Effects of Cox health behavior interaction model combined with core muscle training on postoperative lumbar disc herniation in young and middle-aged patients

Objective  To explore the application effects of Cox health behavior interaction model combined with core muscle group training in postoperative patients with lumbar disc herniation in middle-aged and young adults.

Methods  The lumbar disc herniation patients treated with endoscopic lumbar discectomy were randomly divided into the control group and observation group(40 cases in each group).The control group received routine rehabilitation training methods, while the observation group received the Cox health behavior interaction model combined with core muscle group training program.The pain level, lumbar spine function, and chronic disease self-management behavior in two groups were compared before and after intervention.

Results  After 1 month and 3 months of intervention, the visual analogue scale(VAS) of pain in two patients significantly reduced(P < 0.01), and which in the observation group was lower than that in control group(P < 0.05 and P < 0.01).After 1 month and 3 months of intervention, the four dimensions and total score of the Japan Orthopaedic Association(JOA) scores in two groups of patients significantly increased with time(P < 0.01), and except for bladder function, the other dimensions and total scores in the observation group were higher than those in control group(P < 0.05 to P < 0.01).After intervention, the three dimensions and total scores of the chronic disease self-management scale(CDSMS) in the observation group significantly increased with time(P < 0.01), while the dimensions and total scores of exercise management and cognitive symptom management in the control group significantly increased with time(P < 0.01).Moreover, after intervention, the three dimensions and total scores in the observation group were higher than those in control group(P < 0.01).

Conclusions  The Cox health behavior interaction model combined with core muscle group training has a better postoperative recovery effects on middle-aged and young patients with lumbar disc herniation compared with the conventional rehabilitation method.