整脊手法结合核心肌群训练治疗腰椎间盘突出症疗效观察

Therapeutic Effect of Chiropractic Combined with Core Muscle Training on Lumbar Disc Herniation

目的探讨整脊手法结合核心肌群训练治疗腰椎间盘突出症的临床效果。方法选取在本院诊治的104例腰椎间盘突出症患者作为研究对象,采用随机数字表法分为研究组和对照组各52例,两组患者均给予基础康复治疗+整脊手法治疗,研究组在对照组基础上加用核心肌群训练治疗,治疗4周对比两组的视觉模拟疼痛量表(VAS)评分、日本骨科协会评估治疗评分(下腰痛JOA评分)、腰椎活动度的变化。结果对两组患者的VAS评分进行比较,治疗前研究组和对照组差异无统计学意义(P>0.05),治疗后研究组患者的VAS评分低于对照组(P<0.05),两组患者治疗后的VAS评分均低于本组治疗前(P<0.05);对两组患者的JOA评分进行比较,治疗前研究组和对照组差异无统计学意义(P>0.05),治疗后研究组患者的JOA评分高于对照组(P<0.05),两组患者治疗后的JOA评分均高于本组治疗前(P<0.05);治疗前,研究组和对照组的腰部的前屈、后伸、侧屈测定结果差异无统计学意义(P>0.05);治疗后,两组患者的腰部的前屈、后伸、侧屈测定结果较治疗前均显著增大(P<0.05),究组腰部的前屈、后伸、侧屈测定结果均高于对照组(P<0.05)。结论基础康复治疗、整脊手法结合核心肌群训练治疗腰椎间盘突出症对于减轻患者临床症状、恢复腰部活动及功能方面较基础康复治疗、整脊手法治疗的效果更好。

Objective To explore the clinical effect of chiropractic combined with core muscle training in the treatment of lumbar disc herniation.Methods A total of 104 patients with lumbar disc herniation who were treated in our hospital were selected as the study subjects.They were divided into the study group and the control group by 52 patients in each.The two groups were given basic rehabilitation treatment and chiropractic treatment.The study groupwas supplemented with core muscle group training,and the visual analogue pain scale(VAS)scores of the two groups,the treatment scores of the Japanese Orthopaedic Association(JOA score for lower back pain)and the changes of lumbar motionwere compared for 4 weeks.Results The VAS scores of the two groups were compared.There was no significant difference between the study group and the control group before treatment(P>0.05).After treatment,the VAS score of the study group was lower than that of the control group(P<0.05).The VAS scores were lower than thosebefore treatment in two groups(P<0.05).The JOA scores of the two groups were compared.There was no significant difference between the study group and the control group before treatment(P>0.05).The JOA score was higher than that of the control group(P<0.05).The JOA scores of the two groups were higher than those before treatment(P<0.05).Before treatment,the knees of the study group and the control group were flexed and stretched.There was no significant difference in the results of lateral flexion measurement(P>0.05).After treatment,the results of flexion,posterior extension and lateral flexion of the waist in both groups were significantly higher than those before treatment(P<0.05).The results of flexion,extension and lateral flexion of the lumbar group were higher than those of the control group(P<0.05).Conclusion Basic rehabilitation therapyand chiropractic combined with core muscle training for the treatment of lumbar disc herniation is better for reducing the clinical symptoms,restoring lumbar activity and function than basic rehabilitation and chiropractic treatment.