陈胜雄, 胡煜, 蔡卫东, 杨海涛, 胡波. 久坐职业人群慢性腰痛的康复运动处方应用效果研究[J]. 职业卫生与应急救援, 2025, 43(3): 284-288,335. DOI: 10.16369/j.oher.issn.1007-1326.2025.240663
引用本文: 陈胜雄, 胡煜, 蔡卫东, 杨海涛, 胡波. 久坐职业人群慢性腰痛的康复运动处方应用效果研究[J]. 职业卫生与应急救援, 2025, 43(3): 284-288,335. DOI: 10.16369/j.oher.issn.1007-1326.2025.240663
CHEN Shengxiong, HU Yu, CAI Weidong, YANG Haitao, HU Bo. Effect of a rehabilitation exercise prescription for chronic lower back pain in sedentary occupational populations[J]. Occupational Health and Emergency Rescue, 2025, 43(3): 284-288,335. DOI: 10.16369/j.oher.issn.1007-1326.2025.240663
Citation: CHEN Shengxiong, HU Yu, CAI Weidong, YANG Haitao, HU Bo. Effect of a rehabilitation exercise prescription for chronic lower back pain in sedentary occupational populations[J]. Occupational Health and Emergency Rescue, 2025, 43(3): 284-288,335. DOI: 10.16369/j.oher.issn.1007-1326.2025.240663

久坐职业人群慢性腰痛的康复运动处方应用效果研究

Effect of a rehabilitation exercise prescription for chronic lower back pain in sedentary occupational populations

  • 摘要:
    目的 研究一组康复运动处方对久坐职业人群慢性腰痛的应用效果。
    方法 2021年1月—2023年12月,选取符合慢性腰痛诊断的久坐职业人群56例,采用随机数字表法分为试验组和对照组,各28例。试验组及对照组均接受同一组康复医师/治疗师制定的中频电刺激和手法治疗方案,治疗周期均为4周,每周3次。试验组在治疗的同时接受为期6周的康复运动处方干预,每周3次,康复运动处方包括核心区力量训练、稳定性训练、肌肉牵伸训练。分别测量两组患者干预前、干预后4周、干预后8周的疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、屈腹及伸腰肌力,采用独立样本t检验、配对t检验评估干预效果。
    结果 试验组和对照组干预后4周、8周的VAS评分、ODI值均低于干预前,屈腹肌力和伸腰肌力均高于干预前,差异均有统计学意义(P<0.01)。在干预前、干预后4周,试验组和对照组的VAS评分、ODI值、屈腹肌力和伸腰肌力的差异均无统计学意义(P > 0.05),但在干预后8周,试验组的VAS评分、ODI值低于对照组,屈腹肌力和伸腰肌力均高于对照组,差异均有统计学意义(P<0.05)。
    结论 结合核心区力量训练、稳定性训练、肌肉牵伸训练的康复运动处方对缓解久坐职业人群慢性腰痛的痛觉、恢复腰椎功能、改善腰腹肌力具有确切疗效。

     

    Abstract:
    Objective To study the application effect of a series of rehabilitation exercise prescriptions on chronic low back pain in sedentary occupational populations.
    Methods From January 2021 to December 2023, 56 cases diagnosed as chronic low back pain in sedentary occupational populations were selected and divided into treatment and control groups, each with 28 cases, by using the method of randomized numerical table. The cases in both groups received identical medium-frequency electrical stimulation and manual therapy, administered by a group of rehabilitation physicians/therapists, with all undergoing a 4-week treatment cycle consisting of 3 times per week. Besides, the cases in the treatment group received rehabilitation exercise prescription intervention, including core strength training, stability training, and muscle stretching training, for 6 weeks consisting of 3 times per week. The pain visual analog score (VAS), Oswestry dysfunction index (ODI), and flexor and extensor muscle strength were measured before the intervention and 4 weeks and 8 weeks after the intervention, respectively, and the effect of the intervention was assessed using the independent samples t-test and paired t-test.
    Results All cases had lower VAS scores, lower ODI values, and higher flexor and extensor muscle strengths than those of the pre-intervention period at 4 and 8 weeks after the intervention, and the differences were statistically significant (all P < 0.01). In the pre-intervention and 4 weeks post-intervention, the differences between the treatment group and the control group in terms of VAS scores, ODI values, flexor muscle strength, and extensor muscle strength were not statistically significant (all P > 0.05), but in the 8 weeks post-intervention, the VAS scores and ODI values were lower than those of the control group, and the flexor muscle strength and extensor muscle strength of cases in the treatment group were higher than those of the control group, and the differences were statistically significant (all P < 0.05).
    Conclusions  The rehabilitation exercise prescription combining core area strength training, stability training, and muscle stretching training had definite efficacy in relieving the nociception, restoring lumbar spine function, and improving lumbar and abdominal muscle strength of chronic low back pain in sedentary occupational populations.

     

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