Clinical effect of neuromuscular stimulator on psoas muscle pain
神经肌肉刺激器治疗腰肌疼痛的临床效果观察

摘要

目的 探讨神经肌肉刺激器治疗腰肌疼痛的效果及对腰椎功能、肌电图的影响。方法 2020年2月至2021年10月惠州市中医医院收治的132例腰肌疼痛患者，采用随机数字表法分为观察组和对照组，各66例。对照组采取常规药物治疗和康复训练，观察组在对照组基础上给予神经肌肉刺激器治疗。评估两组患者治疗前、治疗后的CR10量表（RPS）分级、Oswestry功能障碍指数。结果 治疗1个月、治疗3个月后，观察组患者的疼痛程度及腰椎功能评分逐渐降低，而且显著低于同时间段的对照组评分（P＜0.05）；观察组多裂肌、回旋肌表面的肌电值逐渐提高，而且显著高于同时间段的对照组（P＜0.05）。结论 在腰肌疼痛常规治疗基础上实施神经肌肉刺激器可更好地减轻疼痛程度，改善腰椎功能，减轻功能障碍程度。

Abstract

Objective To investigate the effect of neuromuscular stimulator on psoas pain and its effect on lumbar spine function and electromyography.
Methods From February 2020 to October 2021, 132 patients with psoas pain admitted to Huizhou Hospital of Traditional Chinese Medicine were divided into an observation group and a control group by random number table method, with 66 cases in each group. The control group was given routine drug treatment and rehabilitation training, and the observation group was given neuromuscular stimulator treatment on the basis of the control group. The CR10 scale (RPS) classification and Oswestry disability index were evaluated before and after treatment in the two groups.
Results After 1 month and 3 months of treatment, the pain degree and lumbar function score of the observation group were gradually decreased, and were significantly lower than the scores of the control group at the same time period (P<0.05). The EMG value on the surface gradually increased, and was significantly higher than that in the control group at the same time period (P<0.05).
Conclusion   The application of neuromuscular stimulator on the basis of conventional treatment of psoas pain can better relieve pain, improve lumbar spine function, and reduce the degree of dysfunction.