四步推拿法治疗慢性腰肌劳损36例的临床观察

Clinical observation of 36 cases with chronic lumbar muscle strain treated by four-step massage

目的 观察与探讨四步推拿法治疗慢性腰肌劳损的临床疗效。方法 将72例慢性腰肌劳损患者,按随机数字表法分为四步推拿治疗组和常规理疗对照组各36例,比较两组治疗前后VAS、RDQ评分及治疗前后VAS、RDQ评分差值以评价临床疗效。结果 与治疗前相比较,两组治疗后VAS和RDQ评分均有显著下降(P <0.01),且治疗组VAS和RDQ评分下降幅度均大于对照组(P <0.01),治疗组疗效明显优于对照组。结论 四步推拿法治疗慢性腰肌劳损疗效明确,能明显改善患者的疼痛和腰部活动功能,适合在基层推广应用。

Objective To observe and discuss the clinical effect of four-step massage on chronic lumbar muscle strain.Methods Seventy-two patients with chronic lumbar muscle strain were randomly divided into the treatment group for four-step massage and the control group for routine physiotherapy,with 36 cases in each group.This study compared the VAS and RDQ scores before and after treatment as well as the difference in VAS and RDQ scores before and after treatment,so as to evaluate the clinical efficacy.Results Compared with those before treatment,VAS and RDQ scores in both groups decreased significantly after treatment(P<0.01).The decrease of VAS and RDQ scores in the treatment group was more obvious than that in the control group(P<0.01),and the curative effect of the treatment group was significantly better than that of the control group.Conclusion The four-step massage has a clear curative effect in the treatment of chronic lumbar muscle strain.It can significantly alleviate the patient’s pain and improve the movement function of the waist,and it is suitable for promotion and application at the grassroots hospitals.