网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
Tergumed训练系统对慢性腰痛疗效的Meta分析
作者:李剑荣  陈春霞  吴立红  蔡涵  刘堰  袁维  杨秋红  陈志刚 
单位:空军杭州特勤疗养中心 疗养一区 浙江 杭州 310007
关键词:Tergumed系统 慢性腰痛 等长最大肌力 随机对照 Meta分析 
分类号:R493
出版年·卷·期(页码):2024·52·第一期(18-24)
摘要:

目的:在脊柱生物力学测试与颈腰肌群个体化训练及慢性腰痛的治疗中,Tergumed训练系统十余年来得到逐步应用。本研究系统评价慢性腰痛治疗中Tergumed系统的临床效果。方法:计算机检索The Cochrane Library、Web of Science、EMBASE、PubMed、ClinicalTrails、CBM、CNKI、CQVIP、Wanfangdata、Chinese Clinical Trial Registry数据库及临床试验注册中心(建库至2023年2月),对Tergumed系统治疗慢性腰痛的随机对照研究进行检索。对文献进行方法学的质量评价,通过RevMan和STATA软件进行Meta分析。结果:Meta分析收录的6篇RCT试验,共纳入360人。Tergumed系统治疗慢性腰痛,干预组较对照组,疼痛视觉模拟评分(VAS)减轻不明显,效果不显著[MD=-0.39,95%CI(-0.89,-0.11),P>0.05];但腰背肌前屈、后伸等长最大肌力(IMS)改善明显,效果显著[前屈MD=60.51,95%CI(35.7,85.32),P<0.05;后伸MD=224.40,95%CI(175.66,273.14),P<0.05]。结论:现有研究显示,Tergumed系统显著增强了慢性腰痛患者腰背肌前屈和后伸IMS。

Objective: Over the past ten years, the Tergumed training system has been gradually applied in spinal biomechanical test, individualized training of cervical and psoas muscles and treatment of chronic low back pain. Meta-analysis was used to evaluate the efficacy of Tergumed system in the treatment of chronic low back pain. Methods: The Cochrane Library, Web of Science, EMBASE, PubMed, ClinicalTrails, CBM, CNKI, CQVIP,Wanfang Data,Chinese Clinical Trial Registry, databases and clinical trial registries were searched by computer(from database establishment to February 2023) to collect randomized controlled studies on Tergumed system in the treatment of chronic low back pain.The methodological quality of literature was evaluated and Meta-analysis was conducted by RevMan and STATA software. Results: All the finally enrolled 6 articles used a design of RCT. Meta-analysis showed that, compared with control group, VAS score did not significantly decrease in the intervention group after treatment [MD=-0.39,95%CI(-0.89,-0.11),P>0.05]; But the isometric strength(IMS) of trunk muscle was improved significantly[Strength of flexor muscles MD=60.51,95%CI(35.7,85.32),P<0.05; Strength of extensor muscles MD=224.40,95%CI(175.66,273.14),P<0.05]. Conclusion: Current studies have shown that the Tergumed system can significantly enhance IMS of trunk muscle flexion and extension in patients with chronic low back pain.

参考文献:

