“骨盆前倾-腰曲增大”型慢性非特异性下腰痛的诊治分析

【摘要】 目的 探讨非控制性运动（UCM）干预联合姿势矫正对“骨盆前倾-腰曲增大”型慢性非特异性下腰痛患者的临床疗效。方法 选取2022年6月至2024年6月于医院康复医学中心就诊的75例“骨盆前倾-腰曲增大”型慢性非特异性下腰痛患者作为研究对象。采用随机数字表法将其分为三组：非控制性运动联合姿势矫正组（A组，n=25）、姿势矫正组（B组，n=25）及常规治疗组（C组，n=25）。治疗4周后，比较三组患者治疗前后的Oswestry功能障碍指数（ODI）、数字疼痛评分法（NRS）评分、选择性功能动作评估（SFMA）结果，以及脊柱-骨盆矢状位序列参数，包括腰椎前凸角（LL）和骶骨倾斜角（SS）。结果 治疗前，三组患者的ODI、NRS、SFMA、LL及SS比较，差异均无统计学意义（P>0.05）。治疗后，三组患者的上述指标均较治疗前改善，差异具有统计学意义（P<0.05）。组间比较显示，A组在各项指标的改善程度均显著优于B组和C组（P<0.05），而B组疗效也优于C组（P<0.05）。结论 非控制性运动干预联合姿势矫正可有效缓解“骨盆前倾-腰曲增大”型慢性非特异性下腰痛患者的疼痛程度，改善脊柱-骨盆矢状位力线及运动功能，提高生活质量，其疗效优于单一姿势矫正或常规治疗。更多还原

【Abstract】 Objective To investigate the clinical efficacy of uncontrolled movement(UCM) intervention combined with postural correction in patients with chronic nonspecific low back pain characterized by "anterior pelvic tilt-increased lumbar curvature." Methods A total of 75 patients with this condition, who were treated at the Rehabilitation Medicine Center of Jiaxing Second Hospital between June 2022 and June 2024, were selected as study subjects. They were randomly divided into three groups which were the uncontrolled movement combined with the postural correction group(Group A, n=25), the postural correction group(Group B, n=25), and the conventional treatment group(Group C, n=25). After 4 weeks of treatment, the following parameters were compared among the three groups: the Oswestry Disability Index(ODI), Numeric Rating Scale(NRS) score, Selective Functional Movement Assessment(SFMA) results, and spinopelvic sagittal alignment parameters, including lumbar lordosis angle(LL) and sacral slope(SS). Results Before treatment, there were no statistically significant differences in ODI, NRS, SFMA, LL, or SS among the three groups(P>0.05). After treatment, all the above indicators improved significantly in all three groups compared to pre-treatment levels(P<0.05). Intergroup comparisons showed that the improvement in all indicators in Group A was significantly greater than that in Groups B and C(P<0.05), and the efficacy of Group B was also superior to that of Group C(P<0.05). Conclusion The combination of uncontrolled movement intervention and postural correction can effectively alleviate pain, improve spinopelvic sagittal alignment and motor function, and enhance the quality of life in patients with chronic nonspecific low back pain characterized by "anterior pelvic tilt-increased lumbar curvature." Its therapeutic effect is superior to that of postural correction or conventional treatment alone.更多还原