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评估筋膜手法治疗腰骶部椎间盘退变疾病患者的有效性。

Assessment of the Effectiveness of Fascial Manipulation in Patients with Degenerative Disc Disease of the Lumbosacral Spine.

作者信息

Mikołajczyk-Kocięcka Anna, Kocięcki Marek, Cyryłowski Lech, Szylińska Aleksandra, Rynio Paweł, Gębska Magdalena, Szuba Ewelina, Kaźmierczak Jarosław

机构信息

Department of Cardiology, Pomeranian Medical University in Szczecin, 70-204 Szczecin, Poland.

CM Luxmed, 71-140 Szczecin, Poland.

出版信息

Life (Basel). 2024 Dec 30;15(1):33. doi: 10.3390/life15010033.

Abstract

The aim of this study was to evaluate the effectiveness of Fascial Manipulation in patients with disc herniations of the lumbar spine confirmed by magnetic resonance imaging. This study included 69 patients with intervertebral disc damage of the lumbar spine, as confirmed by magnetic resonance imaging. Patients were divided into two groups: a study group and a control group. The control group (C) was treated conservatively with treatments such as interference currents, diadynamic currents, tens currents, galvanization, Sollux lamps, local cryotherapy, magnetic fields, therapeutic massages of the spine, and mobility exercises. The study group (S) was subjected to therapy using Fascial Manipulation, which included two treatments-the first on the day the patient reported for the study and the second a week later. Patients for this study were selected at random. This study presents a statistically significant difference between the treatment effects, as assessed by the degree of pain ( < 0.001) and mobility limitation ( < 0.001), as well as the presence of stretch symptoms ( < 0.001): all three parameters improved significantly more in the study group compared to the control group. Fascial Manipulation is an effective method for treating pain in patients with disc herniations of the lumbar spine; in addition to reducing pain, it improves the range of motion and the results of SLR and PKB tests. In lumbar spine pain in disc herniations, treatment using Fascial Manipulation is definitely more effective than treatment according to the traditional physiotherapy regimen.

摘要

本研究的目的是评估经磁共振成像确诊的腰椎间盘突出症患者接受筋膜手法治疗的有效性。本研究纳入了69例经磁共振成像确诊为腰椎间盘损伤的患者。患者被分为两组:研究组和对照组。对照组(C)采用干扰电流、动态干扰电流、经皮神经电刺激电流、直流电疗法、索尔克斯灯、局部冷冻疗法、磁场、脊柱治疗性按摩和活动度练习等保守治疗。研究组(S)接受筋膜手法治疗,包括两次治疗——第一次在患者前来参加研究当天进行,第二次在一周后进行。本研究的患者是随机选取的。根据疼痛程度(<0.001)、活动受限程度(<0.001)以及拉伸症状的存在情况(<0.001)评估,本研究显示治疗效果存在统计学显著差异:与对照组相比,研究组的所有这三个参数均有更显著的改善。筋膜手法是治疗腰椎间盘突出症患者疼痛的有效方法;除了减轻疼痛外,它还能改善活动范围以及直腿抬高试验和屈膝试验的结果。在腰椎间盘突出症引起的腰痛中,使用筋膜手法治疗肯定比按照传统物理治疗方案治疗更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc6/11766588/e8d00089fc76/life-15-00033-g001.jpg

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