手法治疗与髋关节运动疗法治疗下腰痛疗效观察

Effect of manual and hip motion therapy hips in patients with low-back pain

摘要:

目的探讨手法治疗联合髋关节运动疗法在下腰痛患者中的临床疗效。方法采用前瞻性研究方法，选取2015 年4 月-2016 年10 月收治的116 例下腰痛患者随机分为试验组与对照组，对照组给予2 周手法治疗，试验组给予2 周手法治疗与髋关节运动疗法，通过改良Oswestry 功能障碍指数（ODI）、疼痛数字评分法（NPRS）比较两组患者下腰痛治疗效果。结果2 周后，试验组患者在改良Oswestry功能障碍指数、疼痛数字评分法都优于对照组，差异有统计学意义（P <0.05）。结论髋关节运动疗法可以有效改善下腰痛患者的临床症 状，值得在临床上推广。

Abstract:

Objectives To explore the effect of manual therapy combined with hip motion therapy in patients with low-back pain. Methods Prospective study was carried out in 116 subjects with low-back pain from April 2015 to October 2016. The subjects were randomized into pragmatic treatment of the lumbar spine only (control group); pragmatic treatment of the lumbar spine and prescriptive treatment of bilateral hips (experimental group); pragmatic treatment of the lumbar spine was based upon published clinical guidelines.Prescriptive treatment of the hips involved the use of hip exercises targeting the gluteal musculature. Subjects were assessed at baseline, the 2nd week, and at discharge with the following measures: Modified Oswestry Disability Index, Numeric Pain Rating Scale. Results At 2nd week, significant difference between groups were found in Modified Oswestry Disability Index and Numeric Pain Rating Scale (P < 0.05). Conclusions Our findings suggest that a prescriptive treatment of the hips may be of clinical value to individuals presenting with the primary complaint of mechanical LBP.