Short - Term Observation On The Effect Of Core Strength Training On The Efficacy Of Intervertebral Foramen

The modern rise of training projects, the human body is closely related to clinical orthopaedics muscle strength training, the core strength training is the rise of a frontier of muscle strength training, first put forward the concept of core muscle strength was western scholars, in the early1990s, they conducted research and published at the earliest. Born in competitive sports, the body core strength in the field of health and fitness concept, through the general scholars gradually digging, extends its application level, then walk into the power of the associated with rehabilitation training in research related to clinical research field of vision, but for the current situation of domestic, about the research of this emerging probability is just at the initial stage of your initial steps. Domestic scholars know the core strength of probability, it is mainly based on foreign literature translation to guide the further research of the current study, has not yet been able to form a more complete system of the deeper research, particularly in the related research and use of clinical medicine.In recent years, domestic and foreign scholars for core strength training in the field of clinical medicine, especially dominated by rehabilitation and orthopedic clinical research is on the rise, core muscles, core region, and core strength can play a positive significance for clinical patients, proposed the question although many researchers, but refer to relevant literature, we found that the core strength training and clinical case study is less, the combination of core muscles, core region, the relationship between core muscle strength and orthopaedic patients in rehabilitation is relatively obscure.Out of lumbar disc, as the current general lumbar disorders are the most common and high incidence of disease, the affiliated hospital of chengdu university of TCM (traditional Chinese), sichuan province, in2012and the push for lumbar intervertebral disc protrusion adopted the intervertebral foramen mirror technology treatment, and in assessing the clinical curative effect of early postoperative. Choose intervertebral foramen mirror, this technology can directly reach the prominent position of intervertebral disc, to remove the lesion of nucleus pulposus, directly to the oppression of intra-spinal canal lifted, greatly reduce the trauma of traditional lumbar spine surgery, the curative effect of early achieve similar to conventional surgery, can be used as a treatment of a variety of effective and reliable operation of type lumbar intervertebral disc protrusion, in lower lumbar segment vertebral bodies in lumbar intervertebral disc protrusion of intervertebral disc herniation is having good recent curative effect.Postoperative lumbar disc prolapse syndrome, along with the progress of the surgical treatment of lumbar disc prolapse, the disease is common for patients after surgery, some patients in a period of time after the operation, still appear corresponding segmental lumbar nerve compression of such as waist, hips, lower limb pain and varying degrees of acid bilges numb dare, whether a symptom or more symptoms, postoperative syndrome is considered a lumbar intervertebral disc protrusion. The presence of the disease, not only harm to patients, also make patients with larger economic burden, but also let the clinician for lumbar intervertebral disc protrusion the curative effect of surgical treatment and postoperative confusion. So the postoperative lumbar disc prolapse syndrome become an important topic facing orthopedic surgeon, and cause the attention of the masses of orthopedic surgeon.Objective:1、research conforms to the surgical indications in patients with lumbar disc prolapse of intervertebral foramen mirror after surgical treatment, arrange for relatively reasonable core strength training or lower back muscle function exercise of postoperative patients with lumbar intervertebral disc protrusion syndrome affect change;2、to explore the correlation between each index and the comprehensive evaluation value, enrich and improve the postoperative intervertebral foramen mirror solid, improve curative effect of related method system;3、reduce postoperative patients with body for lumbar intervertebral disc protrusion, negative impact on the economy, and the curative effect on postoperative intervertebral foramen mirror monitor provides the basis of the theory and practice.Method:Choose30patients with voluntary study, have the diagnosis of lumbar disc prolapse is clear, and complete at our hospital in the intervertebral foramen microscopically with excision of nucleus pulposus (L3to S1)". During October2013to April2014in sichuan province traditional Chinese orthopedics diagnosis is clear, admitted to the hospital. In line with the diagnostic criteria and inclusion criteria and voluntary participation in clinical trials with follow-up of patients prognosis. Experimental group according to the random samples, divided into the experimental group and control group.The object of study inclusion criteria:1male or female, age18to50years old; 2, has a more typical clinical symptoms of lumbar disc prolapse, and conform to the diagnostic standard;3, actively cooperate with complete smoothly intervertebral foramen microscopically in patients with excision of nucleus pulposus;4, not with other serious heart, brain, liver, kidney and blood system diseases.5, the postoperative treatment, and complete training under the guidance of the follow-up of patients.This experiment use(1) the JOA low back pain score (Japanese orthopaedic society)(2) the visual analogue scale system VAS score(3) modified Macnab criteriaQuestionnaire (4) the Oswestry disability index (ODI) questionnaire understanding of the subjects of postoperative functional exercise and improve postoperative lumbar disc prolapse syndrome. Conclusion:Core strength training in postoperative intervertebral foramen mirror on the patient’s pain and function have an advantage than traditional lumbar functional exercise on the recovery, is worth popularizing in clinic and can extend to other spinal surgery postoperative exercise of rehabilitation.