CAJ | 학술논문

目的：观察重复周围磁刺激(RPMS)对慢性非特异性下腰痛(CNLBP)的临床疗效。方法43例CNLBP患者分为试验组(n=22)和对照组(n=21)。两组患者均接受常规理疗，试验组在此基础上增加核心稳定性训练(CST)和RPMS，对照组增加CST和伪刺激。两组分别在治疗前、治疗4周后采用视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评价临床疗效，应用平衡测试仪进行改良感觉整合平衡测试(mCTSIB)，观察患者在4种不同体位下的重心摆动速度，评估患者的姿势控制能力。结果两组治疗4周后VAS、ODI评分显著低于治疗前(P<0.001)，试验组mCTSIB中睁眼泡沫平面、闭眼泡沫平面下重心摆动速度明显低于治疗前(P<0.01)，对照组mCTSIB中各体位下重心摆动速度与治疗前比较无显著性差异(P>0.05)。治疗4周后，试验组VAS、ODI评分显著低于对照组(P<0.001)，mCTSIB中睁眼泡沫平面、闭眼泡沫平面下重心摆动速度低于对照组(P<0.05)。结论联合RPMS可以改善CNLBP患者的临床疗效及复杂环境下的姿势控制能力。
목적：관찰중복주위자자격(RPMS)대만성비특이성하요통(CNLBP)적림상료효。방법43례CNLBP환자분위시험조(n=22)화대조조(n=21)。량조환자균접수상규리료，시험조재차기출상증가핵심은정성훈련(CST)화RPMS，대조조증가CST화위자격。량조분별재치료전、치료4주후채용시각모의평분(VAS)、Oswestry공능장애지수(ODI)평개림상료효，응용평형측시의진행개량감각정합평형측시(mCTSIB)，관찰환자재4충불동체위하적중심파동속도，평고환자적자세공제능력。결과량조치료4주후VAS、ODI평분현저저우치료전(P<0.001)，시험조mCTSIB중정안포말평면、폐안포말평면하중심파동속도명현저우치료전(P<0.01)，대조조mCTSIB중각체위하중심파동속도여치료전비교무현저성차이(P>0.05)。치료4주후，시험조VAS、ODI평분현저저우대조조(P<0.001)，mCTSIB중정안포말평면、폐안포말평면하중심파동속도저우대조조(P<0.05)。결론연합RPMS가이개선CNLBP환자적림상료효급복잡배경하적자세공제능력。
Objective To observe the clinical effect of repetitive peripheral magnetic stimulation (RPMS) on chronic non-specific low back pain (CNLBP) patients. Methods 43 CNLBP patients were assigned to experimental group (n=22) and control group (n=21). Both groups received routine physical therapy. The experimental group accepted RPMS and core stability training (CST), and the control group accepted sham magnetic stimulation and CST in addition. Clinical effect was evaluated by Visual Analogue Scale (VAS) and Oswestry Dys-function Index (ODI). All the patients were assessed with Modified Clinical Test of Sensory Integration of Balance (mCTSIB) to observe the center of gravity (COG) sway velocity under 4 testing conditions. Results 4 weeks after treatment, the VAS and ODI scores were significant-ly decreased in both groups (P<0.001);the COG sway velocity under eye open foam support and eye close foam support decreased in the ex-periment group (P<0.01), however, there was no significant difference in the control group (P>0.05). The scores of VAS and ODI were sig-nificantly lower in the experiment group than in the control group after treatment (P<0.001). The COG sway velocity under eye open foam support and eye close foam support were lower in the experiment group than in the control group after treatment (P<0.05). Conclusion Com-bination of RPMS could improve the clinical symptoms and the posture control ability under complex environment.