| adult in different time, and can cause serious implications to life and work. More than 85% of LBP can not be diagnosed by definitive pathological anatomy. These which neither can be found histopathological structure change, nor can be identified cause by objective examination, called Non-specific low back pain(NLBP). At present, the characteristic and mechanism of NLBP is not clear, which lead to a lack of pertinence of the rehabilitation. The first purpose of this research is to analyze and study the function characteristic of NLBP through a series of multidimensional objective indicators, and look for sensitive indicators which can use to help NLBP diagnosis in the future. Meanwhile, on the base of the characteristic analysis, design tailored functional rehabilitation program to improve symptom, and evaluate the efficacy at the same time. Hope to attempt the method that design tailored functional rehabilitation program base on the results of functional examination, to be well targeted and efficiently realise the rehabilitation of NLBP.This research includes two parts. Part I researches on NLBP paitients through the series of multidimensional indicators, which including subjective pain score, lumbar function evaluation, lumbosacral structure, muscle function and functional test, and compares the test results with healthy person without LBP. Aim to multidimensional conclude and analyse the characteristic and commenalities, and provide reference for the NLBP diagnosis, rehabilitation and prevention.Part Ⅱ of the research bases on the results of functional examination from Part I, design tailored functional rehabilitation program for NLBP patients who voluntary patticipate the follow-up program. The rehabilitation program consider the lumbar and pelvic as a whole, including two parts——rehabilition training and rehabilition education. The rehabilition training last for 6 weeks, and the frequency is 4 times per week, and there are two stage of the training, evey 3 weeks as one stage, and the second stage increase the intensity and difficulty; The rehabilition education including correction of the incorrect action in the training, correction the faulty posture in daily life and the relearning of proper posture. The purpose of this part is helping NLBP patient learn to active and use the target muscle group, and improve the compasention. During the rehabilitation program, we measure the series of objective indicators at the end of each stage to evaluate the efficiency and understand the process and the regularity of the changes.This reseach found that, although in the clinical NLBP can not be diagnosed by definitive pathological anatomy, but it shows specific function characteristics, including several aspects such as lumbosacral structure, flexibility, physical condition, trunk muscle strength, muscle strength around hip joint, core test result and so on. These function characteristics of NLBP have significant difference with healthy person without NLBP, and the sensitive indicator group can effectively assess the function impairment; Meanwhile, the NLBP patients show obvious asymmetry and inbalance of the bilateral muscle strength, flexibility, physical condition and range of motions; The NLBP patients with different age, gender and severity have obvious difference and features; The rehabilitation program which including rehabilition training and rehabilition education, can improve the symptoms of NLBP and the fuctions of NLBP patients; sensitive indicator group can not only conlude the function characteristics of NLBP and also is a good method to effect evaluation for rehabilition. And also, the decrease of these indicators is also an early warning signal for NLBP. |
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