Applied Research On Evaluation And Rehabilitation Exercise Of Low Back Pain Patients Under ICF Architecture

Objective: Lumbar pain of low back pain(LBP),due to the complexity of the disease and are generally not through the clinical treatment made the best therapeutic effect. Therefore, evaluation on LBP patients is particularly important.ICF framework of the low back pain core classification is a more comprehensive assessment of the way,how to apply it to play a practical role in the benefit of mankind, is the key to the study.Methods:(1) ICF self made questionnaire evaluation : Using the international function, disability and health "(International Classification of functioning, disability and health, ICF) LBP classification framework formulation assessment questionnaire,and Oswestry low back pain assessment questionnaire of Yichang central hospital to come to treatment including 20 male LBP patients evaluated, randomly selected 10 as the experimental group, age 39. 3 + 10.93 years old, weighing 61. 6 + 8.77 kg, height of174.3 + 3.85 cm,The other 10 were the control group, the age of 38.95 + 11.73 years old,weight 66.92 + 7.62 kg, height 172.64 + 3.7cm.The evaluation results were compared and analyzed;(2) to develop intervention programs.According to ICF assessment questionnaire results were the experimental group and the control group to develop different intervention programs, experimental group according to the ICF framework core classification combination brief amount table to develop programs, while the control group adopted routine intervention programs, intervention throughout the long period of 3 months, divided into three phases, each phase lasted for 1 month.The end of the intervention was assessed again, and the results of the two groups were compared.Results:(1) in the experimental group before and after the intervention, the functional assessment scores were reduced in different degrees, that is to say, after the intervention,all functions were improved。In addition to the activities of three joint degree, 6 muscletension, 9 in pelvis, 11 trunk, 16 toilet, dress 17 and 18 interpersonal and 19 relatives attitude and several other there are differences(P < 0.05), one sleep, pain and 14 lift and carry objects exist significant differences(P < 0.01); the control group before and after the intervention in addition to sleep, 3 joint activities had differences(P < 0.05), most of the function before and after the intervention was no difference. Among them, 9. The structure of the pelvis and 18 interpersonal function before and after the intervention did not change significantly。(2)before the intervention, the experimental group and control group each question assessment had no significant difference between the mean scores, no significant difference; after intervention and compared between the two groups of each function evaluation of the mean scores, the experimental group is superior to control group, in addition to 15 walking the function between the two groups are significantly different(P< 0.01) and other functional evaluation no difference(P > 0.05)(3) the results of ODI questionnaire and ICF questionnaire assessment results basically consistentConclusion:(1) the formulation of exercise prescription based on ICF is more effective than the general exercise prescription;(2) the exercise prescription based on ICF can improve the life style of patients.