火针配合运动康复疗法治疗腰背肌筋膜炎的临床疗效研究

Clinical efficacy of fire needle combined with exercise rehabilitation therapy for lumbar back myofasciitis

目的:探讨火针联合运动康复疗法对腰背肌筋膜炎的临床疗效。方法:将100例腰背肌筋膜炎患者按数表法随机分为试验组和对照组,每组各50例。试验组采取火针联合运动康复疗法;对照组采用局部振动仪配合传统手法治疗,均治疗8周。比较两组患者疼痛评分问卷(MPQ-PRIT)、腰椎功能障碍指数、日常生活能力提高(ADL)及腰椎活动度。结果:治疗后,试验组和对照组患者的MPQ-PRIT评分均显著优于治疗前( P <0.05);ODI评分低于治疗前,且试验组低于及对照组( P <0.05);ADL评分、前屈及后伸活动度高于治疗前,且试验组高于对照组( P <0.05)。结论:火针联合运动康复疗法对腰背肌筋膜炎疗效显著,值得临床推广和进一步研究。

Objective: To explore the clinical effect of fire needle combined with exercise rehabilitation therapy on lumbar and dorsal myofascitis. Methods: 100 patients with lumbar and dorsal myofascitis were randomly divided into experimental group and control group,50 cases in each group.The experimental group was treated with fire needle therapy combined with exercise rehabilitation therapy,while the control group was treated with local vibration instrument combined with traditional manipulation,all patients were treated for 8 weeks.The pain score questionnaire(MPQ-PRIT),lumbar dysfunction index,ADL and lumbar motion were compared between the two groups. Results: MPQ-PRIT score of treatment group and control group after treatment was significantly better than that before treatment( P <0.05),ODI score was lower than that before treatment,and the experimental group was lower than that of the control group( P < 0.05).ADL score,flexion and extension activity after treatment was significantly higher than that before treatment,and the treatment group was higher than that of control group ( P <0.05). Conclusion: Fire needle combined with exercise rehabilitation therapy has a significant effect on lumbar dorsal myofascitis.It is worthy of clinical promotion and further study.