Sichuan Province Orthopedic Hospital, Chengdu, China.
Sichuan Electric Power Hospital, Chengdu, China.
Medicine (Baltimore). 2023 Jul 21;102(29):e34407. doi: 10.1097/MD.0000000000034407.
This observational study was conducted to investigate the effect of lumbar-pelvic training (LP) combined with electroacupuncture (EA) in the treatment of chronic nonspecific low back pain. One hundred and twenty patients diagnosed with chronic nonspecific low back pain were evenly randomized to receive the following 4 treatments for 2 weeks: LP combined with EA (Group A), EA (Group B), LP (Group C) or no intervention (Group D). The LP was a self-developed training program containing 5 movements and was conducted three times a week to build up the strength of abdomen muscle groups. Four acupoints along the foot-taiyang bladder meridian and the governor vessel were chosen for EA five times a week based on the theory of Traditional Chinese Medicine. The Visual Analog Scale and Oswestry Disability Index were measured before and after treatment to assess the reduction of pain intensity and functional disability, respectively. Following the treatments, Visual Analog Scale and Oswestry Disability Index scores in all 3 intervention groups were significantly lower than those in the Group D without intervention (P < .01). Among the intervention groups, Group A's scores were lower than those of Group B or Group C (P < .01). The overall efficacy of Group A was 93.33%, which was higher than that of Group B (76.67%) and Group C (70.00%) (P < .01). In conclusion, this study suggest that our self-developed lumbar-pelvic training combined with electroacupuncture is effective for chronic nonspecific low back pain in terms of pain and disability reduction.
本观察性研究旨在探讨腰-骨盆训练(LP)联合电针对慢性非特异性下腰痛的治疗效果。将 120 例诊断为慢性非特异性下腰痛的患者随机均分为 4 组,接受以下 4 种治疗方案,持续 2 周:LP 联合电针(A 组)、电针(B 组)、LP(C 组)或不干预(D 组)。LP 是一种自行开发的训练方案,包含 5 个动作,每周进行 3 次,以增强腹部肌群的力量。根据中医理论,每周 5 次选择足太阳膀胱经和督脉的 4 个穴位进行电针治疗。治疗前后分别采用视觉模拟评分(VAS)和 Oswestry 残疾指数(ODI)评估疼痛强度和功能障碍的减轻程度。治疗后,所有 3 个干预组的 VAS 和 ODI 评分均明显低于未干预的 D 组(P<0.01)。在干预组中,A 组的评分低于 B 组或 C 组(P<0.01)。A 组的总有效率为 93.33%,高于 B 组(76.67%)和 C 组(70.00%)(P<0.01)。总之,本研究表明,我们自行开发的 LP 联合电针治疗对慢性非特异性下腰痛在减轻疼痛和功能障碍方面有效。