吊松牵拉手法联合功能锻炼在腰椎间盘突出症患者中的应用效果

Application effects of hanging,loosening,and pulling technique combined with functional exercise in patients with lumbar disc herniation

目的:观察吊松牵拉手法联合功能锻炼在腰椎间盘突出症(LDH)患者中的应用效果。方法:回顾性分析2021年4月至2022年1月该院收治的70例LDH患者的临床资料,按照治疗方法不同将其分为对照组和观察组各35例。对照组采用功能锻炼治疗,观察组在对照组基础上联合吊松牵拉手法治疗,比较两组临床疗效、治疗前后腰椎功能[腰椎日本骨科协会评估治疗分数(JOA)、Oswestry功能障碍指数(ODI)]评分、腰椎关节活动度及疼痛程度[视觉模拟评分法(VAS)]评分。结果:观察组治疗总有效率为94.29%,高于对照组的68.57%,差异有统计学意义(P<0.05);治疗后,两组JOA评分均高于治疗前,且观察组高于对照组,两组ODI评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组腰椎前屈、后伸、侧屈、旋转关节活动度均大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05);治疗1周、1个月后,两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:吊松牵拉手法联合功能锻炼应用于LDH患者,可提高临床疗效,改善腰椎功能,增加腰椎关节活动度,缓解疼痛,其效果优于单纯功能锻炼。

Objective:To observe application effects of hanging,loosening,and pulling technique combined with functional exercise in patients with lumbar disc herniation(LDH).Methods:The clinical data of 70 patients with LDH admitted to this hospital from April 2021 to January 2022 were retrospectively analyzed.They were divided into control group and observation group according to different treatment methods,35 cases in each.The control group was treated with functional exercise,while the observation group was treated with hanging,loosening,and pulling technique on the basis of that of the control group.The clinical efficacy,the lumbar function[Japanese orthopaedics association(JOA),the Oswestry disability index(ODI)]score,the lumbar joint range of motion,and the pain degree[visual analogue scale(VAS)]score were compared between the two groups before and after the treatment.Results:The total effective rate of treatment in the observation group was 94.29%,which was higher than 68.57%in the control group,and the difference was statistically significant(P<0.05).After the treatment,the JOA scores of the two groups were higher than those before the treatment,and that in the observation group was higher than that in the control group;the ODI scores of the two groups were lower than those before the treatment,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).The range of motion of lumbar flexion,extension,lateral flexion and rotation in the two groups were greater than those before the treatment,those in the observation group were greater than those in the control group,and the differences were statistically significant(P<0.05).After 1 week and 1 month of treatment,the VAS scores of the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The hanging,loosening,and pulling technique combined with functional exercise for the LDH patients can improve the clinical efficacy,improve the lumbar function,improve the lumbar joint range of motion and relieve the pain symptoms.Moreover,it is superior to single functional exercise.