单园菲 周鹏 薛斌 胡健康 顾文钦

摘 要 目的：探讨全身垂直律动治疗对骨质疏松症引发下腰痛的治疗效果。方法：选取2018年1月至2020年1月上海市徐汇区枫林街道社区卫生服务中心诊疗及体检的52～60岁骨质疏松症引发下腰痛患者60例，采用随机数字表分为对照组和干预组各30例。两组患者均接受规范抗骨质疏松症药物治疗、核心肌力训练，同时对照组给予常规的健康指导，而干预组则给予全身垂直律动疗法，治疗15周。采用视觉疼痛模拟评估法（VAS）、RM功能障碍问卷表（RMDQ）、Oswestry下腰背功能障碍指数（ODI）进行评估，观察疗效。结果：干预后，两组患者VAS、RMDQ和ODI评分均较干预前显著降低（P<0.05），且干预组低于对照组（P<0.05）。干预组总有效率为83.33%（25/30），高于对照组的76.67%（23/30，P<0.05）。结论：全身垂直律动疗法对骨质疏松症引起的下腰痛及腰背部功能障碍的疗效显著，值得推广应用。

关键词 骨质疏松症；下腰痛；全身垂直律动；核心肌力训练

中图分类号：R681 文献标志码：A 文章编号：1006-1533（2021）06-0029-03

Observation of the clinical effect of whole body vertical rhythm in the treatment of low back pain caused by osteoporosis

SHAN Yuanfei， ZHOU Peng， XUE Bin， HU Jiankang， GU Wenqin

（Rehabilitation Department of Fenglin Community Health Service Center of Xuhui District， Shanghai 200040， China）

ABSTRACT Objective： To explore the effect of whole body vertical rhythm therapy in the treatment of low back pain caused by osteoporosis. Methods： From January 2018 to January 2020， 60 patients aged 52-60 years with low back pain caused by osteoporosis who were diagnosed， treated and examined in Fenglin Community Health Service Center， Xuhui District， Shanghai were selected， and divided into a control group and an intervention group with 30 cases each by a random number table method. Both groups received standard anti-osteoporosis drug therapy and core muscle strength training， at the same time， the control group received routine health guidance， while the intervention group was treated with whole body vertical rhythm therapy for 15 weeks. Visual analogue scale（VAS） for pain， Roland Morris disability questionnaire（RMDQ） and Oswestry low back dysfunction index（ODI） scores were used to evaluate and observe the efficacy. Results： After intervention， VAS， RMDQ and ODI scores of patients in both groups were significantly lower than those before intervention（P<0.05）， and the intervention group was lower than the control group（P<0.05）. The total effective rate in the intervention group was 83.33%（25/30）， which was higher than that in control group 76.67%（23/30）（P<0.05）. Conclusion： The whole body vertical rhythm therapy has significant effect on low back pain and low back dysfunction caused by osteoporosis， which is worthy of popularization and application.

KEY WORDS osteoporosis； low back pain； whole body vertical rhythm； core muscle strength training

*基金項目：上海市徐汇区枫林街道社区卫生服务中心科研项目（FL202008）

骨质疏松症（osteoporosis，OP）是一种以骨量减少、骨微观结构退化致骨脆性增加的全身性骨代谢障碍疾病。OP已成为危害老年人身体健康的几大主因之一，而我国老年人中的83.6%属于OP中高风险人群[1]。疼痛是OP最常见的临床症状，又以下腰痛最多见，占70%～80%[2]。目前大量医学研究表明，抗骨质疏松药物治疗具有一定效果，但治疗周期长、价格昂贵，药物副作用不容忽视。全身律动疗法是通过机械振动和外在抗阻负荷诱发神经肌肉反射，同时给予骨骼重复性应力刺激进而改善肌肉-骨骼系统结构和功能的训练技术，是一种新兴的非药物、无创OP干预方式[3]。本文旨在探讨全身律动疗法结合核心肌力训练对OP引起的下腰痛的临床疗效。……