Lumbago intervention method combining pilates training with muscular fascia trigger point

Abstract

The invention discloses a method for intervening lumbago by combining pilates training with a muscular fascia trigger point, and relates to the technical field of exercise rehabilitation. Comprising two parts, namely, pilamus exercise training treatment and muscular fascia trigger point manipulation release treatment, evaluation is performed through a waist pain VAS score and a waist RMDQ dysfunction score after treatment, and a pilamus exercise training scheme and a muscular fascia trigger point manipulation release scheme can be modified in time by comparing the scores. The Pilates exercise training treatment comprises the following steps: SA1, carrying out warming-up for 5 minutes before formal training, wherein warming-up items comprise spine extension, hip and hip joint stability training, core muscle group extension, shoulder and waist relaxation training and whole body relaxation training; through the combination of piracol and muscular fascia trigger point manipulation release, the limited effect of pure piracol in the aspect of intervening the chronic non-specific lumbago is improved, and the chronic non-specific lumbago of a patient can be treated more quickly and more effectively.

Description

Technical Field

[0001] The invention relates to the technical field of sports rehabilitation, and in particular to a low back pain intervention method combining Pilates training with myofascial trigger points. Background Art

[0002] Chronic nonspecific low back pain is a common health problem among adults. The lifetime prevalence of low back pain is 70% to 80%, and a considerable number of patients (10% to 20%) develop chronic low back pain that lasts for at least 3 months. Among the chronic low back pain population, 85% suffer from nonspecific low back pain, which not only affects the patient's health, quality of life and work, but also brings heavy medical costs and indirect social burdens to society. Although there are many treatments for chronic nonspecific low back pain, including drug therapy, exercise therapy, and conventional physical therapy, there are almost no significant differences between the various treatments, and no specific intervention measures can be given. Among the various treatments, exercise therapy has the best therapeutic effect. Among them, Pilates is a common method of exercise therapy for chronic low back pain. However, the treatment effect of Pilates training alone is weak, and there is no significant difference from other forms of exercise. It cannot quickly and effectively treat the problem of chronic nonspecific low back pain in patients. Therefore, the new myofascial trigger point release in clinical rehabilitation treatment is used in combination with Pilates exercise therapy to develop and design a more targeted and effective treatment plan for chronic nonspecific low back pain. Summary of the invention

[0003] The purpose of the present invention is to solve the shortcomings of the prior art and to propose a low back pain intervention method that combines Pilates training with myofascial trigger points.

[0004] In order to achieve the above object, the present invention adopts the following technical solutions:

[0005] A low back pain intervention method that combines Pilates training with myofascial trigger point therapy, including two parts: Pilates exercise training therapy and myofascial trigger point manual release therapy. After treatment, the low back pain VAS score and the low back RMDQ dysfunction score are used for evaluation. The Pilates exercise training program and the myofascial trigger point manual release program can be modified in a timely manner by comparing the scores.

[0006] Preferably, the Pilates exercise training therapy comprises the following steps:

[0007] SA1: Perform a 5-minute warm-up before formal training. The warm-up includes spine stretching, hip and hip joint stability training, core muscle stretching, shoulder and waist relaxation, and full body relaxation training.

[0008] SA2: Pilates exercise training, which lasts for 50 minutes and includes training of trunk, upper and lower limb muscle stretching, spine and back muscles, and waist and hip joint muscles;

[0009] SA3: Cool down after your Pilates workout.

[0010] Further: the myofascial trigger point release therapy comprises the following steps:

[0011] SB1: Assess the patient's lumbar fascial trigger points;

[0012] SB2: Warm up the patient before manual release;

[0013] SB3: Perform myofascial trigger point release.

[0014] Further: Warm up each part in the SA1 step for one minute respectively, and maintain each movement for 20 seconds during the spinal extension, hip and hip joint stabilization training, core muscle stretching and shoulder and waist relaxation warm-up, and then rest for 10 seconds.

[0015] As a preferred solution of the present invention: the exercises for each part of the SA2 are a series of movements, each exercise movement is separated by 2 minutes and repeated 8-12 times.

[0016] As a further solution of the present invention: the cool-down time in the SA3 step is five minutes, and the foam roller and fascia gun assist in relaxation.

[0017] As a further solution of the present invention: the Pilates exercise training cycle is 8 weeks, with 2 training sessions per week and a total exercise time of 60 minutes each time. After the second Pilates training session per week, myofascial trigger point manual release is performed for further treatment.

[0018] On the basis of the above scheme: the muscle groups targeted in the myofascial trigger point manual release treatment are the multifidus, quadratus lumborum, gluteus maximus, gluteus medius, piriformis, iliocostalis, and longissimus muscles.

