体外冲击波治疗联合呼吸训练对慢性原发性腰痛的效果

doi:10.20047/j.issn1673-7210.2023.07.23

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Abstract Objective To observe the effect of extracorporeal shock wave therapy combined with respiratory training on chronic primary low back pain (CPLBP). Methods Ninety patients with CPLBP admitted to the First People’s Hospital of Nantong, Jiangsu Province, from March 2020 to March 2021 were selected and divided into extracorporeal shock wave group, respiratory training group and combined group by using random number table method, with 30 cases in each group. All patients received conventional rehabilitation training, to which extracorporeal shock wave therapy was added in the extracorporeal shock wave group, respiratory training was added in the respiratory training group, while extracorporeal shock wave therapy and respiratory training were added in the combined group. Patients in the three groups were evaluated for outcome using the visual analogue score (VAS), Oswestry dysfunction index (ODI), and the Japanese Orthopaedic Association (JOA) lower back pain score before and after four weeks of treatment, respectively, while the recurrence rate of low back pain in the three groups were also observed at follow-up six months after the end of treatment. Results After treatment, the VAS scores of the three groups were lower than before treatment, while that of the combined group was lower than those of the extracorporeal shock wave group and the respiratory training group, and the differences were statistically significant (P＜0.05). The ODI of the three groups was lower than before treatment, while that of the combined group was lower than those of the extracorporeal shock wave group and the respiratory training group, and the differences were statistically significant (P＜0.05). The JOA scores of the three groups were higher than before treatment, while that of the combined group was higher than those of the extracorporeal shock wave group and the respiratory training group, and the differences were statistically significant (P＜0.05). The recurrence rate in the combined group was lower than that in the shock wave and respiratory training groups, and the differences were statistically significant (P＜0.05). Conclusion Extracorporeal shock wave therapy combined with respiratory training can effectively relieve pain, improve functional limitation of the lumbar spine, reduce the recurrence rate of low back pain, and improve the quality of survival of patients with CPLBP.

Key words： Extracorporeal shock wave Respiratory training Chronic primary low back pain Curative effect

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	ZHU Dongyan QIAN Jun WANG Liang XU Qian HAN Zhenzhen ZHOU Sanlian LU Hongjian HUANG Zhidong

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ZHU Dongyan QIAN Jun WANG Liang XU Qian HAN Zhenzhen ZHOU Sanlian LU Hongjian HUANG Zhidong. Effect of extracorporeal shock wave therapy combined with respiratory training on chronic primary low back pain[J]. 中国医药导报, 2023, 20(7): 105-109.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.07.23 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I7/105

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