Flexi-bar训练对非特异性腰痛的治疗效果

doi:10.3969/j.issn.1006-9771.2021.10.011

Abstract

Abstract:

Objective To investigate the effects of Flexi-bar on nonspecific low back pain.Methods From June, 2020 to January, 2021, 30 patients with nonspecific low back pain were enrolled. Firstly, all the patients performed core stabilization exercise (supine bridge, curl-up and four-point support) using Flexi-bar or not, respectively. And the difference of electromyography (EMG) root mean square (RMS) value of transversus abdominis and multifidus was observed. Secondly, they were randomly divided into control group (n = 15) and experimental group (n = 15). The control group performed core stabilization exercise, and the experimental group received Flexi-bar training in addition, 30 minutes a time, three times a week, for six weeks. They were evaluated with Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI), and measured the thickness of transversus abdominis and the area of multifidus before and after training.Results Firstly, there was significant difference in RMS of transversus abdominis and multifidus between using Flexi-bar or not (|t| > 2.468, P < 0.05), except the RMS of transversus in supine bridge (|t| < 2.029, P > 0.05). Secondly, before training, there was no significant difference between the control group and the experimental group (|t| < 1.944, P > 0.05); after training, the scores of VAS and ODI significantly decreased (|t| > 6.808, P < 0.001), the thickness of transversus abdominis and the area of multifidus significantly increased (|t| > 5.937, P < 0.001), and all the indexes were better in the experimental group than in the control group (|t| > 2.411, P < 0.05), except the thickness of transverse abdominis (t = -1.431, P > 0.05).Conclusion Flexi-bar could facilitate to reduce pain and improve the function of patients with nonspecific low back pain.

Key words: nonspecific low back pain, core stabilization exercise, Flexi-bar

CLC Number:

R681.5

SUN Yue-mei,PEI Qian,HUANG Qiu-chen,LI Liang,LIU Ke-min. Effects of Flexi-bar on Nonspecific Low Back Pain[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(10): 1205-1210.

Figures/Tables 6

References 36

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项目	对照组 (n = 15)	试验组 (n = 15)	χ²/t值	P值
年龄(岁)	37±9.50	36.13±8.60	0.347	0.561
性别(男/女, n)	9/6	8/7	0.136	0.713
身高(cm)	168.80±5.76	167.47±6.25	1.199	0.283
体质量(kg)	61.80±8.18	61.27±7.49	0.634	0.432
病程(月)	9.67±6.00	8.67±5.34	0.806	0.377

运动方式	肌肉	CSE		CSE+Flexi-bar		左侧比较		右侧比较
运动方式	肌肉	左	右	左	右	t值	P值	t值	P值
仰卧桥式	腹横肌	81.40±23.03	74.67±24.63	82.87±22.21	79.53±26.70	-0.644	0.530	-2.029	0.062
	多裂肌	142.13±19.83	163.53±25.49	178.67±26.77	180.20±32.56	-3.360	0.005	-2.468	0.027
卷腹	腹横肌	212.80±37.58	208.20±30.28	234.53±40.37	237.60±27.24	-4.059	0.001	-4.666	< 0.001
卷腹	多裂肌	75.40±21.23	78.13±15.07	84.60±21.29	90.27±17.21	-7.770	< 0.001	-4.549	< 0.001
四点支撑	腹横肌	148.20±23.87	156.87±23.78	192.40±44.71	209.60±51.25	-5.141	< 0.001	-3.554	0.003
四点支撑	多裂肌	130.20±22.53	146.80±27.44	178.67±26.77	169.13±17.25	-4.225	< 0.001	-4.112	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	15	5.20±0.77	3.80±0.86	8.573	< 0.001
试验组	15	4.60±0.91	2.67±1.05	6.808	< 0.001
t值		1.944	3.238
P值		0.062	0.003

组别	n	治疗前	治疗后	t值	P值
对照组	15	20.76±3.62	12.45±2.78	7.803	< 0.001
试验组	15	20.40±3.70	9.80±3.30	25.051	< 0.001
t值		0.269	2.381
P值		0.790	0.024

组别	n	治疗前	治疗后	t值	P值
对照组	15	0.46±0.064	0.49±0.063	-6.029	< 0.001
试验组	15	0.47±0.06	0.53±0.06	-5.937	< 0.001
t值		-0.206	-1.431
P值		0.838	0.164

Effects of Flexi-bar on Nonspecific Low Back Pain

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组别	n	治疗前	治疗后	t值	P值
对照组	15	7.22±0.46	7.47±0.47	-9.906	< 0.001
试验组	15	6.99±0.54	7.88±0.46	-9.638	< 0.001
t值		1.242	-2.411
P值		0.225	0.023

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