CAJ | 학술논문

目的：观察本体感觉训练治疗腰椎间盘突出症的效果。方法50例腰椎间盘突出症患者分成对照组(n=25)和治疗组(n=25)。两组均接受理疗和核心肌力训练，治疗组同时接受BIODEX平衡仪下本体感觉训练。治疗前和治疗8周后采用疼痛视觉模拟评分(VAS)、Oswestry下腰背功能障碍指数(ODI)、BIODEX平衡仪进行评定。随访1年，观察复发率。结果治疗后，两组患者VAS、ODI、稳定性极限指数与姿势性稳定指数均有改善(P<0.05)，治疗组ODI、稳定性极限指数与姿势性稳定指数均优于对照组(P<0.05)。1年内，对照组复发5例，治疗组2例。结论本体感觉训练能进一步改善腰椎间盘突出症患者腰背功能，提高运动控制能力，降低复发率。
목적：관찰본체감각훈련치료요추간반돌출증적효과。방법50례요추간반돌출증환자분성대조조(n=25)화치료조(n=25)。량조균접수리료화핵심기력훈련，치료조동시접수BIODEX평형의하본체감각훈련。치료전화치료8주후채용동통시각모의평분(VAS)、Oswestry하요배공능장애지수(ODI)、BIODEX평형의진행평정。수방1년，관찰복발솔。결과치료후，량조환자VAS、ODI、은정성겁한지수여자세성은정지수균유개선(P<0.05)，치료조ODI、은정성겁한지수여자세성은정지수균우우대조조(P<0.05)。1년내，대조조복발5례，치료조2례。결론본체감각훈련능진일보개선요추간반돌출증환자요배공능，제고운동공제능력，강저복발솔。
Objective To investigate the effects of proprioceptive training on lumbar disc herniation (LDH). Methods 50 patients with LDH were divided into experimental group (n=25) and control group (n=25). Both groups received physiotherapy and core stability exer-cise, and the experimental group received proprioceptive training with BIODEX Balanced System in addition. They were assessed with the Visual Analogous Scale (VAS) of pain, Oswestry Disability Index (ODI), and posture stability and limits of stability of BIODEX Balanced System. The incidence of relapse was followed up in a year. Results The scores of VAS, ODI, posture stability and limits of stability im-proved in both groups after treatment (P<0.05), and the ODI, posture stability and limits of stability improved more in the experimental group than in the control group (P<0.05). There were 5 cases relapsed in the control group, and 2 cases in the experimental group. Conclu-sion The proprioceptive training may further improve the function of lower back, and motor control in patients with LDH, and prevent the re-lapse.