Liu Min, Huang Zhao-Min
Department of Rehabilitation Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
Zhongguo Zhen Jiu. 2008 Oct;28(10):733-5.
To observe therapeutic effect of small needle-knife comprehensive therapy on pain and lumbar flexion range in the chronic nonspecific low back pain patient.
Three hundred and five cases were randomly divided into a needle-knife group of 153 cases and a physiotherapy group of 152 cases. The needle-knife group were treated with small needle-knife releasing therapy, blocking and functional training. The physiotherapy group were treated with ultra-short wave, modulated medium frequency current, massage and functional training. Pain was assessed by visual analogue scale (VAS) and the lumbar flexion range was determined before and after treatment.
After treatment, the pain and the lumbar flexion range were significantly improved in the two groups; and after treatment, the VAS score and the lumbar flexion range were (1.60 +/- 0.38) points and (65.76 +/- 15.11) cm in the needle-knife group and (4.59 +/- 1.09) points and (53.74 +/- 15.13) cm in the physiotherapy group, respectively, the needle-knife group being significantly better than the physiotherapy group (P < 0.01). Follow-up survey of 6-36 months showed that the VAS score and the lumbar flexion range in the needle-knife group were superior to those in the physiotherapy group.
Small needle-knife comprehensive therapy can significantly improve pain and lumbar flexion range in the chronic nonspecific low back pain patient, with a stable long-term therapeutic effect.
观察小针刀综合疗法对慢性非特异性下腰痛患者疼痛及腰椎前屈活动度的治疗效果。
将305例患者随机分为针刀组153例和理疗组152例。针刀组采用小针刀松解术、封闭及功能训练治疗。理疗组采用超短波、调制中频电、按摩及功能训练治疗。采用视觉模拟评分法（VAS）评估疼痛程度，并于治疗前后测定腰椎前屈活动度。
治疗后，两组患者的疼痛及腰椎前屈活动度均有明显改善；治疗后，针刀组VAS评分及腰椎前屈活动度分别为（1.60±0.38）分和（65.76±15.11）cm，理疗组分别为（4.59±1.09）分和（53.74±15.13）cm，针刀组明显优于理疗组（P<0.01）。6~36个月的随访调查显示，针刀组的VAS评分及腰椎前屈活动度均优于理疗组。
小针刀综合疗法能显著改善慢性非特异性下腰痛患者的疼痛及腰椎前屈活动度，且远期疗效稳定。
