善(t > 0.263, P < 0.001)。半年后随访，两组VAS、ODI均较治疗前改善(P < 0.05)，且观察组较对照组显著改善(t > 5.911, P < 0.001)。 结论 核心稳定性训练和常规物理治疗配合美式整脊技术可以更有效减轻非特异性腰痛患者痛疼程度，改善功能障碍，同时提高脊柱稳定性，对患者的恢复有较好的长期疗效和预防作用。
Objective To observe the clinical effect of chiropractic on nonspecific low back pain (NLBP). Methods From July, 2016 to January, 2018, 90 patients with NLBP were randomly divided into control group (n = 45) and observation group (n = 45). Both groups accepted core stabilization exercises (CSE) and routine physical therapy, and the observation group received chiropractic additionally. They were treated for four weeks and followed up for six months. Before, and two and four weeks after treatment, and at six-month follow-up, they were evaluated with Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), abdominal and dorsal muscle endurance test (AMET) and waist active range of motion (AROM). Results Two and four weeks after treatment, the result of VAS, ODI, AMET, and waist AROM improved significantly in both groups (P < 0.05), and they were better in the observation group than in the control group (t > 0.263, P < 0.001). At six-month follow-up, the scores of VAS and ODI improved significantly (P < 0.05), and were better in the observation group than in the control group (t > 5.911, P < 0.001). Conclusion CSE and routine physical therapy combined with chiropractic could better reduce the pain, improve the dysfunction, and increase the spinal stability for patients with NLBP.
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