腰背肌牵拉术改善腰肌劳损症状及预防复发的作用

Effect of Lumbar Dorsal Pull in Improving the Symptoms of Lumbar Muscle Strain and in Preventing the Reoccurrence

目的探讨手法肌肉牵拉术对慢性腰肌劳损的疗效随访及其在预防复发中的作用。方法将48例慢性腰肌劳损急性发作患者随机分为手法肌肉牵拉术治疗组24例和常规推拿治疗组24例,两组患者均在症状缓解期进行腰部功能锻炼,治疗前及治疗后1周、1月及半年应用目测类比评分法(VAS)对疼痛进行评估,治疗前后应用《腰部疾患治疗成绩评分表》对腰椎功能状态进行临床评定。结果手法牵拉可迅速缓解疼痛,疗效显著,治疗优良率为79.1%,平均改善指数及改善率均高于常规组(P<0.05)。结论手法牵拉对慢性腰肌劳损有较好的临床疗效。

Objective To discuss the effect of lumbar dorsal pull in improving the symptoms of lumbar muscle strain and in preventing the reoccurrence. Methods 48 eases with chronic lumbar muscle strain were randomly divided into 2 groups： lumbar dorsal pull group （ n = 24 ） and routine Tuina group （ n = 24 ） ; the lumbar vertebra function was assessed with VAS before and after treatment. Results The pain was soon relieved in the lumbar dorsal pull group and the curative effect was obvious with the good effective rate of 79.1% ; the index of improvement and the rate of improvement in lumbar dorsal pull group were higher than those in routine Tuina group （ P 〈 0.05）. Conclusion Lumbar dorsal pull is of good curative effect for chronic lumbar muscle strain.