Abstract：Objective: To investigate the effect of deep muscle stimulation combined with Flexi-bar therapy on psoas endurance, pain and prognosis in patients with nonspecific low back pain (NLBP). Methods: A total of 100 patients with NLBP in our hospital from June 2019 to June 2021 were selected and randomly divided into groups, 50 cases in each group. The control group was given routine rehabilitation training, and the observation group was given Flexi-bar therapy combined with deep muscle stimulation on top of the control group for 2 months of continuous intervention. Statistical comparison of visual analogue scoring (VAS), Oswestry dysfunction index (ODI), static and dynamic lumbar muscle endurance, lumbar EMG signals, pain mediators [β-endorphin (β-EP), 5-hydroxytryptamine (5-HT)], prognosis was conducted between the 2 groups. Results: After 1 month and 2 months of intervention, the VAS and ODI scores of the observation group were lower than those of the control group, and the serum β-EP and 5-HT levels were higher than those of the control group (P<0.05). The psoas endurance and RMS of the observation group were higher than those of the control group, and the MF was lower than that of the control group (P<0.05); there was no significant difference in the SF-36 scores between the two groups before the intervention, 1 month after the intervention, and 2 months after the intervention (P>0.05). Conclusion: Deep muscle stimulation combined with Flexi-bar therapy can effectively relieve pain, improve psoas muscle endurance, restore lumbar spine function, and improve prognosis in patients with NLBP.
张立庄, 赵保礼, 成瑜, 孙利军. 深层肌肉刺激结合Flexi-bar疗法对非特异性下腰痛患者腰肌耐力疼痛及预后的影响[J]. 河北医学, 2023, 29(1): 136-141.
ZHANG Lizhuang, ZHAO Baoli, CHENG Yu, et al. Effects of Deep Muscle Stimulation Combined with Flexi-Bar Therapy on Psoas Endurance, Pain and Prognosis in Patients with Nonspecific Low Back Pain. HeBei Med, 2023, 29(1): 136-141.
[1] Kim B,Yim J.Core stability and hip exercises improve physical function and activity in patients with non-specific low back pain:a randomized controlled trial[J].Tohoku Exp Med,2020,251(3):193-206. [2] Gianola S,Bargeri S,Del Castillo G,et al.Effectiveness of treatments for acute and subacute mechanical non-specific low back pain:a systematic review with network meta-analysis[J].Br Sports Med,2022,56(1):41-50. [3] Doroudian A,Roostayi MM,Naimi SS,et al.Effect of using the flexi-bar tool on erector spinae muscle activation under different standing weight-bearing conditions[J].Back Musculoskelet Rehabil,2019,32(3):505-509. [4] 赵保礼,赵智,张立庄,等.筋膜松解术联合核心肌群训练治疗非特异性下背痛的疗效观察[J].中华物理医学与康复杂志,2020,42(3):239-241. [5] Alsufiany MB,Lohman EB,Daher NS,et al.Non-specific chronic low back pain and physical activity:a comparison of postural control and hip muscle isometric strength:a cross-sectional study[J].Medicine (Baltimore),2020,99(5):8544. [6] 国家中医药管理局,“中医康复服务能力规范化建设项目(上海) ”专家委员会,上海市康复医学会中西医结合康复专业委员会,等.腰痛病居家康复上海地区专家共识[J].上海中医药大学学报,2019,33(5):1-6. [7] Frizziero A,Pellizzon G,Vittadini F,et al.Efficacy of core stability in non-specific chronic low back pain[J].Funct Morphol Kinesiol,2021,22(2):37. [8] Comachio J,Oliveira CC,Silva IFR,et al.Effectiveness of manual and electrical acupuncture for chronic non-speci low back pain:a randomized controlled trial[J].Acupunct Meridian Stud,2020,13(3):87-93. [9] 孙悦梅,裴倩,黄秋晨,等.Flexi-bar训练对非特异性腰痛的治疗效果[J].中国康复理论与实践,2021,27(10):1205-1210. [10] Zemkova Eurinova E,Dubera A,et al.The relationship between reactive balance control and back and hamstring strength in physiotherapists with non-specific back pain:protocol for a cross-sectional study[J].Int Environ Res Public Health,2021,23(11):5578. [11] 关铭坤,戴伟莉.腰椎伸肌强化和神经肌肉再训练对慢性非特异性腰痛患者功能障碍的影响[J].颈腰痛杂志,2020,41(2):229-231. [12] 杨森,武文杰,杜诗宇,等.慢性非特异性下腰痛患者腰背肌力量和耐力与生活质量的相关性[J].广西医学,2020,42(5):529-532.
2023, Vol. 29 
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