推拿治疗对腰椎间盘突出症患者软组织张力的影响

Effects of Massage Therapy on Soft Tissue Tension inPatients with Lumbar Disc Herniation

目的:通过软组织张力测试,研究推拿手法治疗对腰椎间盘突出症患者腰部肌肉张力的影响。方法:60例腰椎间盘突出症患者随机分成手法组和牵引组,每组30例。手法组患者给予推拿手法治疗,牵引组患者给予牵引治疗。比较两组患者的临床疗效及其治疗前后腰部软组织张力的变化情况。结果:手法组和牵引组的临床总有效率分别为90.00%和56.67%,两组比较差异有统计学意义(P<0.01)。治疗后,手法组患者的患侧和健侧软组织张力位移较治疗前均显著增加(P<0.01),而牵引组患者的患侧和健侧软组织张力位移较治疗前显著减少(P<0.05)。结论:推拿手法治疗能显著改善腰椎间盘突出症患者的腰部软组织张力,而牵引治疗对患者的软组织张力无改善甚至加重其减退。

Objective： To explore the effects of massage therapy on waist muscular tension in patients with lumbar disc herniation（LDH） by soft tissue tension test.Methods： Sixty patients with LDH were randomly divided into massage group and traction group,with 30 cases in each group.The massage group was treated by massage therapy,and the traction group was treated by traction therapy.The clinical effects and waist soft tissue tension were observed.Results： The total clinical effective rates of massage group and traction group were 90.00% and 56.67% respectively,with a statistical difference between two groups（P0.01）.After treatment,the soft tissue tension displacement of patients（including affected and unaffected side） in massage group increased obviously（P0.01）,and the soft tissue tension displacement of patients（including affected and unaffected side） in traction group significantly decreased（P0.05）.Conclusion： Massage therapy can improve the waist soft tissue tension in patients with LDH,while traction therapy has no effects or even has negative effects on it.