基于肌筋膜链理论运用推拿手法治疗腰椎管狭窄症的应用研究

目的:探讨肌筋膜链推拿手法对腰椎管狭窄患者功能的影响。方法:选取我院2018年1月~2020年1月已完成本研究治疗疗程的腰椎管狭窄症患者100例,按随机数字表分为观察组和对照组各50例。对照组采用常规康复功能训练,观察组采用肌筋膜链推拿手法结合常规康复功能训练。观察并统计分析治疗前、治疗24周后椎体间活动度、椎体间冠状面活动度、椎体间相对位移、Oswestry功能障碍指数(ODI)评分及视觉模拟(VAS)评分。结果:治疗后,两组椎体间活动度、椎体间冠状面活动度、椎体间相对位移均明显高于同组治疗前(P<0.05),且观察组椎体间活动度、椎体间冠状面活动度、椎体间相对位移显著高于对照组(P<0.05)。治疗后,两组ODI评分、VAS评分均明显低于治疗前(P<0.05),且观察组ODI评分、VAS评分均显著低于对照组(P<0.05)。结论:肌筋膜链理论运用推拿手法可稳定腰椎基本结构,纠正病变椎体微循环,清除神经血管水肿,相对扩大狭窄的椎管,从而达到缓解疼痛目的。

Effect of Manipulation on Treatment of Lumbar Spinal Stenosis Based on Myofascial Chain Theory

Abstract Objective: To investigate the effect of myofascial chain manipulation on patients with lumbar spinal stenosis.Methods:A total of 100 patients with lumbar spinal stenosis admitted to our hospital from January 2018 to January 2020 were selected and divided into observation group and control group according to random number table, with 50 patients in each group.The control group was treated with routine rehabilitation training, and the observation group was treated with myofascial chain massage combined with routine rehabilitation training.Intervertebral activity, intervertebral coronal plane activity, intervertebral relative displacement, Oswestry dysfunction index (ODI) score and visual analog scale (VAS) score were observed and analyzed before and after 24 weeks of treatment.Results:After treatment, the inter vertebral activity, inter vertebral coronal activity and inter vertebral relative displacement in the two groups were significantly higher than those in the same group before treatment (P<0.05), and the inter vertebral activity, inter vertebral coronal activity and inter vertebral relative displacement in the observation group were significantly higher than those in the control group (P<0.05).After treatment, the ODI score and VAS score of the two groups were significantly lower than those before treatment (P<0.05), and the ODI score and VAS score of the observation group were significantly lower than those of the control group(P<0.05).Conclusion:Myofascial chain theory can stabilize the basic structure of the lumbar spine, correct the microcirculation of the diseased vertebral body, clear the neurovascular edema, relatively expand the stenosis of the spinal canal, so as to achieve the purpose of relieving pain.