[1] 王雪强,陈佩杰,矫玮,等.运动疗法治疗腰痛的专家共识[J].体育科学,2019(3):19-29.
[2] 葛欢.意大利筋膜手法对胸腰筋膜的形态学研究[J].养生保健指南,2021(16):36-37.
[3] 梁育磊,高谦.非特异性腰痛诊疗进展[J].颈腰痛杂志,2017,38(4):376-379.
[4] 干旻峰,程敏,陆英杰,等.加速康复外科理念在椎体后凸成形术围术期的应用效果分析[J].东南大学学报(医学版),2020,39(6):704-708.
[5] 季一鑫,郑巨军,孙喜庆.飞行人员颈腰伤病防治指南[Z].北京:空军后勤部卫生局,2018.
[6] HIDES J A,STANTON W R,WILSON S J,et al.Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain[J].J Orthop Sports Phys Ther,2008,38(3):101-108.
[7] 欧阳玉臣,向文海,肖伟,等.悬吊运动系统训练激活腹横肌治疗产后腰痛的临床研究[J].实用临床医药杂志,2020,24(19):107-110.
[8] 张旭.脊柱功能评估训练系统对腰椎间盘突出症减压内固定术后早期康复的应用[D].天津:天津医科大学,2017.
[9] 张丽.脊柱功能测试评估训练系统[J].医疗装备,2007(8):4-6.
[10] 翟楠楠,戴琪萍,孙亚楠,等.电针夹脊穴结合Tergumed系统训练治疗腰椎间盘突出症临床观察[J].上海中医药大学学报,2016,30(1):36-39.
[11] 孙亚男,翟楠楠,陈永强,等.电针结合Turgunmed训练系统治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2016,35(6):722-724.
[12] 童艳,郭险峰,张兰,等.脊柱功能评估训练系统用于非特异性腰痛治疗的研究[J].中国康复医学杂志,2010(12):1161-1165.
[13] 王连成,罗胜飞,许世波,等.8周Tergumed训练对慢性下背痛的影响:中国康复医学会第十一次全国颈椎病学术会议[C].天津,2009.
[14] 王连成,章礼勤,许世波.12周Tergumed标准化运动对慢性非特异性下背痛的影响[J].中国康复医学杂志,2013,28(10):939-941.
[15] 郑军凡,陈燕清,叶国标,等.Tergumed脊柱功能测试训练系统对慢性非特异性下腰痛的影响[J].中外医学研究,2022,20(31):6-9.
[16] 孙琦,严荣国,江容安,等.基于飞行时间的人体颈腰部生理曲线测量及数据处理[J].生物医学工程研究,2019,38(4):461-465.
[17] 杨杰华,冼晓琪,区大明,等.脊椎矫正枪技术修复骨骼组织细胞产生拉应力及压应力的作用[J].中国组织工程研究,2014,18(51):8212-8216.
[18] ALUKO A,DESOUZA L,PEACOCK J.The effect of core stability exercises on variations in acceleration of trunk movement,pain,and disability during an episode of acute nonspecific low back pain:a pilot clinical trial[J].J Manipulative Physiol Ther,2013,36(8):497-504.
[19] 高俊敏.职业性下腰痛患者核心肌群的功能分析及应用研究[D].保定:河北大学,2016.
[20] HUANG J T,CHEN H Y,HONG C Z,et al.Lumbar facet injection for the treatment of chronic piriformis myofascial pain syndrome:52 case studies[J].Patient Prefer Adherence,2014,8:1105-1111.
[21] EKSTROM R A,DONATELLI R A,CRAP K C.Electromyographic analysis of core trunk,hip,and thigh muscles during 9 rehabilitation exercises[J].J Orthop Sports Phys Ther,2007,37(12):754-762.
[22] HUXEL B K,ANDERSON B E.Core stability training for injury prevention[J].Sports Health,2013,5(6):514-522.
[23] WILLSON J D,DOUGHERTY C P,IRELAND M L,et al.Core stability and its relationship to lower extremity function and injury[J].J Am Acad Orthop Surg,2005,13(5):316-325.
[24] 苗生龙,王冬,王鸿玺,等.核心肌力训练在腰椎间盘突出后路术后康复中的近期临床效果评价[J].中国现代医药杂志,2018,20(12):36-38.
[25] JEON K,KIM T,LEE S H.Effects of muscle extension strength exercise on trunk muscle strength and stability of patients with lumbar herniated nucleus pulposus[J].J Phys Ther Sci,2016,28(5):1418-1421.
[26] MCGILL S M.Low back exercises:evidence for improving exercise regimens[J].Phys Ther,1998,78(7):754-765.
[27] 陶莉,戴昂,郭险峰.多功能脊柱稳定性康复系统评估模块对于躯干肌力评估的效度和信度研究[J].中国康复医学杂志,2020,35(10):1217-1220.
[28] DE RIDDER E,DANNEELS L,VLEEMING A,et al.Trunk extension exercises:how is trunk extensor muscle recruitment related to the exercise dosage?[J].J Electromyogr Kinesiol,2015,25(4):681-688.
[29] STEVENS V K,PARLEVLIET T G,COOREVITS P L,et al.The effect of increasing resistance on trunk muscle activity during extension and flexion on training devices[J].J Electromyogr Kinesiol,2008,18(3):434-445.
[30] WINNARD A,DEBUSE D,WILKINSON M,et al.Movement amplitude on the functional re-adaptive exercise device:deep spinal muscle activity and movement control[J].Eur J Appl Physiol,2017,117(8):1597-1606.
[31] 夏吉祥,翟海亭.战斗机飞行员核心爆发力训练研究[J].体育科技文献通报,2021,29(5):12-15.
[32] 张莉莉,马月欣,国佳,等.美国空军飞行员抗荷体能训练方案简介[J].中华航空航天医学杂志,2018,29(1):56-58.
[33] 安军伟,胡零三,雷腾飞,等.Tergumed脊柱训练系统在腰椎间盘突出症及核心肌群评估中的研究进展[J].时珍国医国药,2017,28(9):2221-2223.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 815219 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

本系统由北京博渊星辰网络科技有限公司设计开发 技术支持电话:010-63361626

苏ICP备09058541