Wang Shang-Quan, Chen Ming, Wei Xu, Gao Xin-Xia, Zhao Guo-Dong
Department of General Orthopaedics, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China.
Rev Assoc Med Bras (1992). 2019 Jul 22;65(6):886-892. doi: 10.1590/1806-9282.65.6.886.
To investigate clinical curative effects of lumbar oblique-pulling manipulation in combination with sling-exercise-therapy training on chronic nonspecific lower back pain.
A total of 60 patients with chronic nonspecific lower back pain in the Outpatient Department were included in this study. These patients were randomly divided into two groups: the observation group and the control group. The control group adopted a single sling-exercise-therapy training three times a week, while the observation group adopted lumbar oblique-pulling manipulation in combination with manipulation treatment once a week. The course of treatment lasted for four weeks.
(1) Before and after treatment, the ODI score was compared within the group. A remarkable statistical significance was observed from the third day (P<0.05). At the third month of follow-up, the difference in ODI scores between these two groups was statistically significant (P<0.05). (2) Before and after treatment, it was observed that differences in VAS scores from the third day were statistically significant (P<0.05). (3) The difference in muscle strength between these two groups had remarkable statistical significance in the third month of follow-up (P<0.05).
The effective rehabilitation function of lumbar oblique-pulling manipulation in combination with sling-exercise-therapy training in patients with CNLBP is superior to that of sling-exercise-therapy training alone.
探讨腰椎斜扳手法联合悬吊运动疗法训练对慢性非特异性下腰痛的临床疗效。
本研究纳入门诊60例慢性非特异性下腰痛患者。将这些患者随机分为两组：观察组和对照组。对照组采用单纯悬吊运动疗法训练，每周3次，而观察组采用腰椎斜扳手法联合手法治疗，每周1次。疗程持续4周。
（1）治疗前后，组内比较ODI评分。从第3天起差异有统计学意义（P<0.05）。随访第3个月时，两组ODI评分差异有统计学意义（P<0.05）。（2）治疗前后，观察到第3天起VAS评分差异有统计学意义（P<0.05）。（3）随访第3个月时，两组肌肉力量差异有显著统计学意义（P<0.05）。
腰椎斜扳手法联合悬吊运动疗法训练对慢性非特异性下腰痛患者的有效康复功能优于单纯悬吊运动疗法训练。
