推拿理筋手法治疗慢性非特异性下腰痛60例临床研究

目的:观察推拿理筋手法治疗慢性非特异性下腰痛的效果。方法:纳入120例慢性非特异性下腰痛肝肾亏虚证患者,应用随机数字表法分为2组各60例,对照组采用常规康复训练治疗,观察组采用推拿理筋手法治疗,2组疗程均为1个月。治疗前后评定慢性非特异性下腰痛症状及体征评分、日本骨科协会(JOA)腰痛评估量表评分,比较2组的临床疗效。结果:治疗后,观察组总有效率96.67%,对照组总有效率88.33%,2组比较,差异有统计学意义(P<0.05)。2组直腿抬高试验、疼痛和麻木,膝、跟腱反射,行走、压痛、生活及工作能力评分和总分均较治疗前上升(P<0.05),观察组各项评分和总分均高于对照组(P<0.05)。2组JOA腰痛评估量表的主观症状、临床体征、日常活动受限评分与总积分均较治疗前升高(P<0.05),观察组各项评分和总积分均高于对照组(P<0.05)。结论:以推拿理筋手法治疗慢性非特异性下腰痛,可有效增强脊柱功能,恢复脊椎的稳定性,从而改善临床症状和体征,有效减轻腰痛。

Clinical Study on 60 Cases of Chronic Nonspecific Low Back Pain Treated by Therapeutic Manipulation for Tendon Injury of Massage

Objective:To observe the effect of therapeutic manipulation for tendon injury of tuina for chronic nonspecific low back pain. Methods:A total of 120 cases of patients with chronic nonspecific low back pain with liver-kidney depletion and deficiency syndrome were divided into two groups according to the random number table method, 60 cases in each group. The control group was treated with routine rehabilitation training, and the observation group was treated with therapeutic manipulation for tendon injury of massage. Both groups were treated for one month. Before and after treatment,the scores of symptoms and signs of chronic nonspecific low back pain and Japanese Orthopaedic Association(JOA) Back Pain Evaluation Questionnaire in the two groups were evaluated. The clinical effect in the two groups was compared. Results:After treatment, the total effective rate was 96.67% in the observation group and 88.33% in the control group, the difference being significant(P<0.05). The scores of Straight Leg Raise Test, pain and numbness, patellar and Achilles reflex, walking, tenderness, and life and work ability, and the total scores in the two groups were all increased when compared with those before treatment(P<0.05),and the above scores in the observation group were all higher than those in the control group(P<0.05). The scores of main symptoms,clinical signs and impairment of activities of daily living in JOA Back Pain Evaluation Questionnaire and the total scores in the two groups were all increased when compared with those before treatment(P<0.05),and the above scores in the observation group were all higher than those in the control group(P<0.05). Conclusion:The treatment of therapeutic manipulation for tendon injury of massage for chronic nonspecific low back pain can effectively enhance spinal function and recover the stability of spine,thus improving clinical symptoms and signs and effectively relieving low back pain.