软组织松动手法治疗腰椎间盘突出症临床研究

目的:观察软组织松动手法治疗腰椎间盘突出症的临床疗效。方法:选取86例腰椎间盘突出症患者为研究对象,按随机数字表法分为对照组和观察组各43例。对照组采用腰椎牵拉结合自主运动疗法治疗,在此基础上观察组患者给予软组织松动手法治疗,2组均治疗2周。比较2组临床疗效、疼痛程度及腰背肌肌张力,采用日本骨科协会(JOA)评分评价腰椎功能,采用健康调查简表(SF-36)评价生活质量。结果:观察组和对照组治疗优良率分别为95.35%、81.40%,组间比较,差异有统计学意义(P<0.05)。治疗后,2组视觉模拟评分法(VAS)评分均较治疗前降低(P<0.05),JOA评分均较治疗前升高(P<0.05);观察组VAS评分低于对照组(P<0.05),JOA评分高于对照组(P<0.05)。治疗后,2组腰背肌肌张力均较治疗前提高(P<0.05),观察组腰背肌肌张力高于对照组(P<0.05)。治疗后,2组SF-36量表中生理机能(PF)、生理职能(RP)、躯体疼痛(BP)、一般健康状况(GH)、精力(VT)、社会功能(SF)、情感职能(RE)和精神健康(MH)评分均较治疗前提高(P<0.05);观察组SF-36量表中8个维度评分均高于对照组(P<0.05)。结论:在腰椎牵拉结合自主运动疗法基础上采用软组织松动手法治疗腰椎间盘突出症,能够更有效地缓解疼痛,改善患者的腰椎功能和腰背肌肌力,提高生活质量。

Clinical Study on Soft Tissue Mobilization for Lumbar Disc Herniation

Objective:To observe the clinical effect of soft tissue mobilization for lumbar disc herniation.Methods:Selected 86 cases of patients with lumbar disc herniation as study subjects,and divided into the control group and the observation group randomly,43 cases in each group.The control group received lumbar contraction combined with voluntary movement therapy,while the observation group additioanlly received soft tissue mobilization.The treatment of both groups lasted for two weeks.Compared the clinical effect,degree of pain and tension of lumbodorsal muscles,evaluated the lumbar function via Japanese Orthopaedic Association(JOA),and assessed the quality of life via the MOS item short from health survey(SF-36)in both groups.Results:The excellence rate was 95.35%in the observation group and 81.40%in the control group,difference being significant(P<0.05).After treatment,the scores of visual analogue scale(VAS)in both groups were lower than those before treatment(P<0.05),and the scores of JOA were higher than those before treatment(P<0.05);the scores of VAS in the observation group were lower than those in the control group(P<0.05),and the scores of JOA were higher than those in the control group(P<0.05).After treatment,the tensions of lumbodorsal muscles in both groups were higher than those before treatment(P<0.05),and the tensions of lumbodorsal muscles in the observation group were higher than those in the control group(P<0.05).After treatment,the scores of such seven dimensions as physical functioning(PF),role physical(RP),bodily pain(BP),general health(GH),vitality(VT),social functioning(SF)、role emotional(RE)and metal health(MH)in SF-36 in both groups were higher than those before treatment(P<0.05),the scores of the eight dimensions as PF,RP,BP,GH,VT,SF,RE and MH in the observation group were higher than those in the control group(P<0.05).Conclusion:The application of soft tissue mobilization based on lumbar contraction for lumbar disc herniation can effectively alleviate pain,improve lumbar functions and lumbodorsal muscular tension and promote the quality of life.