核心稳定性训练与肌内效贴治疗非特异性腰痛的疗效差异研究OACSTPCD

Objective:To explore the difference in the rehabilitation efficacy of nonspecific low back pain(NLBP)patients combined with Kinesio Taping and core stability training on the basis of conventional therapy,analyze the efficacy and provide a more reasonable treatment plan for improv-ing the function of NLBP patients.Methods:36 male NLBP subjects who met the inclusion criteria were randomly divided into control group(n=12),taping group(n=12)and core training group(n=12).The subjects of control group received the conventional treatment of deep muscle stimulator(DMS)relaxation and back muscle strengthening training;the taping group cooperated with Kinesio Taping on the basis of treatment in the control group;the core training group received core stability training on the basis of treatment in the control group.All subjects were treated every other day and the intervention cycle lasted 6 weeks.Record and analyze the three groups of subjects before and after the intervention of the Visual Analogue Scale(VAS),Japanese Orthopedic Association(JOA),Root Mean Square(RMS)and Median Frequency(MF)of the erector spinae and multifarious.Results:After 6 weeks of intervention,the VAS scores,JOA scores,RMS and MF values of erector spinae and multifidus muscles in the three groups were significantly improved compared with those before intervention,and the differences were statistically significant(P<0.05).After 6 weeks of in-tervention,the VAS score and JOA score of the taping group and the core training group improved more significantly than the control group,and the difference was statistically significant(P<0.05);but there was no statistical difference in the VAS score and JOA score between the taping group and the core training group academic significance(P>0.05).After 6 weeks of intervention,the RMS and MF values of erector spinae and multifidus muscles in the taping group were not significantly improved compared with those in the control group,and the difference was not statistically signifi-cant(P>0.05).After 6 weeks of intervention,the RMS and MF values of the multifidus muscle in the core training group were significantly improved compared with the control group and the taping group,and the difference was statistically significant(P<0.05).Compared with the control group and taping group,the RMS value and MF value of erector spinae were not significantly improved,and the difference was not statistically significant(P>0.05).Conclusion:Conventional treatment combined with Kinesio Taping or core stability training can further reduce pain and improve physical dys-function in patients with NLBP.Kinesio Taping have no significant effect on improving muscle contractility and fatigue level.Core stability training has a significant effect on activating the deep stabilizing muscles of the lumbar spine,which is conducive to the comprehensive rehabilitation of pa-tients with NLBP.