运动疗法对康复治疗师职业性肌肉骨骼疾患的康复效果

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1、运动疗法对康复治疗师职业性肌肉骨骼疾患的康复效果郭瑞玉吴庆文王小伟陈秀秀郭子梦华北理工大学护理与康复学院摘要：(1)目的了解运动疗法对康复治疗师职业性肌肉骨骼疾患的康复效果。(2)方法从唐山市选出60名颈肩和上背有职业性肌肉骨骼疾患的康复治疗师，随机分为对照组与干预组，各30例。对照组完成H常的工作后休息，干预组完成FI常工作后进行运动疗法干预，每次练习20分钟，1次/d;—周5次，持续8周。两组均在实验开始前和8周后对颈部竖脊肌(CES)、斜方肌上部(UT)和斜方肌屮部(MT)进行疼痛视觉模拟评分(VAS)、表面肌电最

2、大随意收缩(MVC)、积分肌电(RMS)、平均频率(MF)测定。对照组与干预组组间比较用两独立样本t检验，组内比较用配对样本t检验。(3)结果对照组8周后VAS、MVC、RMS、MF值与试验开始前相比，差异无统计学意义(P〉0・05);干预组经过8周运动疗法干预后，VAS值比干预前及对照组下降，MVC、RMS、MF值比干预前及对照组増高，差异均有统计学意义(P<0.05)。(4)结论运动疗法能缓解疼痛，恢复肌力，降低疲劳程度，从而有效改善职业性肌肉骨骼疾患。关键词：运动疗法；康复治疗师;职业性肌肉骨骼疾患;作者简介：郭瑞

3、玉(1989-),女，硕士研究生，研究方向:神经康复。收稿日期：2017-03-30Effectsofexercisetherapyonwork-relatedmusculoskeletaidisordersamongtherapistsGUORuiyuWUQingwenWANGXiaoweiCollegeofNursingandRehabilitation,NorthChinaUniversityofScienceandTechnology;Abstract：ObjectiveTounderstandtheeffect

4、softheexercisetherapyfortheinterventionofwork-relatedmusculoskeletaldisorders(WRMDs)amongtherapists.MethodsAtotalof60therapistswithWRMDsinneck,shoulderandupperbackwererecruitedfromTangshancityandwererandomlydividedintotheintcrvcntiongroup(n二30)andthecontrolgroup(

5、n二30).Therapistsintheinterventiongroupwereinstructedtoperformoneexerciseprogram20min/session,onceaday,fivetimesaweek,for8weeks.Atthesametime,thecontrolgroupsolelytookabreakanddidnotreceiveanyformofspecificintervention.Visualanaloguescale(VAS)andmaximumvoluntaryco

6、ntraction(HVC)、rootmeansquare(RMS)emdmeanfrequency(MF)ofsurfaceelectromyographywereassessedinbothgroupsbeforetheclinicaltrailandafter8weeks.Themusclesmeasuredwerecervicalerectorspinae(CES),uppertrapezius(UT)andmiddletrapezius(MT).Thedifferencesbetweenthetwogroups

7、werecomparedusingindependent-samplcsttest,andthedifferencesbeforetheclinicaltrailandafter8weekswerecomparedusingpaired-samplesttest.ResultsTherewasnosignificantdifferenceinVAS,MVC,RMSandMFbeforetheclinicaltrailandafter8weeksinthecontrolgroup(P>0.05).After8weeksof

8、exercisetherapyintheinterventiongroup,theVASvaluewas1owerthanthatbeforetheintcrvcntionemdthecontrolgroup,MVC,RMSandMFweresignificantlyhigherthanthosebeforethei