Clinical observation of sinew-regulating bone-setting manipulations plus exercise therapy for chronic non-specific low back pain  

理筋正骨手法结合运动疗法治疗慢性非特异性下背痛临床观察

作　　者：Yao Meng-li Chen Zhao-hui Zhang Wen-di Xu Han Wang Ting-ting Hu Rong-ting Hong Jue 姚梦莉;陈朝晖;张文娣;徐寒;王婷婷;胡荣庭;洪珏(Graduate School,Anhui University of Chinese Medicine,Hefei 230038,China;College of Acupuncture-moxibustion and Tuina,Anhui University of Chinese Medicine,Hefei 230038,China;不详)

机构地区：[1]Graduate School,Anhui University of Chinese Medicine,Hefei 230038,China [2]College of Acupuncture-moxibustion and Tuina,Anhui University of Chinese Medicine,Hefei 230038,China [3]不详

出　　处：《Journal of Acupuncture and Tuina Science》2020年第1期59-66,共8页针灸推拿医学（英文版）

基　　金：安徽省教育厅自然基金重点项目,KJ2018A0273。

摘　　要：Objective:To evaluate the clinical efficacy of sinew-regulating bone-setting manipulations plus exercise therapy in treating chronic non-specific low back pain(CNLBP).Methods:A total of 65 CNLBP patients were divided into two groups by the random number table method.Thirty-three cases in the treatment group were intervened by sinew-regulating bone-setting manipulations plus exercise therapy;32 cases in the control group were intervened by medium-frequency electrotherapy plus exercise therapy.Before and after treatment,visual analog scale(VAS),dynamic and static muscle endurance of low back,median frequency(MF)of surface electromyography(sEMG)and Oswestry disability index(ODI)were used to evaluate the low back function.The therapeutic efficacy was estimated after treatment.Results:The two groups each had 2 dropouts during the study.The total effective rate was 90.3%in the treatment group versus 66.7%in the control group,and the between-group difference was statistically significant(P<0.05).After treatment,the VAS score,dynamic and static muscle endurance of low back,MF of sEMG and ODI score all changed significantly in both groups(all P<0.05);all the items in the treatment group were significantly different from those in the control group(all P<0.05).Conclusion:Sinew-regulating bone-setting manipulations plus exercise therapy can effectively release pain in CNLBP patients,increase muscle endurance of the low back and improve the quality of life,and its therapeutic efficacy is more significant than that of medium-frequency electrotherapy plus exercise therapy.目的:评价理筋正骨手法结合运动疗法治疗慢性非特异性下背痛(CNLBP)的临床疗效.方法:将65例CNLBP患者根据随机数字表法分为两组,治疗组33例接受理筋正骨手法联合运动疗法治疗;对照组32例接受中频电疗法结合运动疗法治疗.治疗前后使用视觉模拟量表(VAS)、腰部动静态肌耐力、表面肌电中位频率(MF)和Oswestry功能障碍指数(ODI)对患者腰部功能进行评估.治疗后进行疗效评价.结果:治疗过程中,两组各脱落2例.治疗组总有效率为90.3%,对照组为66.7%,两组总有效率差异有统计学意义(P<0.05).治疗后,两组VAS评分、腰部动静态肌耐力、表面肌电MF和ODI评分与本组治疗前均有统计学差异(均P<0.05);治疗组各项指标与对照组均有统计学差异(均P<0.05).结论:理筋正骨手法结合运动疗法可有效缓解CNLBP患者的疼痛,提高腰部肌肉耐力,改善患者的生活质量,其疗效优于中频电疗法结合运动疗法.

关 键 词：Bone Setting and Tuina Bone Setting Manipulation MASSAGE Exercise Therapy Low Back Pain Visual Analog Scale Pain Measurement ELECTROMYOGRAPHY 

分 类 号：R244.1[医药卫生—针灸推拿学]