肌内效贴联合物理治疗对老年人慢性非特异性下背痛疗效观察

目的观察肌内效贴联合物理治疗对老年人慢性非特异性下背痛的疗效。方法将59例患有慢性非特异性下背痛的老年人按随机数字表法分为对照组29例、观察组30例。2组病人均给予常规物理因子治疗,观察组在此基础上辅以肌内效贴治疗。分别于入组时和治疗2、4周后采用视觉模拟评分(VAS)、Oswestry功能障碍指数问卷(ODI)、生存质量测定量表简表(QOL-BREF)进行评估。结果治疗前,2组病人VAS、ODI、QOL-BREF评分差异无统计学意义( P>0.05)。治疗2周后,观察组VAS、QOL-BREF和ODI评分较治疗前有所改善,对照组仅QOL-BREF评分显著改善,差异有统计学意义( P<0.05);治疗4周后,2组VAS、ODI、QOL-BREF评分均较治疗前改善,差异有统计学意义( P<0.05)。治疗2周后,观察组VAS评分改善均优于对照组( P<0.05)。治疗4周后,2组VAS、ODI和QOL-BREF评分差异无统计学意义( P>0.05)。结论肌内效贴联合物理治疗能够短时间内迅速缓解老年人慢性非特异性下背痛,改善腰椎功能,提高老年人生活质量。

Effect of Kinesio taping combined with physiotherapy on chronic non-specific low back pain in the elderly

Objective To observe the effect of Kinesio taping combined with physiotherapy on chronic non-specific low back pain in the elderly. Methods A total of 59 elderly patients with chronic non-specific low back pain were randomly divided into control group (n= 29) and observation group (n= 30). Both groups were treated with physiotherapy, and the observation group was supplemented with Kinesio taping therapy. Visual analog scale(VAS), Oswesty disability index(ODI), and quality of life brief(QOL-BREF) were assessed at the beginning, 2 weeks and 4 weeks after treatment. Results There were no significant differences in VAS, ODI and QOL-BREF scores between the two groups before treatment (P>0.05). Compared with those at the beginning, QOL-BREF, VAS and ODI scores of the observation group were significantly improved after 2 weeks of treatment (P<0.05), and the VAS score was significantly higher than that of the control group (P<0.05). After 4 weeks of treatment, the VAS, ODI and QOL-BREF scores in the both groups were more significantly improved than those at the beginning ( P<0.05), but without significant difference between the two groups ( P<0.05). Conclusions Kinesio taping combined with physiotherapy can quickly reduce the pain of chronic non-specific low back, improve lumbar function and the quality of life of the elderly.