[1]周智毅 张亚峰 周悦 冯卫华 杜建明 陈文锦 王建伟△.量化X线测量技术评估脊柱推拿手法对腰椎稳定性的影响[J].中国中医骨伤科杂志,2018,26(01):10-16.
　ZHOU Zhiyi ZHANG Yafeng ZHOU Yue FENG WeihuaDU Jianming CHEN Wenjing WANG Jianwei.Assessment of the Effect of Spine Manipulation Therapy on Lumbar Stability Using Quantitative Fluoroscopy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(01):10-16.
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量化X线测量技术评估脊柱推拿手法对腰椎稳定性的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年01期
页码:
10-16
栏目:
临床研究
出版日期:
2018-01-15

文章信息/Info

Title:
Assessment of the Effect of Spine Manipulation Therapy on Lumbar Stability Using Quantitative Fluoroscopy
文章编号:
1005-0205(2018)01-0010-07
作者:
周智毅1; 2 张亚峰2 周悦2 冯卫华2 杜建明3 陈文锦1; 2 王建伟1; 2△
1南京中医药大学(南京,210023) 2南京中医药大学无锡附属医院骨伤科 3南京中医药大学无锡附属医院推拿科 △通信作者 E-mail:osteowjw@126.com
Author(s):
ZHOU Zhiyi1; 2 ZHANG Yafeng2 ZHOU Yue2 FENG Weihua2DU Jianming3 CHEN Wenjing1; 2 WANG Jianwei1; 2△
1Nanjing University of Chinese Medicine,Nanjing 210023,China; 2Department of Orthopedics,Nanjing University of Chinese Medicine Affiliated Wuxi Hospital,Wuxi 214001,Jiangsu China; 3Department of Manipulation,Nanjing University of Chinese Medicine Affiliated Wuxi Hospital,Wuxi,214001,Jiangsu China.
关键词:
腰椎稳定性;  脊柱推拿手法治疗;  量化X线测量技术
Keywords:
Keywords: lumbar stability;  spine manipulation therapy;  quantitative fluoroscopy
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨使用量化X线测量技术评估脊柱推拿手法对腰椎不稳症腰椎稳定性的影响,为脊柱推拿手法的临床应用提供影像学依据。方法:将30例患者随机分为两组,试验组采用脊柱推拿手法治疗,对照组采用腰部核心肌力锻炼治疗。治疗前后进行腰痛程度、神经损伤及生活障碍评估,以量化X线测量技术评估脊柱推拿手法对不稳定节段(L4～5)椎体在矢状位上的位移、腰椎松弛度的变化。结果:两组间疗效差异显著,而通过评估矢状位上的位移、腰椎松弛度这些指标的变化,对照组组内比较治疗前后差异无统计学意义(P>0.05),而试验组组内比较治疗前后差异有统计学意义(P<0.05),组间比较试验组与对照组治疗前差异无统计学意义(P>0.05),而在治疗后差异有统计学意义(P<0.05)。结论:脊柱推拿手法疗效优于腰背肌锻炼方法,脊柱推拿手法可调整腰椎不稳症患者的椎体间异常运动,增加了脊柱稳定性,初步明确了脊柱推拿手法治疗腰椎不稳症的机理。
Abstract:
Abstract Objective:To explore the effect of spine manipulation therapy on lumbar stability of lumbar instability using quantitative fluoroscopy and provide radiographic evidences for clinical application of spine manipulation therapy.Methods:Thirty patients were randomly divided into a test group(n=15)treated with spine manipulation and a control group(n=15)treated with lumbar core stability exercises.The scores of low backs pain intensity,nerve injury and impairment of daily living were evaluated,in order to evaluate the variation of the displacement of the vertebral body in the sagittal position and slackness of lumbar vertebrae in the instable segment(L4～5)by spine manipulation therapy using quantitative fluoroscopy.Results:There was significant difference between the groups in therapeutic effects.The displacement of the vertebral body in the sagittal position and slackness of lumbar vertebrae in the instable segment in test group appeared significant changes after the treatment(P<0.05),while there were no significant changes in control group5(P>0.05).There was no significant difference between the two groups before the treatment(P>0.05),and was significant difference between the two groups after the treatment(P<0.05).Conclusion:The therapeutic effect of spine manipulation is better than lumbar core stability exercise; The spine manipulation can adjust the abnormal movement of the vertebral bodies of patients with lumbar instability,and enhance the spinal stability.The mechanism of spine manipulation therapy on lumbar instability has been preliminarily clarified.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金面上项目(81473693)
更新日期/Last Update: 2018-01-15