阶梯运动疗法在腰背部军事训练伤患者中的治疗策略

职业与健康 ›› 2024, Vol. 40 ›› Issue (20): 2769-2773.

阶梯运动疗法在腰背部军事训练伤患者中的治疗策略

朱聪¹, 王佩茹¹, 田益沁¹, 李博², 雷思非¹, 冯斌¹

1.中国人民解放军32280部队骨科,四川乐山614000;
2.中国人民解放军68302部队,四川德阳 618000

收稿日期:2023-12-12 修回日期:2024-01-22 出版日期:2024-10-15 发布日期:2026-03-17
通信作者: 冯斌,副主任医师,E-mail：GKYS42@163.com
作者简介:朱聪,男,主治医师,主要从事骨损伤修复工作。
基金资助:
军队后勤保障科研基金（20XLS01）

Treatment strategy of stepwise exercise therapy in patients with low back pain caused by military training injuries

ZHU Cong¹, WANG Peiru¹, TIAN Yiqin¹, LI Bo², LEI Sifei¹, FENG Bin¹

1. Department of Orthopaedics,Chinese People's Liberation Army Number 32280,Leshan,Sichuan 614000,China;
2. Chinese People's Liberation Army Number 68302,Deyang,Sichuan 618000,China

Received:2023-12-12 Revised:2024-01-22 Online:2024-10-15 Published:2026-03-17
Contact: FENG Bin,Associate chief physician,E-mail：GKYS42@163.com

摘要/Abstract

摘要： 目的了解阶梯运动疗法在腰背部军事训练伤患者治疗中的运用及效果。方法以2021年1月—2023年3月某重装部队诊治的120例腰背部军事训练伤患者为研究对象,随机分为试验组和对照组,每组60例。对照组按照常规治疗方法治疗,试验组采取常规治疗方法+阶梯运动疗法治疗。阶梯运动疗法即按腰部损伤急性期和缓解期分别设计4组腰背部康复锻炼动作,通过运动疗法治疗腰背部损伤。治疗3周后比较两组治疗有效率、腰背痛改善程度和腰椎活动度改善情况,3个月后通过随访比较两组患者复训后腰背痛复发情况。结果治疗3周后,试验组治疗有效率（93.33%）优于对照组（80.00%）,差异有统计学意义（P<0.05）;两组视觉模拟评分（visual analogue score,VAS）均较治疗前降低,且试验组VAS评分降低程度大于对照组,差异均有统计学意义（均P<0.01）;两组腰椎活动度评分均较治疗前改善,且试验组腰椎活动度评分改善程度优于对照组,差异有统计学意义（P<0.05）。3个月后,试验组腰背痛复发率（18.33%）低于对照组（38.33%）,差异有统计学意义（P<0.05）。结论在常规治疗基础上应用阶梯运动疗法,根据腰部损伤不同阶段采取针对性腰背肌运动治疗方案,可有效缓解重装部队军事训练伤所致腰背部疼痛,改善患者腰椎活动度,疗效显著,操作简便易行,且复发率低,值得推广使用。

关键词: 阶梯运动疗法, 军事训练伤, 腰背痛

Abstract: Objective To explore the application and effectiveness of stepwise exercise therapy in the treatment of patients with lower back pain caused by military training injuries. Methods A total of 120 patients with low back pain caused by military training injuries diagnosed and treated from January 2021 to March 2023 were randomly divided into two groups,with 60 patients in each group. The control group was treated with conventional treatment methods,while the experimental group was treated with conventional treatment methods and stepwise exercise therapy. Step exercise therapy refers to the design of four sets of rehabilitation exercises for the acute and remission stages of lumbar injuries,and the treatment of lumbar injuries through exercise therapy.After threeweeks,the treatment effect of low back pain and lumbar range of motion in the two groups were compared. After three months,the recurrence of low back pain in the two groups was compared through follow-up. Results After treatment for three weeks,the effective rate of treatment in the experimental group（93.33%） was higher than that in the control group（80.00%）,with a statistically significant difference（P<0.05）. After treatment for three weeks,the VAS scores of both groups decreased compared to those before treatment,and the VAS score reduction in the experimental group was greater than that in the control group,with a statistically significant difference（P<0.01）. After treatment for three weeks,the lumbar spine activity scores of both groups decreased compared to those before treatment,and the lumbar spine activity score reduction in the experimental group was greater than that in the control group,with a statistically significant difference（P<0.05）. After three months,the recurrence rate of low back pain in the experimental group（18.33%） was lower than that in the control group（38.33%）,with a statistically significant difference（P<0.05）. Conclusion The joint application of stepwise exercise therapy and the basis of conventional treatment can effectively alleviate lower back pain caused by military training injuries,improve the patient's lumbar range of motion,and have a low recurrence rate than that of the basis of conventional treatment used alone,which is worth promoting and using in army.

Key words: Stepwise exercise therapy, Military training injury, Low back pain

中图分类号:

R823

朱聪, 王佩茹, 田益沁, 李博, 雷思非, 冯斌. 阶梯运动疗法在腰背部军事训练伤患者中的治疗策略. [J]职业与健康, 2024, 40(20): 2769-2773.

ZHU Cong, WANG Peiru, TIAN Yiqin, LI Bo, LEI Sifei, FENG Bin. Treatment strategy of stepwise exercise therapy in patients with low back pain caused by military training injuries. [J]OCCUPATION AND HEALTH, 2024, 40(20): 2769-2773.

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