Clinical efficacy observation of spine subtle adjusting manipulation for postpartum low back pain  

脊柱微调手法治疗产后腰痛的临床疗效观察

作　　者：Li Zhen Zhang Xilin Zhang Shufu Sun Wuquan Ye Xuewen Huang Wanqiao Wu Kexin Zhao Zhijun Chen Yuxia 李振;张喜林;张书富;孙武权;叶雪雯;黄琬乔;吴可馨;赵执钧;陈雨霞(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai,200437,China;Shanghai Yangpu Hospital of Traditional Chinese Medicine,Shanghai,200090,China)

机构地区：[1]Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai,200437,China [2]Shanghai Yangpu Hospital of Traditional Chinese Medicine,Shanghai,200090,China

出　　处：《Journal of Acupuncture and Tuina Science》2022年第2期159-164,共6页针灸推拿医学（英文版）

基　　金：上海申康医院发展中心临床科技创新项目,No.SHDC12016128;上海市进一步加快中医药事业发展三年行动计划(2018年-2020年)项目,No.ZY(2018-2020)-FWTX-2005,No.ZY(2018-2020)-ZWB-1001.

摘　　要：Objective To explore the clinical efficacy of spine subtle adjusting manipulation for postpartum low back pain(PLBP).Methods A total of 76 patients with PLBP were randomized into a control group and a treatment group,with 38 cases in each group.The control group was treated with core muscle strengthening exercises,and the treatment group was treated with spine subtle adjusting manipulation.After 3 weeks of treatment,the clinical efficacy was observed,and the visual analog scale(VAS)score and Oswestry disability index(ODI),and the changes of lumbar Cobb angle and pelvic rotation were compared between the two groups.Results The total effective rate of the treatment group was 92.1%,and that of the control group was 78.9%.The difference between the two groups was statistically significant(P<0.05).After treatment,the VAS score and ODI in both groups decreased,and the intra-group differences were all statistically significant(P<0.05).There were no intra-group statistical differences in the lumbar Cobb angle or pelvic rotation in the two groups(P>0.05).After treatment,there were no statistical differences in the lumbar Cobb angle or pelvic rotation between the two groups(P>0.05);the VAS score and ODI in the treatment group were significantly lower than those in the control group(P<0.05).Conclusion Spine subtle adjusting manipulation can effectively relieve the pain for patients with PLBP,and improve their daily activity function.目的探讨脊柱微调手法治疗产后腰痛(PLBP)的临床疗效,为PLBP的治疗提供临床依据。方法选取PLBP患者76例,随机分为对照组和治疗组,每组38例。对照组采用核心肌强化锻炼方法,治疗组采用脊柱微调手法治疗。治疗3周后观察临床疗效,并比较两组疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)、腰椎Cobb角和骨盆旋转度的变化情况。结果治疗组总有效率为92.1%,对照组为78.9%,组间差异有统计学意义(P<0.05)。治疗后,两组的VAS评分及ODI均降低,组内差异均有统计学意义(P<0.05);两组组内治疗前后腰椎Cobb角和骨盆旋转度均无统计学差异(P>0.05)。治疗后,两组间腰椎Cobb角和骨盆旋转度均无统计学差异(P>0.05);治疗组VAS评分和ODI均显著低于对照组(P<0.05)。结论脊柱微调手法能有效减轻PLBP患者的疼痛,提高其日常活动功能。

关 键 词：TUINA MASSAGE Manual Therapies CHIROPRACTIC Exercise Therapy Postpartum Period Low Back Pain Visual Analog Scale 

分 类 号：R244.1[医药卫生—针灸推拿学]