[0019] On the basis of the above scheme: the warm-up time in the SB2 step is 10 minutes, and the myofascial trigger point manual release time is 50 minutes, once a week for 8 weeks.

[0020] The beneficial effects of the present invention are:

[0021] 1. A method of intervening low back pain by combining Pilates training with myofascial trigger point manipulation. By combining Pilates with myofascial trigger point manipulation, the limited effect of simple Pilates in intervening chronic nonspecific low back pain is improved, so that patients' chronic nonspecific low back pain can be treated faster and more effectively.

[0022] 2. A low back pain intervention method that combines Pilates training with myofascial trigger points. Through Pilates exercise training, rehabilitation training can be conducted in the form of group classes, which will help reduce the patient's medical expenses. Combined with the use of myofascial trigger point manipulation therapy instead of dry needling therapy, it will help reduce the patient's physical injury and fear avoidance, and is more suitable for patients to carry out later rehabilitation intervention outside the hospital.

[0023] 3. A low back pain intervention method that combines Pilates training with myofascial trigger point release technology, enriching the hospital's clinical treatment and sports rehabilitation treatment methods and means for chronic nonspecific low back pain. BRIEF DESCRIPTION OF THE DRAWINGS

[0024] Figure 1 This is a treatment flow diagram of a low back pain intervention method combining Pilates training with myofascial trigger points proposed by the present invention. DETAILED DESCRIPTION

[0025] The technical solution of this patent is further described in detail below in conjunction with specific implementation methods.

[0026] The embodiments of the present invention are described in detail below, and examples of the embodiments are shown in the accompanying drawings, wherein the same or similar reference numerals throughout represent the same or similar elements or elements having the same or similar functions. The embodiments described below with reference to the accompanying drawings are exemplary and are only used to explain the present invention, and cannot be understood as limiting the present invention.

[0027] Embodiment 1:

[0028] A low back pain intervention method that combines Pilates training with myofascial trigger points, such as Figure 1 As shown, it includes two parts: Pilates exercise training therapy and myofascial trigger point manual release therapy;

[0029] The equipment used in the Pilates exercise training therapy can be a Pilates bed, a Cadillac or ARC spinal corrector with a yoga mat. The Pilates exercise training therapy includes the following steps:

[0030] SA1: Before the formal training, a 5-minute warm-up is performed. The warm-up items include spinal extension, hip and hip joint stabilization training, core muscle stretching, shoulder and waist relaxation, and whole body relaxation training. Each part is warmed up for one minute. During the spinal extension, hip and hip joint stabilization training, core muscle stretching, and shoulder and waist relaxation warm-up, each movement is maintained for 20 seconds, and then rested for 10 seconds. In the whole body relaxation training step, the patient lies flat on his back to stretch and relax the whole body, and simultaneously warms up the specific breathing method of Pilates, practicing lateral breathing, abdominal breathing, unilateral intercostal breathing, and back breathing in turn. Through the warm-up of multiple parts of the body, the heartbeat and blood circulation can be accelerated, the core temperature of the body can be increased, the body muscles can be made more flexible, and the muscle strain and joint sprain that may occur in subsequent Pilates exercises can be reduced. It also activates the body's nervous system, makes the various parts of the body more coordinated, and makes it easier to concentrate in subsequent training. In addition, the separate warm-up training of breathing can make the breathing in the subsequent training better cooperate with the limb movements, thereby improving the training effect.

[0031] SA2: Pilates exercise training. The Pilates exercise training time is 50 minutes. The training content includes the training of trunk, upper and lower limb muscle stretching, spinal back muscle and waist hip joint muscle. During the training, the muscles in each movement plane adopt the training method of combining concentric contraction and eccentric contraction. The exercise of each part is a series of movements. There is a 2-minute interval between each exercise, and it is repeated 8-12 times. The exercise intensity is set according to 60%-70% of the maximum number of repetitions in the Berg scale. The training is divided into three levels of difficulty: basic, intermediate and advanced, which are increased in sequence according to the proficiency of exercise training and the patient's mastery. At the same time, if the patient induces pain or aggravates pain during training, Pilates training will be suspended;

[0032] SA3: Cool down after Pilates training. Cooling down can gradually reduce the heart rate to normal level after Pilates training, promote muscle oxygenation and blood circulation, and reduce muscle soreness and fatigue. The optimal cool-down time is five minutes. In addition to relaxation training movements, you can use foam rollers and fascia guns to assist in relaxation during cool-down training.

[0033] The preferred Pilates training cycle is 8 weeks, with 2 training sessions per week and a total exercise time of 60 minutes each time. After the second Pilates training session each week, myofascial trigger point manual release is performed for further treatment.

