Clinical effectiveness of dynamic joint mobilization combined with core stability training for nonspecific low back pain treatment
Received date: 2023-12-20
Online published: 2024-09-30
目的 观察动态关节松动术联合核心稳定训练治疗非特异性下腰痛的临床疗效。 方法 选取非特异性下腰痛患者60例，随机分为观察组和对照组，每组各30例。观察组采用动态关节松动术联合核心稳定训练的治疗方案，对照组采用核心稳定训练的治疗方案。两组患者均于治疗前和治疗后第1、3、6周采用疼痛视觉模拟量表评分（VAS），Oswestry功能障碍指数评分（ODI），腰椎屈伸度检测（ROM）进行疗效评价，并在治疗结束后进行总体疗效评价。 结果 两组患者在实施治疗后的第1、3、6周，其评价指标VAS评分、ODI评分和ROM评分，组内不同时间点的差异均有统计学意义（P < 0.05），且观察组上述指标的改善幅度均优于对照组，其差异有统计学意义（P < 0.05）。总体疗效评价显示观察组疗效显著优于对照组（P < 0.05）。 结论 动态关节松动术联合核心稳定训练对于非特异性下腰痛的治疗有较好的效果，可以缓解疼痛、恢复腰背功能、改善腰背部活动度，值得临床推广。
朱铃铃 , 陈炎春 , 方亮 , 蔡乘燕 , 刘婷 . 动态关节松动术联合核心稳定训练治疗非特异性下腰痛的疗效[J]. 实用医学杂志, 2024 , 40(18) : 2602 -2606 . DOI: 10.3969/j.issn.1006-5725.2024.18.016
Objective To observe the clinical efficacy of dynamic joint mobilization combined with core stability training in the treatment of nonspecific low back pain. Methods 60 patients with nonspecific low back pain were randomly assigned into either the treatment group or control group. Each group had 30 patients. The treatment group received a therapeutic regimen combining dynamic joint mobilization and core stability training， while the control group only received core stability training. Both groups were evaluated for therapeutic effectiveness using the Visual Analogue Scale （VAS） for pain， the Oswestry Disability Index （ODI）， and the range of motion （ROM） of the lumbar spine before treatment， and at the 1st， 3rd， and 6th weeks after treatment. At the conclusion of the treatment， a thorough assessment of the overall therapeutic efficacy was performed. Results At the 1st， 3rd， and 6th weeks post-treatment， both groups showed statistically significant differences in VAS scores， ODI scores， and ROM scores over time （P < 0.05）. The improvements in these indices were significantly greater in the treatment group compared to the control group （P < 0.05）. The treatment group had considerably higher therapeutic effectiveness compared to the control group （P < 0.05）. Conclusions Dynamic joint mobilization combined with core stability training is effective in treating nonspecific low back pain. It can help with pain relief， lumbar and back function restoration， and lumbar and back mobility improvement. This approach is worthy of clinical application and promotion.
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