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The Effect Of Electromyographic Biofeedback Relaxation Training In Patients With Low Back Pain With Pain Catastrophizing:A Clinical Research

Posted on:2018-04-11Degree:MasterType:Thesis
Country:ChinaCandidate:F FanFull Text:PDF
GTID:2334330536460462Subject:Rehabilitation Medicine & Physical Therapy
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Low back pain(LBP)is a group of symptoms or symptomatic syndromes represented by lumbar pain.Patients with lumbosacral hip pain may be associated with lower extremity radiating symptoms.LBP is clinically very common,about 80% of people will appear in different periods of LBP;LBP patients usually do not automatically reduce the entertainment and fitness activities,while most patients will appear a series of psychological behavior problems,such as loss of appetite,insomnia,Work capacity decline,etc.,its work,life caused a certain degree of impact.The production of chronic LBP is the result of interactions between physiology,psychology,sociology,economics,and demographics.Single therapy is often ineffective.While the previous study of the LBP psychological factors only to stay in the emotional factors(anxiety and depression),and no cognitive factors to do further research.In recent years,Europe and the United States gradually pain catastrophizing as the focus of the field of pain psychology research,and made a lot of research results.The study found that pain catastrophizing can significantly affect the pain of chronic pain in patients with pain,mental state,clinical efficacy and quality of life.Therefore,for patients with pain catastrophizing in the LBP patients,psychological rehabilitation of the further study has some value.This study evaluated the effect of myoelectric biofeedback relaxation training on the efficacy of LBP with pain relief in patients with pain relief by pain catastrophizing questionnaires(PCS),VAS score and Oswestry Lumbago Questionnaire(ODI),which is a more rational application of psychologicalrehabilitation Treatment of LBP with pain in patients with pain.Objective:To observe the effect of psychological rehabilitation(EMG biofeedback relaxation training)on the rehabilitation of patients with lower back pain and painful disability.Methods:1 Fifty patients with painful discomfort of LBP were selected from January,2015 to April,2016 in the Department of Rehabilitation Medicine,Affiliated Hospital of Chengde Medical College.The patients were divided into experimental group(n =23)and control group(n = 27)by random number table.2 The patients in the experimental group were treated with biofeedback relaxation,psychological intervention and routine rehabilitation.The control group received psychological intervention and routine rehabilitation.The pain discomfort questionnaire(PCS),pain visual analog scale(VAS)and OSWESTRY(ODI)low back pain questionnaire were used to evaluate the patients before and after treatment.Result:1 Effects of psychological rehabilitation(EMG biofeedback relaxation training)on PCS in LBP patients with pain-related disability.PCS score: After 14 days of treatment,the PCS of the experimental group(22.74±3.74)and the control group(27.67±3.15)were improved(P<0.05);the improvement of the experimental group was better),And the difference was statistically significant(P<0.05).2 Psychological rehabilitation(EMG biofeedback relaxation training)on LBP pain with pain in patients with painPain VAS score: After 14 days of treatment,the pain VAS scores of the two groups were improved(P<0.05),the VAS score of the experimental group was(2.78±0.52)and the control group was(3.48±0.64)(P<0.05),and the difference between the two groups was statistically significant(P<0.05).3 Effect of psychological rehabilitation(EMG biofeedback relaxationtraining)on lumbar function in LBP patients with painful disabilityThe ODI score was found after 14 days of treatment(14.35±1.77)and(18.81 ± 4.22)points respectively in the control group(P<0.05),And the difference was statistically significant(P<0.05).Conclusion:1 Psychological rehabilitation(EMG biofeedback relaxation training)can significantly improve the pain of patients with LBP;psychological rehabilitation(EMG biofeedback relaxation training)can significantly improve the pain of patients with LBP;)Can significantly improve the LBP patients with lumbar function.2 In this study,the two stages of relaxation training,the first stage of the threshold-oriented tension cognitive training,the second stage of relaxation to reduce training.The results of this study prove that this method is reliable and effective.3 psychological rehabilitation(EMG biofeedback relaxation training)on the lower back pain with pain relief patients with rehabilitation therapy has significant significance,it is necessary to further study the clinical relevance of LBP and psychological factors and how to psychological intervention in the study,so that LBP treatment is more systematic to improve clinical efficacy.
Keywords/Search Tags:EMG biofeedback relaxation training, low back pain, pain catastrophe, psychological rehabilitation
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