Effects of rolling manipulation with different durations on erector spinae muscle tonus and low back pain in patients with lumbar muscle strain  

不同时长㨰法对腰肌劳损患者竖脊肌肌紧张度与腰痛的影响

作　　者：DONG Wenyang SUN Wuquan ZHU Qingguang ZHANG Shuaipan SHAN Yiming LIU Yuanhong CHEN Jintian 董文阳;孙武权;朱清广;张帅攀;单一鸣;刘元红;陈金田(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;School of Acupuncture-moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Tong Ren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336,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]Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China [3]School of Acupuncture-moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China [4]Tong Ren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336,China

出　　处：《Journal of Acupuncture and Tuina Science》2024年第6期497-502,共6页针灸推拿医学（英文版）

基　　金：国家自然科学基金项目,No.81874512,No.81973973;丁氏推拿流派岳阳医院传承创新团队建设项目,No.2021LPTD-007.

摘　　要：Objective:To observe the effects of rolling manipulation with different durations on erector spinae muscle tonus and low back pain in patients with lumbar muscle strain and to explore the best duration for rolling manipulation in treating lumbar muscle strain.Methods:A total of 75 patients who met the inclusion criteria were randomized into a 5-minute rolling manipulation group,a 10-minute rolling manipulation group,and a 15-minute rolling manipulation group using the random number table method,with 25 cases in each group.All three groups were treated with the same rolling manipulation,while the treatment time was 5 min,10 min,and 15 min,respectively.The treatment was performed 3 times a week for 2 consecutive weeks.The muscle tonus of bilateral erector spinae and visual analog scale(VAS)score for low back pain were compared among the three groups before and after treatment.Results:A total of 63 patients completed the study.Before treatment and after the last treatment,there were no statistical differences in the muscle tonus of the left erector spinae and right erector spinae among the three groups(P>0.05).After the last treatment,bilateral erector spinae muscle tonus dropped compared with the baseline in all three groups(P<0.01).Before treatment and after the last treatment,there were no significant differences in comparing the low back pain VAS score among the three groups(P>0.05).After the last treatment,the VAS score for low back pain in all three groups decreased(P<0.01).Conclusion:Under the condition that the forward swing force is 50-70 N,the backward swing force is 20-40 N,and the frequency is 138 times/min,the 5-minute rolling manipulation can significantly reduce the muscle tonus of erector spinae and relieve low back pain.目的:观察不同时长㨰法对腰肌劳损患者竖脊肌肌紧张度与腰痛的影响,探讨㨰法治疗腰肌劳损的最佳时长。方法:将符合纳入标准的75例患者采用随机数字表法分为5 min㨰法组、10 min㨰法组和15 min㨰法组,每组25例。三组均使用相同的㨰法治疗,治疗时间分别为5 min、10 min和15 min。每周治疗3次,连续治疗2周。比较三组治疗前后双侧竖脊肌的肌紧张度和腰部疼痛的视觉模拟量表(VAS)评分。结果:本研究完成63例患者。治疗前和末次治疗后3组患者左侧竖脊肌、右侧竖脊肌的肌紧张度比较,组间差异均无统计学意义(P>0.05)。三组患者末次治疗后两侧竖脊肌的肌紧张度均较治疗前降低(P<0.01)。治疗前和末次治疗后3组患者腰痛VAS评分比较,组间差异均无统计学意义(P>0.05)。三组末次治疗后腰痛VAS评分均较治疗前降低(P<0.01)。结论:在前摆垂向力为50~70 N,回摆垂向力为20~40 N,频率为138次/min的条件下,5 min时长㨰法即可明显降低竖脊肌肌紧张度,缓解腰痛。

关 键 词：TUINA MASSAGE Rolling Manipulation Muscle Tonus Low Back Pain Sprains and Strains Pain Measurement Dose-response Relationship 

分 类 号：R244.1[医药卫生—针灸推拿学]