CAJ | 학술논문

目的观察脊柱节段稳定性家庭训练(SSE)对社区老年腰痛患者生活质量的影响.方法 80例社区老年腰痛患者按随机数字法分为对照组和实验组,实验组用SSE干预3个月,对照组不予以干预.用疼痛程度功能障碍量表(ODI)及世界卫生组织生存质量测定量表简表(WHOQOL-BREF)作为评价标准. 结果患者治疗前Oswestry功能量表及WHOQOL-BREF测试评分对照组分别为(0.32±0.09)分和(87.65±8.63)分,实验组分别为(0.32±0.09)分和(87.97±8.71)分;治疗3个月后Oswestry功能量表及WHOQOL-BREF测试评分对照组分别为(0.32±0.07)分和(87.98±8.15)分,实验组分别为(0.27±0.09)分和(92.30±9.64)分;对照组治疗前及3个月后Oswestry功能量表及WHOQOL BREF测试结果比较,差异无统计学意义(t=0.311和-0.672,均P＞0.05);实验组治疗前及3个月后Oswestry功能量表及WHOQOL-BREF测试结果比较差异均有统计学意义(t=0.311和-0.672,均P＜0.05);实验组治疗后3个月Oswestry功能量表及WHOQOL-BREF测试结果与对照组比较差异均有统计学意义(t值分别为8.500和4.526,均P＜0.05). 结论 SSE可以有效地帮助社区老年腰痛患者缓解症状、改善功能、提高生活质量,家庭SSE训练可以作为运动性治疗方法在社区中积极推广.
목적 관찰척주절단은정성가정훈련(SSE)대사구노년요통환자생활질량적영향.방법 80례사구노년요통환자안수궤수자법분위대조조화실험조,실험조용SSE간예3개월,대조조불여이간예.용동통정도공능장애량표(ODI)급세계위생조직생존질량측정량표간표(WHOQOL-BREF)작위평개표준. 결과 환자치료전Oswestry공능량표급WHOQOL-BREF측시평분대조조분별위(0.32±0.09)분화(87.65±8.63)분,실험조분별위(0.32±0.09)분화(87.97±8.71)분;치료3개월후Oswestry공능량표급WHOQOL-BREF측시평분대조조분별위(0.32±0.07)분화(87.98±8.15)분,실험조분별위(0.27±0.09)분화(92.30±9.64)분;대조조치료전급3개월후Oswestry공능량표급WHOQOL BREF측시결과비교,차이무통계학의의(t=0.311화-0.672,균P＞0.05);실험조치료전급3개월후Oswestry공능량표급WHOQOL-BREF측시결과비교차이균유통계학의의(t=0.311화-0.672,균P＜0.05);실험조치료후3개월Oswestry공능량표급WHOQOL-BREF측시결과여대조조비교차이균유통계학의의(t치분별위8.500화4.526,균P＜0.05). 결론 SSE가이유효지방조사구노년요통환자완해증상、개선공능、제고생활질량,가정SSE훈련가이작위운동성치료방법재사구중적겁추엄.
Objective To evaluate the effects of spinal segmental stabilization exercises (SSE)at home on the quality of life for community dwelling elderly patients with lower back pain.Methods Eighty elderly patients with lower back pain were divided into two groups according to the random number method:the experimental group,which received intervention for three months,and the control group,which received no intervention.Evaluation was conducted using the Oswestry Disability Index (ODI) and the WHO Quality of Life-BREF (WHOQOL BREF).Results The ODI and WHOQOL-BREF scores for the control group were (0.32 ± 0.09) and (87.65 ± 8.63),respectively,before treatment,and (0.32± 0.07) and (87.98 ±8.15),respectively,three months after treatment; the scores for the experimental group were (0.32 ± 0.09) and (87.97 ± 8.71),respectively,before treatment,and (0.27 ± 0.09) and (92.30 ± 9.64),respectively,three months after treatment.No statistically significant difference was found in ODI and WHOQOL-BREF scores in the control group before and three months after treatment (t=0.311 and-0.672,respectively; P ＞0.05 for both),while statistically significant differences were detected before and three months after treatment (t =0.311 and-0.672,respectively; P＜ 0.05 for both).Differences in ODI and WHOQOL-BREF scores were also found between the experimental group and the control group three months after treatment (t=8.500 and-4.526,respectively; P＜0.05 for both).Conclusions Spinal segmental stabilization exercises can effectively relieve symptoms,improve body functions and uplift the quality of life for community-dwelling elderly patients with lower back pain.As a beneficial physical therapy option,SSE can be promoted in residential communities.