Department of Traditional Chinese Medicine, Medical School, Jinan University, Guangzhou 510632, China.
Nursing Department, Maternal and Child Health Hospital of Weifang, Shandong Province 261011, China.
Complement Ther Med. 2016 Apr;25:45-50. doi: 10.1016/j.ctim.2016.01.001. Epub 2016 Jan 7.
The therapeutic effect of Tuina combined with core stability exercises on low back pain resulted from lumbar degenerative instability is unclear. This article aims to evaluate whether core stability exercises can improve the effect of Tuina in this regard.
This trial was designed as a randomized controlled trial and carried out in Qingzhou hospital of Traditional Chinese medicine between June 2011 and June 2013. Eighty-eight patients with low-grade lumbar degenerative instability were included and divided randomly into experimental and control groups, 44 in each. The experimental group were treated using Tuina combined with core stability exercises, but the control group using Tuina alone. The evaluation of Visual analogue scale (VAS), Japanese Orthopaedic Association scores (JOA) and recurrence rate were performed.
Two weeks after treatment, JOA scores increased (p<0.05) and VAS decreased (p<0.05) significantly when compared with those before treatment in both groups, but there was no significant difference (p>0.05) between the two groups. At the end of six weeks, VAS scores (p<0.05) decreased and JOA scores (p<0.05) increased significantly when compared to those before treatment in both groups. In addition, the VAS (p<0.05) scores were significantly lower, JOA scores (p<0.05) were significantly higher in experimental group than those in control group. At the final follow-up, seven cases (17.1%) in experimental group and eighteen (43.9%) in control group recurred, the control group has a significantly higher recurrence rate (p<0.05). No adverse events occurred in the trial.
Chinese Tuina combined with core stability exercises has better effect than Tuina alone in treating low back pain resulted from low-grade lumbar degenerative instability.
推拿结合核心稳定性训练治疗腰椎退行性不稳定引起的下腰痛的疗效尚不清楚。本研究旨在评估核心稳定性训练是否能提高推拿在此方面的疗效。
本试验设计为随机对照试验，于 2011 年 6 月至 2013 年 6 月在青州市中医院进行。纳入 88 例低等级腰椎退行性不稳定患者，随机分为实验组和对照组，每组 44 例。实验组采用推拿结合核心稳定性训练治疗，对照组采用推拿治疗。采用视觉模拟评分法（VAS）、日本骨科协会评分（JOA）和复发率进行评估。
治疗 2 周后，两组患者的 JOA 评分均较治疗前增加（p<0.05），VAS 评分均较治疗前降低（p<0.05），但两组间比较差异无统计学意义（p>0.05）。治疗 6 周后，两组患者的 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），且实验组 VAS 评分低于对照组（p<0.05），JOA 评分高于对照组（p<0.05）。末次随访时，实验组复发 7 例（17.1%），对照组复发 18 例（43.9%），对照组复发率明显高于实验组（p<0.05）。试验过程中无不良事件发生。
推拿结合核心稳定性训练治疗腰椎退行性不稳定引起的下腰痛的疗效优于单纯推拿。
