| Objective: To investigate the effect of conventional therapy,conventional therapy combined with Kinesio Taping(KT),and conventional therapy combined with core stability training for pain,physical dysfunction,Range Of Motion(ROM),and Surface Electromyography(sEMG)in patients with Nonspecific Low Back Pain(NLBP).Analyze the efficacy and provide a more reasonable plan for improving the function of NLBP patients.Methods: Thirty individuals with NLBP were randomly divided into control group,KT group and core training group,with 10 cases in each group.The subjects of control group received DMS relaxation and back muscle strengthening training;the KT group received KT on the basis of treatment in the control group;the core training group received core stability training on the basis of treatment in the control group.Subjects in each group were treated every other day for 6 weeks.Primary outcome measures included Visual Analogue Scale(VAS),Japanese Orthopaedic Association(JOA),range of motion,Root Mean Square(RMS)and Median Frequency(MF)),ΔT(Activation difference between multifidus and deltoid muscle).The data was analyzed with the software SPSS 22.0 after statistics in the Excel table.All measurement results were expressed as mean ± standard deviation(x ± s).To compare the three groups,measurement data were analyzed by One-way ANOVA analysist.Pre-test and post-test score comparison within each group was conducted by a paired t test.p <0.05 was considered to be statistically significant and p<0.01 was considered to be significant statistically significant.Results:(1)After 6 weeks of rehabilitation intervention,the VAS scores of the three groups of subjects were significantly lower than before the rehabilitation intervention(p <0.01),and the VAS scores of the KT group and the core training group were statistically lower than the control group after the intervention(p<0.05),but there was no statistically significant difference in VAS scores between the KT group and the core training group after rehabilitation intervention(p> 0.05).After 6 weeks of rehabilitation intervention,the JOA scores of the three groups of subjects were significantly increased compared with before the intervention(p <0.01),and the JOA scores of the KT group and the core training group were significantly increased after the intervention compared with the control group(p<0.05).),But there was no statistically significant difference in JOA score between the two groups(p> 0.05).(2)After 6 weeks of rehabilitation intervention,the lumbar flexion and extension ROM of the three groups of subjects were statistically increased compared with that before the intervention(p <0.05).There was a statistically significant increase compared with the control group(p <0.05),but there was no significant difference in lumbar flexion ROM between the KT group and the core training group after the intervention(p>0.05);There was no significant difference in lumbar extension ROM(p> 0.05).(3)After 6 weeks of rehabilitation intervention,the RMS values of the erector spinae muscles and multifidus muscles of the three groups of subjects were statistically increased compared with those before the intervention(p <0.05),and the RMS values of the erector spinae muscle of the three groups after the intervention were not statistically significant(p> 0.05);after intervention,the RMS value of the multifidus muscle in the core training group was statistically increased compared with the other two groups(p<0.05),and there was no significant difference in the RMS value of the multifidus muscle between the control group and the KT group(p>0.05).After 6 weeks of rehabilitation intervention,the MF values of the erector spinae,multifidus muscles and △T values of the three groups were significantly lower than those before the intervention(p <0.05),and there was no difference in the MF values of the erector spinae muscle among the three groups after the intervention(p>0.05);the MF value of the multifidus muscle and △T value in the core training group were significantly lower than those in the other two groups after the intervention(p<0.05).The MF value of the multifidus muscle and △T value were not statistically significant between the control group and the KT group(p>0.05).Conclusion:(1)Conventional treatment can improve pain,dysfunction,lumbar flexion and extension ROM,lumbar muscle strength and endurance in patients with NLBP.(2)Combined with KT can further improve the pain,dysfunction,and lumbar flexion ROM of patients with NLBP compared with conventional treatment;but the combined with KT cannot further improve lumbar muscle strength and endurance than conventional treatment.(3)Combined with core stability training,it can further improve pain,dysfunction,lumbar flexion ROM,lumbar deep muscle strength and endurance compared with conventional treatment.(4)Conventional treatment combined with core stability training can further activate deep waist muscles and increase lumbar spine stability compared to the other two methods,which is conducive to the comprehensive rehabilitation of patients with NLBP. |
