疼痛缓解对慢性非特异性腰痛患者步态特征的影响

doi:10.3969/j.issn.1006-9771.2021.02.013

Abstract

Abstract: Objective

To observe the effects of pain relief after acupuncture on walking speed, step length and ground reaction force (GRF) of patients with chronic nonspecific low back pain (CNLBP) during walking.

Methods

From May to December, 2019, 28 CNLBP patients were randomly divided into waiting list group (n = 14) and acupuncture group (n = 14). The acupuncture group received acupuncture, 30 minutes a time, three times a week, for four weeks. The waiting list group only received health education after enrollment until four weeks later. Gait analysis was performed with three-dimensional motion system for both groups after enrollment and one month later. The walking speed, step length and GRF characteristic values were recorded and compared, as well as Visual Analogue Score (VAS) for pain.

Results

After intervention, The VAS decreased in both groups (t > 2.956, P < 0.05), and was lower in the acupuncture group than in the waiting list group (t = -2.844, P = 0.004). No significant difference in walking speed, step length and GRF characteristic values was found after intervention in both groups (P > 0.05).

Conclusion

One month-acupuncture could relief the pain of CNLBP patients, however, it could not improve the performance during walking.

Key words: chronic nonspecific low back pain, acupuncture, gait analysis, pain, ground reaction force

CLC Number:

R681.5

Wu-jie HUANG,Hong LIU,Ya-ping LI,Zheng JIANG. Effect of Pain Relief on Gait Characteristics of Patients with Chronic Nonspecific Low Back Pain[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(2): 197-202.

Figures/Tables 6

References 33

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项目	等待治疗组 (n = 14)	针刺治疗组 (n = 14)	χ²/t值	P值
男/女(n)	6/8	4/10	-0.775	0.439
年龄(岁)	34.07±12.16	30.36±11.38	-0.577	0.564
身高(m)	1.63±0.04	1.64±0.07	-0.046	0.963
体质量(kg)	58.57±6.09	60.93±6.08	-1.025	0.315
体质量指数(kg/m²)	21.91±1.86	24.28±6.67	-1.126	0.260
VAS	6.00±1.52	6.36±0.63	-0.869	0.385
步速(m/s)	1.16±0.11	1.22±0.14	-1.298	0.206
跨步长(m)	1.20±0.08	1.23±0.01	-0.642	0.526

组别	n	干预前	干预后	t值	P值
等待治疗组	14	6.00±1.52	4.43±2.06	2.956	0.011
针刺治疗组	14	6.36±0.63	2.29±1.59	8.586	< 0.001
t/Z		-0.869^a	-2.844
P值		0.385	0.004

组别	n	干预前	干预后	t值	P值
等待治疗组	14	1.16±0.11	1.18±0.11	-0.744	0.470
针刺治疗组	14	1.22±0.14	1.25±0.15	-1.761	0.102

组别	n	干预前	干预后	t值	P值
等待治疗组	14	1.23±0.10	1.25±0.10	-1.525	0.151
针刺治疗组	14	1.20±0.08	1.20±0.07	-0.054	0.958

组别	n		干预前	干预后	t/Z值	P值
等待治疗组	14	左侧F_HS(%体质量)	1.08±0.08	1.11±0.06	-1.194	0.252
		左侧F_MS(%体质量)	0.78±0.05	0.79±0.06	-0.757	0.462
		左侧F_PO(%体质量)	1.34±0.06	1.13±0.07	1.071	0.302
		左侧TTP_HS(%支撑期)	0.25±0.05	0.23±0.04	2.090	0.055
		左侧TTP_MS(%支撑期)	0.46±0.03	0.45±0.03	-0.048	0.962
		左侧TTP_PO(%支撑期)	0.75±0.03	0.76±0.02	-0.639	0.533
		右侧F_HS(%体质量)	1.08±0.07	1.10±0.07	-1.518	0.153
		右侧F_MS(%体质量)	0.79±0.05	0.79±0.07	0.298	0.771
		右侧F_PO(%体质量)	1.13±0.06	1.15±0.07	-0.872	0.299
		右侧TTP_HS(%支撑期)	0.26±0.05	0.23±0.04	1.402	0.178
		右侧TTP_MS(%支撑期)	0.45±0.04	0.47±0.04	-0.136	0.894
		右侧TTP_PO(%支撑期)	0.75±0.02	0.76±0.02	-0.461	0.652
针刺治疗组	14	左侧F_HS(%体质量)	1.14±0.06^a	1.15±0.07	-0.552	0.610
		左侧F_MS(%体质量)	0.78±0.07^b	0.76±0.08	1.049	0.313
		左侧F_PO(%体质量)	1.13±0.04^c	1.14±0.05	-1.393	0.187
		左侧TTP_HS(%支撑期)	0.24±0.04^d	0.25±0.05	-0.518	0.613
		左侧TTP_MS(%支撑期)	0.48±0.04^e	0.46±0.03	1.625	0.128
		左侧TTP_PO(%支撑期)	0.75±0.02^f	0.76±0.02	-1.649	0.123
		右侧F_HS(%体质量)	1.13±0.10^g	1.14±0.08	-0.240	0.814
		右侧F_MS(%体质量)	0.75±0.10^h	0.76±0.07	-0.459^m	0.646
		右侧F_PO (%体质量)	1.11±0.10ⁱ	1.12±0.08	-1.376^m	0.169
		右侧TTP_HS(%支撑期)	0.25±0.04^g	0.24±0.03	1.216	0.246
		右侧TTP_MS(%支撑期)	0.46±0.04^k	0.46±0.03	-0.178	0.861
		右侧TTP_PO(%支撑期)	0.75±0.02^l	0.75±0.02	-0.770	0.455

Effect of Pain Relief on Gait Characteristics of Patients with Chronic Nonspecific Low Back Pain

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