腰背肌功能锻炼对腰椎峡部裂腰痛的作用

Effect of back muscle exercise on lumbar spondylolysis accompanied with low back pain

摘要:

[目的] 探讨腰背肌功能锻炼对峡部裂腰痛的作用。[方法] 2018 年 8 月—2020 年 12 月腰椎峡部裂合并腰痛患者 94 例纳入本研究。根据有无滑脱分为两组，无滑脱组 59 例，滑脱组 35 例。行五点支撑腰背肌功能锻炼 1 个月。观察两组疼痛及功能变化情况。[结果]与治疗前相比，治疗后两组患者 VAS 和 ODI 评分均显著下降(P＜0.05)，相应时间点，无滑脱组 VAS 和 ODI 评分均显著低于滑脱组 (P＜0.05)。与治疗前相比，治疗后两组患者腰椎前屈 ROM 和后伸 ROM 均显著增加 (P＜0.05)，治疗前，无滑脱组的前屈 ROM 和后伸 ROM 均显著高于滑脱组 (P＜0.05)，但治疗后两组间前屈 ROM 和后伸 ROM 的差异均无统计学意义(P＞0.05)。[结论] 腰背肌功能锻炼可缓解腰痛、增加腰椎活动范围，对峡部裂合并腰痛具有可靠的治疗作用。

Abstract:

[Objective] To investigate the effect of functional exercise of lumbodorsal muscle on lumbar spondylolysis accompanied with low back pain. [Methods] From August 2018 to December 2020, a total of 94 patients with lumbar spondylolysis complicated with low back pain were enrolled in this study. The patients were divided into two groups according to whether spondylolisthesis was seen on radio- graphs, 59 cases were fall into the non-slippage group, while the remaining 35 cases in the slippage group. Five-point back arch exercise was performed in all patients for 1 month. The changes of pain and function were observed. [Results] Compared with those before treat- ment, both VAS and ODI scores in two groups were significantly decreased after treatment (P＜0.05) , and VAS and ODI scores in non-slip- page group were significantly lower than those in slippage group at corresponding time points (P＜0.05) . After treatment, ROMs of lumbar flexion and extension were significantly increased in both groups compared with before treatment (P＜0.05) . The non-slippage group had significantly greater ROMs of lumbar spine flexion and extension than the slippage group before treatment (P＜0.05) , however, it became not statistically significant after treatment between the two groups (P＞0.05) . [Conclusion] This five-point back arch exercise does relieve low back pain and increase the range of motion of lumbar spine, and has reliable therapeutic effect on spondylolysis complicated with low back pain.