神经松动术结合推拿治疗腰椎间盘突出症

Clinical effectiveness of nerve mobilization combined with massage for lumbar intervertebral disc herniation

目的:观察神经松动术结合传统腰椎推拿对腰椎间盘突出症的治疗效果。方法:腰椎间盘突出症患者50例,随机分为2组各25例,均进行传统腰椎推拿手法治疗,观察组配合神经松动术治疗。治疗前后采用疼痛视觉模拟评分(VAS)、直腿抬高(straight leg raise,SLR)及JOA评分评定2组疗效。结果:治疗4周后,2组VAS评分均较治疗前明显下降,且观察组更低于对照组(均P<0.01);SLR和JOA评分均较治疗前明显提高,且观察组显著高于对照组(均P<0.05)。结论:神经松动术结合传统腰椎推拿手法治疗腰椎间盘突出症效果较好,明显优于单一腰椎推拿手法治疗。

Objective： To explore the effectiveness of nerve mobilization combined with traditional massage for lumbar intervertebral disc herniation. Methods： 54 patients with lumbar intervertebral disc herniation were random- ly divided into two groups. Both groups received massage, and observation group received treatment of nerve mobili- zation additionally. Visual analogue scale （VAS）, straight leg raise test （SLR） and Japanese orthopaedic association score （JOA） were used to evaluate the clinical outcome. Results： After treatment for 4 weeks, the scores of VAS in both groups were reduced, and those in observation group were reduced more significantly （P〈0.01）. SLR and JOA scores in the two groups were significantly increased, and those in observation group were significantly higher than in control group （P〈0.05）. Conclusion： Both therapies were effective in alleviating pain and improving function, and the combined use of nerve mobilization and massage exerts the synergic effectiveness.