中国康复理论与实践2024，Vol.30Issue(6)：737-744,8.DOI:10.3969/j.issn.1006-9771.2024.06.015
在核心稳定训练基础上联合呼吸训练对慢性非特异性腰痛患者前馈控制的效果
Effect of respiratory training based on core stability training on feedforward control in patients with chronic non-specific low back pain
摘要
Abstract
Objective To investigate the effect of respiratory training based on core stability training on feedforward control in pa-tients with chronic nonspecific low back pain(CNLBP). Methods A total of 60 patients with CNLBP in Jiaxing Second Hospital from January,2022 to March,2023 were ran-domly divided into control group(n=30)and experimental group(n=30).Both groups received health educa-tion,physical factor therapy and core stability training,while the experimental group received respiratory training in addition,for four weeks.Visual Analogue Scale(VAS)score,Japanese Orthopaedic Association low back pain(JOA)score and Oswestry Dysfunction Index(ODI)were compared between two groups before and after treat-ment,while surface electromyography was used to detect the root mean square(RMS)and integrated electromy-ography(iEMG)of transversus abdominis,multifidus and triceps(movement muscles),and the activation se-quence and relative activation time of transversus abdominis,multifidus and triceps were calculated. Results After treatment,the scores of VAS,JOA and ODI improved significantly in both groups(|t|>8.515,P<0.001),and the scores were better in the experimental group than in the control group(|t|>2.089,P<0.05).RMS and iEMG of transversus abdominis and multifidus improved significantly after treatment in both groups(|t|>18.831,P<0.001),and were significantly better in the experimental group(|t|>3.481,P<0.05).The transversus abdominis and multifidus in both groups were activated before the movement muscles,and the relative activation time of transversus abdominis and multifidus increased in negative(|t|>48.115,P<0.001),the experimental group being better(|t|>3.229,P<0.05). Conclusion Combination of core stability training and respiratory training is beneficial in reducing the pain of patients with CNLBP,reducing the lumbar dysfunction,improving the order of muscle activation,and strengthening feed-forward control.关键词
慢性非特异性腰痛/呼吸训练/前馈控制/表面肌电Key words
chronic nonspecific low back pain/respiratory training/feedforward control/surface electromyography分类
医药卫生引用本文复制引用
陈灵慧,郑琦,李岩,傅建明,曾明,金鑫,陆晶晶..在核心稳定训练基础上联合呼吸训练对慢性非特异性腰痛患者前馈控制的效果[J].中国康复理论与实践,2024,30(6):737-744,8.基金项目
浙江省医药卫生科技计划项目(No.2022KY379 （）
No.2023KY1204) Supported by Zhejiang Province Medical and Health Technology Plan(No.2022KY379 （）
No.2023KY1204) （）
