Department of Orthopedics, Wuxi Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu 214071, China.
Wuxi Huishan Traditional Chinese Medicine hospital, Jiangsu 214071, China.
J Tradit Chin Med. 2020 Dec;40(6):1026-1032. doi: 10.19852/j.cnki.jtcm.2020.06.014.
To determine the effect of traditional Chinese exercises combined with traditional Chinese massage on lumbar instability.
Seventy patients with lumbar instability were randomly divided into experimental group and control group. The experimental group was treated with traditional Chinese exercises combined with traditional Chinese massage, while the control group was only treated with traditional Chinese exercises. The Japanese Orthopaedic Association (JOA) scores, Oswestry Disability Index (ODI) and dynamic imaging indexes were used to assess treatment outcomes.
After 8 weeks of treatment, the JOA scores of both groups were significantly higher than those before treatment (P < 0.05), while ODI was significantly lower (P < 0.05). In addition, compared with the control group, the JOA score of the experimental group was significantly increased (P < 0.05), and the ODI was significantly decreased (P < 0.05). Besides, the dynamic imaging indexes of patients with lumbar instability significantly changed after treatment. The lumbar vertebral laxity was significantly decreased (P < 0.05) than those before treatment.
The traditional Chinese exercises and massage may improve the symptoms of lumbar instability, and traditional Chinese exercises combined with massage treatment may be better than exercises alone.
观察中医传统功法联合中医推拿对腰椎失稳症的疗效。
将 70 例腰椎失稳症患者随机分为实验组和对照组，实验组采用中医传统功法联合中医推拿治疗，对照组仅采用中医传统功法治疗，采用日本骨科协会（JOA）评分、Oswestry 功能障碍指数（ODI）和动态影像学指标评估治疗效果。
治疗 8 周后，两组 JOA 评分均显著高于治疗前（P＜0.05），ODI 显著低于治疗前（P＜0.05）；实验组 JOA 评分显著高于对照组（P＜0.05），ODI 显著低于对照组（P＜0.05）。治疗后腰椎失稳症患者的动态影像学指标均有明显变化，腰椎活动度松弛度较治疗前显著降低（P＜0.05）。
中医传统功法和推拿可改善腰椎失稳症的症状，且中医传统功法联合推拿治疗可能优于单纯的中医传统功法治疗。
