摘要
目的 :评价渐进抗阻运动与短暂最大收缩疗法治疗骨质疏松腰背疼痛的疗效和安全性。资料与方法 :采用随机对照试验研究 ,将受试对象 6 0例按 1∶1比例随机分为试验组 30例 ,对照组 30例 ;对照组给予 :①常规补钙 ,用钙尔奇D0 6Bid× 4周 ;②中频电疗法 :选腰背部疼痛处、将电极并置 ,选 1 2号方 ,每日一次 ,每次 2 0分钟 ,连续 2周 ,机型 :K8832 -T型中频电疗机 ,北京翔云电子设备厂制造 ) ;试验组除对照组方法外 ,加渐进抗阻运动疗法 (方法是 :先测定腰背肌连续重复 1 0次运动所承受的最大负荷值 ,称为 1 0RM值 ,练习时作三组各1 0次的运动练习 ,依次用 1 /4、 1 /2及 1 0RM值的阻力负荷 ,前两组用作准备活动 ,后一组是主要练习。每周重复测定 1 0RM值 ,据此修正练习时所用负荷量 ,使阻力随着肌力的增长而增加 ,每日一次 ,连续 2周。)与短暂最大收缩疗法 (在等张抗阻屈和伸膝的末端维持等长伸和屈膝 5s,重复 5次 ,其阻力逐步增加 ,每日一次 ,连续2周 )。最后用统计学方法进行疗效分析和安全性评估。结果 :试验组的腰背疼痛和功能活动显著改善 (P <0 0 1 ) ,对照组的疼痛改善无显著性 (P >0 0 5 ) ,前者的总有效率 90 % ,显著高于后者 76 7% (P <0 0 5 ) 。
Research on the clinical effect and safety of progressive resist and brief maximal exercise therapy in treating the back pain of patients with osteoporosis.Subjects and Methods:Ransomed Contrast patient trial.Sixty patients with primary osteoporosis(18men,42women,aged 50-71years,mean 59 38±4 6)were divided randomly into trial group 30 cases and control group 30 cases.The control group was treated with Caltrated(0 6Bid×4 weeks),mdeele frequency electrotherapy(Numbers 12 was Choiced,20 min every time,once a day 2 weeks all together.Model:K8832-T type middle frequency electrotherapy machine,made in BeiJing Xiang Yun electronics equipments factory).The trial group had trained with the progressive resist,brief maximal exercise therapy and that of the same as the control.Then,the clinical symptoms and functional activities before and after treatment were assessed and dealt with statistics.Results:Compared with the control group,the improvement of the pain and function of the trial group was significant( P <0 01),but that of the control group was not marked( P >0 05),and the total rate of the effect of the for mer(90%)was marked( P <0 05)than that of the latter(76 7%),for the more,no side effect was found.Conclusion:The progressive resist and brief maximal exercise therapy was an effective therapy in treating the back pain of the patients with primary osteoporosis.
出处
《华西医学》
CAS
2003年第2期169-170,共2页
West China Medical Journal
