【作者】 朱大梅；

【导师】 吴明方；

【作者基本信息】 苏州大学 ， 运动人体科学， 2003， 硕士

【摘要】 目的：观察和评价运动疗法对慢性下腰痛的特殊疗效。方法：随机抽取20名病史在3年以上，经临床诊断为慢性下腰痛的女性患者。所有研究对象5年内无腰部手术史，或心血管、神经系统方面的疾病。所有受试者在实验前后均填写下腰痛失能问卷(Oswestry Pain & Disability Questionnair，OPDQ)和疼痛严重程度模拟量尺(Visual Analogue Pain Scale，VAPS)，采用新的Cobb技术和两点固定法测量腰椎前凸曲度和腰活动度。 结果：通过三个月的锻炼，观察受试者相应指标和病理状况的变化，结果显示，与对照组相比，运动组：1．腰活动度得到了改善(P＜0.05，0.001)；2．腹背肌肌力加强了(P＜0.01，0.001)；3．Cobb角(P＜0.001)和骶骨倾斜角(P＜0.001)有了明显减小；腰痛改善率明显高于对照组(以服用止痛药缓解疼痛)(90％)。结论：1．着重于加强腹背肌肌力的运动疗法对慢性下腰痛有明显疗效。它使运动组受试者的疼痛得到了缓解，提高了日常生活活动能力。2．采用OPDQ和VAPS相结合的方法，可以有效地评价受试者的疼痛情况。3．综合腰活动度、腹背肌肌力、腰椎前凸曲度和骶骨倾斜角等指标对慢性下腰痛进行评价有一定作用。 本研究表明，着重于加强腹背肌肌力的运动疗法对慢性下腰痛具有特殊疗效，其临床治疗效果显著、可信。更多还原

【Abstract】 Objective: In this study we try to observe and appraise the curative effects of sports therapy on the chronic low back pain. Methods: 20 female patients with chronic low back pain over 3 years or more were enrolled in this study. All of them were required to fell the tables of Oswestry Pain & Disability Questionnaire(OPDQ) and Visual Analogue Pain Scale(VAPS) before they receive 3 months of the special sports therapy which emphasize to train the abdominal and back muscles strength. New measurements Cobb Technique and Two Points Fixed were used. Several useful index including back movements, abdominal and back muscles strength, lumbar lordosis and angle of tilted sacrum were recorded before and after treatment respectively. Results: Compared with before treatments, we found: 1. more free back movements. 2. more strength of abdominal and back muscles. 3. smaller lumbar lordosis and angle of tilted sacrum. Conclusion: Our work indicated that: 1. The special sports therapy emphasized on training the abdominal and back muscles strength had obvious curative effects(P < 0.01, 0.001) on low back pain and could alleviate the pains(90%) and accelerate the recovers(P < 0.01). 2. Combing with OPDQ and VAPS could be a good method on the evaluation of degree of pains. 3. Back movements(P < 0.05,0.001), abdominal and back muscles strength, lumbar lordosis(P < 0.001) and angle of tilted sacrum were realizable and dependent index in appraising recovery of chronic low back pain. 4. Cobb Technique and Two Points Fixed could be two useful measurement methods in treatment of chronic low back pain.更多还原