Effects of enhanced core stabilization training based on real-time ultrasound imaging in patients with chronic nonspecific low back pain
10.3969/j.issn.1001-1242.2025.07.010
- VernacularTitle:基于实时超声的强化核心稳定训练对慢性腰痛的疗效观察
- Author:
Shanshan LIN
1
;
Bo ZHU
;
Yan WANG
Author Information
1. 江门市中心医院康复医学科,广东省 江门市,529099;中山大学附属第一医院康复医学科
- Publication Type:Journal Article
- Keywords:
chronic nonspecific low back pain;
real-time ultrasound imaging;
core stabilization training;
TrA;
isokinetic motion
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(7):1040-1046
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of enhanced core stabilization training based on real-time ultrasound im-aging in patients with chronic nonspecific low back pain(CNLBP).Method:From May,2020 to July,2022,30 patients with CNLBP were randomly divided into two groups with 15 patients in each group.The treatment course was 4 weeks,with real-time ultrasound imaging feed-back combined with core stabilization training or core stabilization training alone.The pain was assessed with visual analogue scale(VAS),the lumbar spine mobility was assessed with the finger-to-floor distance(FFD),and the HUMAC NORM multi-joint isokinetic testing and rehabilitation system was used to evaluate the spine flexion absolute error(AE).The musculoskeletal ultrasonography was used to evaluate the thickness and con-traction rate of transversus abdominis(TrA).Result:After training,the scores of VAS,FFD,and AE in the flexion position of 2 groups were improved compared with the scores before treatment,and the differences were statistically significant(P<0.05),and the improvement in the experimental group was more obvious than that in the control group(P<0.05).There was no statistical significance in the thickness of TrA between the two groups after training.However,the contrac-tion rate of TrA in the observation group was significantly higher than that in the control group,and the dif-ference was statistically significant(P<0.05).Conclusion:Enhanced core stabilization training based on real-time ultrasound imaging has a better short-term therapeutic effect on CNLBP,which is more helpful in reducing pain intensity,enhancing muscle contraction efficiency,and improving the dysfunction of CNLBP patients.