[0034] The diagnostic criteria for myofascial trigger points are: 1. Palpation to identify the trigger points, which are manifested by the presence or absence of radiating pain; 2. Palpation of the patient's trigger points can show clinical symptoms of pain and meet at least three of the following conditions: muscle stiffness or spasm, limited movement of the related joints, increased pain after pressing, tight muscles or tender nodules;

[0035] Myofascial trigger point release is performed by a rehabilitation therapist, using a one-on-one myofascial trigger point release method, which includes the following steps:

[0036] SB1: Evaluate the patient's lumbar fascial trigger points. Before the patient undergoes the first fascial trigger point release, first specifically check the potential trigger points of the patient's lumbar multifidus, quadratus lumborum, gluteus maximus, gluteus medius, piriformis, iliocostalis, and longissimus muscles. Focus on checking the relevant muscles near the subject's painful area and keep records as a basis for a personalized and precise plan for later intervention;

[0037] SB2: Warm up the patient before manual release. The warm-up time is preferably 10 minutes. During the warm-up, the patient takes a prone position. The therapist uses a fascia gun to relax the part of the patient that will be manually released. This can effectively relieve the tight muscles caused by Pilates exercise training and relieve the tight state to prevent damage during subsequent manual release. The preferred relaxation time is 10 minutes. When it is necessary to perform manual release of myofascial trigger points immediately after Pilates exercise training, SB2 step can be used instead of SA3 step for relaxation;

[0038] SB3: Perform manual release of myofascial trigger points for 50 minutes. During the manual release, the patient is asked to continue to lie in the prone position. The therapist gently touches the skin with his fingers or thumbs and drags them in all directions to find areas with restricted or tense sliding. Then, the therapist slides the fingers or elbows to release the skin. The amount of pressure applied and the speed of finger and elbow sliding are determined according to the structure, hardness and characteristics of the subcutaneous tissue. At the same time, it is noted that the speed should be adapted to the pressure. It is usually recommended that the sliding speed be 8-10 cm per second. When the subject has extremely sensitive or painful areas, the speed and pressure should be reduced to feel the resistance of the thickened tissue. Applying pressure on the myofascial trigger points with the fingers or elbows provides a mechanical load to restore the normal sliding of the thickened tissue covering the muscle, thereby reducing the viscosity of the connective tissue and the tension of the myofascia to effectively improve chronic nonspecific low back pain.

[0039] Myofascial trigger point manual release treatment was performed once a week for 8 weeks, and the VAS score of low back pain and the RMDQ dysfunction score of low back were measured once a week;

[0040] The VAS score for low back pain is a visual analog scale, which allows patients to mark the location of the pain they feel on a 10-cm ruler to assess the pain level of low back pain. The higher the score, the more severe the pain. The RMDQ dysfunction score for low back pain includes 24 self-answered questions with yes or no answers. This scale mainly reflects the patient's low back function, with a total score of 24 points. The higher the score, the more severe the dysfunction. The VAS score for low back pain and the RMDQ dysfunction score for low back pain were evaluated by the same rehabilitation therapist who was not aware of the grouping and did not participate in the implementation of the specific intervention plan of this trial. The comparison score can be used to modify the Pilates exercise training plan and the myofascial trigger point manual release plan in a timely manner.

[0041] In the present invention, Pilates is a highly recommended exercise therapy in the treatment of chronic nonspecific low back pain, which is an active intervention measure; myofascial trigger point manipulation is a physical therapy method for intervening in chronic nonspecific low back pain, which is a passive intervention. The former focuses more on improving the stability and function of the waist core, while the latter focuses more on improving low back pain. By combining Pilates with myofascial trigger point manipulation, the limited effect of simple Pilates in intervening in chronic nonspecific low back pain is improved; Pilates exercise training can be carried out in the form of group classes for rehabilitation training, which will help reduce the patient's medical expenses. The use of myofascial trigger point manipulation instead of dry needling treatment will help reduce the patient's physical injuries and fear escape, and is more suitable for patients to carry out later rehabilitation intervention outside the hospital;

[0042] Through the combination of Pilates and myofascial trigger point release technology, a sports therapy program with the efficacy of "Pilates + myofascial release" for chronic nonspecific low back pain was obtained, which enriched the treatment methods and means of chronic nonspecific low back pain in hospital clinical treatment and sports rehabilitation treatment; further promoted the widespread application of Pilates in sports rehabilitation and injury prevention for chronic nonspecific low back pain, and provided targeted sports rehabilitation programs; promoted social resources and funds to serve patients with this disease

[0043] Embodiment 2:

[0044] In order to verify the effect of a low back pain intervention method combining Pilates training with myofascial trigger point, a total of 60 subjects with chronic nonspecific low back pain were selected and divided into 3 groups: 20 subjects in the myofascial trigger point manual release group, 20 subjects in the Pilates exercise training group, and 20 subjects in the combined intervention group. The experimental intervention period was 8 weeks.

