Clinical Effect Of Exercise Control Training On Rehabilitation Of Patients With Chronic Low Back Pain

Purpose :This study will explore to strengthen core muscle strength and posture stability combined the new scheme,the core muscle strength training and motor control exercise combined applied in patients with chronic low back pain rehabilitation,to observe the function of the patients with chronic low back pain before and after intervention,and relieve patients ' pain,dysfunction,and bad mood and improve posture stability,ontology sense function.And break the conventional motor control exercise ideas for chronic low back pain patients rehabilitation training to provide a new program,improve the clinical efficacy.Methods :41 patients with chronic low back pain,aged 30-70,were selected from the outpatient department of Rehabilitation Medicine of Beijing Geriatric Hospital.The patients were divided into experimental group(n = 20)and control group(n = 21)according to the method of random number table.Both groups were trained for 40 minutes once a day,3 days a week.The control group received core muscle strength training(2groups,20 min each),and the experimental group received motor control exercise(1 group,20 min each)after core muscle strength training(1 group,20 min each).The training lasted for 6 weeks.Visual Analogue Scale / Score(VAS)and Roland Morris were evaluated before and after training for 6 weeks Dysfunction Questionnaire(RMDQ),Self-Rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),static balance function test assessment.Results :1.Comparison of VAS scores: 6 weeks after intervention,intra-group comparison:compared with before intervention,VAS scores of the experimental group were significantly different(P < 0.01),and VAS scores of the control group were significantly different(P < 0.05);Inter-group comparison: after intervention,there was a significant difference between the experimental group and the control group(P< 0.01).2.RMDQ score comparison: After 6 weeks of intervention,intra-group comparison:compared with before intervention,RMDQ score in the experimental group was significantly different(P < 0.01),and RMDQ score in the control group was significantly different(P < 0.05);Inter-group comparison: after intervention,there was a significant difference between the experimental group and the control group(P< 0.01).3.Comparison of SAS scores: 6 weeks after intervention,intra-group comparison:SAS scores of the experimental group and the control group were significantly different from those before intervention(P < 0.01);Comparison between groups: the difference of the experimental group was significantly improved compared with that of the control group(P < 0.05).4.Comparison of SDS scores: After 6 weeks of intervention,compared with before intervention,SDS scores of the two groups were significantly different(P < 0.01);Comparison between groups: the difference of the experimental group was not significantly improved compared with that of the control group(P > 0.05).5.Comparison of scores of static balance function:(1)Comparison of scores of static balance function of open eyes: after 6 weeks of intervention,intra-group comparison:Compared with before intervention,the movement ellipse area of the experimental group in the static balance function of open eyes had significant differences(P < 0.01),and the average movement speed before and after,left and right average movement speed and movement length had significant differences(P < 0.05).There was no significant difference in the static balance function of open eyes in the control group(P > 0.05).Comparison between groups: there were significant differences between the experimental group and the control group in average exercise speed,exercise ellipse area and exercise length(P < 0.05),and there were no significant differences between the left and right average exercise speed and the control group(P > 0.05).(2)Comparison of static balance function score of eye closure: after 6 weeks of intervention,intra-group comparison: Compared with before intervention,the four static balance function indexes of the experimental group were significantly different(P<0.01),while the area and length of motion ellipse in the control group were significantly different(P<0.01).The average movement speed before and after the intervention was significantly different from that before intervention(P < 0.05).Comparison between the two groups: compared with the control group,there were significant differences in ellipse area of the experimental group(P < 0.01),significant differences in left and right average speed and length of movement(P < 0.05),and no significant differences in average speed before and after movement compared with the control group(P > 0.05).(3)Romberg score comparison: after 6 weeks of intervention,intra-group comparison:compared with before intervention,there was a significant difference in the length of closed/open eyes in the experimental group(P < 0.01),but no significant difference in other aspects(P > 0.05);Comparison between groups: there was no significant difference between the experimental group and the control group(P > 0.05).Conclusion :1.After 6 weeks of training,patients with chronic low back pain for regular core muscle strength training can relieve pain,improve dysfunction,but combined with motor control exercise can better ease pain,dysfunction,and improve posture stability,improve proprioception function,and motor control exercise effect is more pronounced than regular core muscle strength training.2.Patients with chronic low back pain are prone to psychological problems after experiencing long-term pain.In this experiment,both motor control exercise and core muscle strength training both can improve patients ' bad emotions,while motor control exercise has no great advantage in improving patients ' emotions.3.Patients with chronic low back pain have decreased posture stability and increased visual input,which can better improve the patient's balance function and promote the recovery of proprioception during training.4.During the follow-up of the subjects for half a year,many patients still had low back pain recurrence,and the high recurrence rate was worrying.