中医康复2024，Vol.1Issue(10)：18-22,5.DOI:10.19787/j.issn.2097-3128.2024.10.004
肌肉能量技术联合体外冲击波对慢性非特异性下腰痛的疗效观察
The Efficacy of Muscle Energy Technology Combined with Extracorporeal Shock Waves in Chronic Nonspecific Lower Back Pain
摘要
Abstract
Objective:To observe the efficacy of muscle energy technology combined with extracorporeal shock wave in chronic nonspecific low back pain.Methods:Forty-five patients with chronic non-specific lower back pain were enrolled and randomly divided into 22 cases in the observa-tion group and 23 cases in the control group.The control group was treated with conventional treatments included drugs and massage,while the ob-servation group was treated with muscle energy technology combined with extracorporeal shock wave therapy on top of the conventional treatments,and the two groups were compared in terms of the pain scores(VAS),the root-mean-square(RMS)values of surface electromyography at the 3-week and 12-week follow-up visits in order to assess the activation level of the abdominal transversus abdominalis muscle,the multifidus muscle in the pa-tients from the seated position to the standing position,as well as the Oswestry Dysfunction Index(ODI).Results:After 3 weeks of treatment,the VAS and ODI scores of the control group were significantly decreased(P<0.05),and the differences in the RMS values of transversus abdominis muscle and multifidus muscle were not statistically significant compared with the pre-treatment values(P>0.05),while all the indexes of the observa-tion group improved significantly(P<0.05);at the follow-up visit after 12 weeks,the indexes of the observation group were significantly better than those of the control group(P<0.05).Conclusion:Muscle energy technology combined with extracorporeal shock wave can significantly relieve pain,improve lumbar and abdominal strength,and improve lumbar function in patients with chronic nonspecific lower back pain,and the efficacy is more durable.关键词
慢性非特异性下腰痛/肌肉能量技术/体外冲击波/表面肌电图/腹横肌/多裂肌Key words
chronic nonspecific low back pain/muscle energy technique/extracorporeal shock wave/surface electromyography/transversus abdomi-nis muscle/multifidus muscle分类
医药卫生引用本文复制引用
高旭,张万权..肌肉能量技术联合体外冲击波对慢性非特异性下腰痛的疗效观察[J].中医康复,2024,1(10):18-22,5.基金项目
无锡市卫健委青年项目(Q202145) （Q202145）
