| Objective and significance(A)The first part of the theoretical volumeThe system clarifies the relationship between exercise and low back pain,discusses the research frontiers,hotspots and possible dynamic development trends in the field of low back pain and health Qigong under the current stage of exercise intervention,and explores the possible mechanism of treating chronic low back pain by combining exercise and combining with our national tradition.The fitness principle and characteristics of the Health Qigong of sports items,and the possible mechanism of the intervention of Health Qigong in the treatment of chronic low back pain.Based on the theoretical basis,the screening of 9 sets of exercises currently promoted by the Health Qigong Management Center of the State General Administration of Sports for the treatment of chronic qigong intervention Action library for low back pain.The action library includes the generalized action of the patient with chronic low back pain as the main action,and the individualized action is designed according to the posture problem that the chronic low back pain patient may have and the exercise intensity that can be sustained.For patients with chronic low back pain,a new national traditional sports program is available for selection in many current sports treatments.At the same time,it provides reference value for the theoretical construction of Health Qigong exercise prescription.(B)The second part of the empirical volumeThrough the intervention of the primary and secondary actions of patients with chronic low back pain in the treatment of qigong,a 4-week individualized form of exercise intervention was conducted.To explore the effect of Health Qigong on relieving pain and improving dysfunction,lumbar motion range,balance ability and quality of life in patients with chronic low back pain.Methods(A)Part I of the theoretical volume1.Literature research method: collect domestic and foreign related literatures on "exercise,low back pain,low back pain,non-specific low back pain,health qigong,etc.",and learn about the main research progress in the field of chronic low back pain and health qigong in sports intervention and the field.What is the research consensus? And why is exercise and treatment of chronic low back pain effective and what are the key factors?2.Cite Space: CiteSpace5.2.R2 software is used to visualize the current index data of sports and low back pain,and strive to explore the research frontiers,hotspots and possible dynamic development trends in the current stage of sports and lower back pain..(B)Part II of the empirical volume1.Questionnaire method: The scales involved in the questionnaire are: VAS pain visual scale,ODI dysfunction questionnaire,WHOQOL-BREF quality of life scale.2.Interview method: face-to-face conversation with the patients,and conduct oral investigations on the patient's basic situation,exercise intervention program and subjective feelings to collect factual materials.3.Mathematical statistics method: The experimental research part,the index data collected before and after the intervention,through the excel to organize the drawing table,making the data more intuitive.4.Experimental method: Firstly,the inclusion criteria and exclusion criteria of the experimental subjects are carried out.Through the comprehensive evaluation results of the posture,function evaluation and action mode test of the patients in the previous case,the release of each indicator test and questionnaire scale is completed.Develop a campaign for lowering back pain under the intervention of Health Qigong,and exercise a 4-week exercise intervention in the form of individualized supervision.Results(A)Knowledge map analysis results1.Research on low back pain in domestic sports intervention: The number of research literature in the field has been relatively stable with the year,and the Chinese Journal of Rehabilitation Medicine has a high degree of attention in this field.The research force in the field of low back pain in domestic sports intervention is mainly concentrated in the medical rehabilitation department,and the physical rehabilitation department of Beijing Jishuitan Hospital ranks first.Guo Xianfeng(8 articles)ranked first in the number of articles.Key words co-word visualization map,field research high frequency and high centrality keywords,hotspot time zone visualization map and field research high frequency subject words can clearly reflect the research hotspots,frontiers and possible trends of low back pain in domestic sports intervention.2.Research on low back pain in foreign sports intervention: The number of research literature in the field has a relatively stable upward trend with the year.From the perspective of the journal series countries,the United States has a large proportion of the United States.It can be seen that the relevant US journals attach great importance to this field of research.Spine,Journal of orthopedic sports physical therapy,Archives of physical medicine and rehabilitation,from the number of sources in the source publications.Spine Journal has a high level of interest in research in this area.The research force is mainly concentrated in colleges and universities,and the University of Sydney ranks first.The author with the highest citation frequency is Hayden JA.The distribution of field disciplines is the highest in the field of rehabilitation.Field research on high frequency and high centrality keywords,hotspot time zone visualization maps and field research high frequency subject words can clearly reflect the research hotspots,frontiers and possible trends in the field of low back pain in domestic exercise intervention.3.Research hotspots in the field of Health Qigong: The number of research literatures in the field has been relatively stable with the year.Fighting(martial arts science)journals are highly concerned about this field.The research field of Health Qigong in China is mainly concentrated in colleges and universities,and Beijing Sports University ranks first.Researchers such as Si Hongyu,Liu Yi,Hu Xiaofei,Zhang Wenchun,and Ding Liling have published more articles.Lu Dinghai(22 articles)ranked first in the number of articles published.Field research on high frequency and high centrality keywords,hotspot time zone visualization maps and field research high frequency topic words show a hot spot in the field of Health Qigong.(B)the mechanism of exercise for the treatment of chronic low back painExercise therapy for chronic low back pain can be achieved by adjusting the imbalance of the mechanical structure,that is,the correct arrangement of the joints,the balance of the fascia tension;the way of changing the nerve conduction through the reverse pulling movement;by inhibiting the production of inflammatory factors;and improving mental health.Aspects.Mainly after adjusting for long-term bad posture,the posture control ability is reduced,and the stability of the lumbar vertebrae is affected,resulting in muscle imbalance,mechanical mode disorder,and mechanical structure imbalance.By exercising exercise to increase the muscle strength of the muscles connecting the thoracolumbar fascia(abdomen transverse muscle,intra-abdominal oblique muscle,latissimus dorsi,anterior serratus,etc.),it can increase the fascial tension and promote the balance of the muscular fascia tension in the deep stability of the spine.