[0045] The selection criteria for the subjects were as follows: 1. Meet the diagnostic criteria for chronic nonspecific low back pain (pain period of more than 12 weeks, no lower limb reflex pain and limb sensory disturbance, no abnormalities in imaging examinations, etc.); 2. Age > 18 years old; 3. VAS score ≥ 3; 4. Sign the informed consent form and be able to cooperate with the follow-up after the trial; 5. Be able to cooperate with treatment and functional assessment; 6. Have not received any treatment related to chronic nonspecific low back pain within 2 weeks before participating in the trial.

[0046] The myofascial trigger point manual release group received myofascial trigger point manual release treatment once a week; the Pilates exercise training group received group training twice a week; the combined intervention group received treatment according to the intervention method in Example 1 and performed VAS scores for low back pain and RMDQ dysfunction scores for low back after treatment;

[0047] In the mid-term evaluation at the end of the eighth week of the test, the final evaluation at the end of the eighth week, and the follow-up at the sixteenth week, the number of subjects in the combined intervention group who were evaluated as cured, significantly effective, and effective were higher than those in the other two groups, proving that the low back pain intervention method combining Pilates training with myofascial trigger points described in Example 1 can effectively treat chronic nonspecific low back pain and improve the symptoms of low back pain in patients.

[0048] The above is a preferred specific implementation manner of the present invention, and the protection scope of the present invention is not limited thereto. Any modification, equivalent substitution and improvement made by any technician familiar with the field within the technical scope disclosed by the present invention in combination with the prior art or public common sense, within the spirit and principle of the present invention, shall be covered by the protection scope of the present invention.

Claims

1. A method for intervening low back pain by combining Pilates training with myofascial trigger points, comprising: It includes two parts: Pilates exercise training therapy and myofascial trigger point manipulation release therapy. After treatment, the low back pain VAS score and the low back RMDQ dysfunction score are used for evaluation. The Pilates exercise training program and myofascial trigger point manipulation release program can be modified in time according to the comparison scores.

2. A method for intervening low back pain by combining Pilates training with myofascial trigger points according to claim 1, characterized in that: The Pilates exercise training treatment includes the following steps: SA1: Perform a 5-minute warm-up before formal training. The warm-up includes spine stretching, hip and hip joint stability training, core muscle stretching, shoulder and waist relaxation, and full body relaxation training. SA2: Pilates exercise training, which lasts for 50 minutes and includes training of trunk, upper and lower limb muscle stretching, spine and back muscles, and waist and hip joint muscles; SA3: Cool down after your Pilates workout.

3. A method for intervening low back pain by combining Pilates training with myofascial trigger points according to claim 2, characterized in that: The myofascial trigger point manual release treatment comprises the following steps: SB1: Assess the patient's lumbar fascial trigger points; SB2: Warm up the patient before manual release; SB3: Perform myofascial trigger point release.

4. A method for intervening low back pain by combining Pilates training with myofascial trigger points according to claim 2, characterized in that: Each part of the SA1 step is warmed up for one minute, and each movement is maintained for 20 seconds during the spinal extension, hip and hip joint stability training, core muscle stretching and shoulder and waist relaxation warm-up, and then rest for 10 seconds.

5. The method for intervening low back pain by combining Pilates training with myofascial trigger points according to claim 4, characterized in that: The exercises for each part of the SA2 are a series of movements, with an interval of 2 minutes between each exercise movement, and repeated 8-12 times.

6. The method for intervening low back pain by combining Pilates training with myofascial trigger points according to claim 4, characterized in that: The cool-down time in the SA3 step is five minutes, and the foam roller and fascia gun assist in relaxation.

7. The method for intervening low back pain by combining Pilates training with myofascial trigger points according to claim 4, characterized in that: The Pilates exercise training cycle is 8 weeks, with 2 training sessions per week and a total exercise time of 60 minutes each time. After the second Pilates training session per week, myofascial trigger point manual release is performed for further treatment.

8. The method for intervening low back pain by combining Pilates training with myofascial trigger points according to claim 3, characterized in that: The muscle groups targeted in the myofascial trigger point manual release treatment are the multifidus, quadratus lumborum, gluteus maximus, gluteus medius, piriformis, iliocostalis, and longissimus muscles.

9. The method for intervening low back pain by combining Pilates training with myofascial trigger points according to claim 8, characterized in that: The warm-up time in the SB2 step is 10 minutes, and the myofascial trigger point manual release time is 50 minutes, once a week for 8 weeks.

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