(C)Mechanism of Health Qigong Intervention in Chronic Low Back Pain1.Health Qigong intervention Chronic low back pain mainly through two internal and external regulation methods,the following three regulatory systems to regulate:(a)mechanical regulation system(b)neuro-psychological regulation system(c)chemical regulation system.2.Health Qigong can be used as a mechanism to interfere with chronic low back pain through three aspects of mechanical regulation system: adjustment of posture promotes correct arrangement of joints;action of stretching and stretching regulates tension of muscle fascia;muscle strength of waist and abdomen and hips The training and coordination of respiratory movement activates the transverse abdominis muscles to enhance spinal stability.3.Through the three aspects of the neuro-psychological regulation system as the mechanism of intervention for chronic low back pain: reverse stretching changes the nerve conduction mode,relieves pain;regulates the central nervous system to improve chronic pain;regulates mental state and improves the quality of life.4.Through the two aspects of the chemical regulation system as the principle of intervention for chronic low back pain: improve aerobic capacity,reduce pain-causing factors;improve ventilatory function.(D)Empirical research results1.For the case of postoperative discogenic low back pain in a patient,choose the exercise of qigong to interfere with chronic low back pain,and exercise for 4 weeks in the form of individualized supervision.The range of lumbar motion and balance ability have been significantly improved.There was no significant improvement in the main symptoms of pain,the improvement rate was 16.67%,the dysfunction index improvement rate was 35%,and the overall quality of life did not change.2.In the second case of patients with radicular pain,exercise the qigong intervention in the action of chronic low back pain,and exercise for 4 weeks in the form of individualized supervision.The main complaint of pain was completely relieved,the improvement rate was 100%,the dysfunction index improvement rate was 60%,and the quality of life,lumbar motion range and balance ability were significantly improved.3.For the third patient in the case of lower back strain,choose the exercise of qigong to interfere with chronic low back pain,and exercise for 4 weeks in the form of individualized supervision.The main complaint was that the pain was completely relieved,the improvement rate was 100%,the dysfunction index improvement rate was 60%,and the lumbar motion range and balance ability were significantly improved,but the quality of life did not change.Conclusions(A)Conclusion of knowledge mapping analysis1.Foreign exercise intervention under low back pain: research hotspots are sports training,intervention measures,dysfunction,and chronic low back pain.The study of low back pain under exercise intervention focused on three hot research groups,including the type of study,including epidemiological studies of low back pain,clinical guidelines,diagnosis and treatment of low back pain,and evaluation of exercise interventions for patients with chronic/chronic nonspecific low back pain.Pain intensity,functional status,overall improvement,and effectiveness of recovery efforts.In addition,the study found that providing an individualized design exercise program in a supervised form seems to be the most effective strategy for alleviating pain and improving dysfunction in people with chronic low back pain.2.Domestic exercise intervention under low back pain: research hotspots mainly focus on chronic low back pain and exercise therapy.From focusing on the low-risk population to the special population in the special field;the research theme from the focus on the relief structure of the lower back pain itself to the exploration of relevant interventions,has never been concerned about the type of low back pain to acute lumbar sprain,psoas Strain,chronic low back pain,chronic non-specific low back pain,lumbar disc herniation,etc.are based on the nature of low back pain;from passive intervention to active exercise therapy intervention.3.Health Qigong field: The research hotspots mainly focus on the status quo and strategy of the popularization and promotion of the four sets of Health Qigong.The theme ranges from focusing solely on Health Qigong itself to in-depth exploration of specific new creative methods,from focusing on fitness Qigong practitioners to focusing on interventions for patients with common chronic diseases,from focusing on physical indicators of interventions to quality of life.The impact of research ideas from understanding problems to solving problems,from improving physical quality to the transition between rehabilitation and prevention,from small health to comprehensive health.(B)the mechanism of exercise for chronic low back painExercise treatment of chronic low back pain mainly adjusts the imbalance of mechanical structure,that is,the joint arrangement is correct,the muscle fascia tension is balanced;the nerve conduction mode is changed;the biochemical reaction of inflammation is suppressed and the mental health is improved.(C)Mechanism of Health Qigong Intervention in Chronic Low Back PainHealth Qigong intervention chronic low back pain mainly through two internal and external regulation methods,the following three regulatory systems to regulate:(a)mechanical control system(b)neuro-psychological regulation system(c)chemical regulation system.(D)Empirical research conclusions1.Through the comprehensive evaluation results of body posture,functional evaluation,and action pattern test evaluation of three patients with chronic low back pain before intervention,combined with clinical imaging data diagnosis,the action of qigong intervention for chronic low back pain is suitable for the patient.The exercise was practiced and exercised in a four-week exercise in the form of individualized supervision.The overall intervention effect was significant.2.Through 4 weeks of exercise exercises for the treatment of chronic low back pain for qigong,it can effectively relieve the main pain symptoms(VAS score)of patients with lower back pain and radiculopathy,and in the range of lumbar motion,balance ability test,There were significant improvements in the dysfunction index(ODI)and indicators,and the scores in the various areas of quality of life(WHOQOL-BREF)were improved to varying degrees.3.There was no significant improvement in the main complaints of pain in patients with low back pain after discogenic pain,but it had a positive impact on the range of lumbar motion,the ability to balance,and the quality of life. |
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