机械脉冲力脊椎矫正对腰椎间盘突出症患者主观疼痛、腰部活动度及躯干肌力的影响

Effect of spinal manipulation with mechanical impulse force on subjective pain,lumbar mobility

目的 对比机械脉冲力脊椎矫正与物理因子治疗对机械性腰痛腰椎间盘突出症(LDH)患者主观疼痛、腰部活动度及躯干肌力的影响。方法 选取118例机械性腰痛LDH患者作为研究对象,分为对照组、观察组,每组各59例。对照组给予物理因子治疗,观察组给予机械脉冲力脊椎矫正治疗,比较2组临床疗效、疼痛程度视觉模拟评分法(VAS)、功能障碍(RDQ)评分、腰部活动度及躯干肌力。结果 观察组总有效率为93.22%,对照组为76.27%;治疗后观察组VAS、RDQ评分低于对照组(P<0.05);治疗后观察组屈曲、伸展、左侧屈度及右侧屈度均高于对照组(P<0.05);治疗后观察组屈肌、伸肌及旋转肌力优于对照组(P<0.05)。结论 机械脉冲力脊椎矫正较物理因子治疗机械性腰痛LDH疗效更佳,可帮助患者缓解疼痛,改善功能障碍,提高腰部活动度及躯干肌力。

Objective[HJ1.6mm]To compare the effects of mechanical pulse force spinal correction and physical factor therapy on subjective pain,lumbar range of motion and trunk muscle strength in patients with mechanical low back pain and lumbar disc herniation(LDH).Methods 118 patients with mechanical low back pain LDH were selected and the patients were divided into control group and observation group(n=59).And the control group was given physical factor therapy and the observation group was given mechanical impulse force chiropractic correction therapy.The clinical efficacy,pain level(VAS)scores,dysfunction(RDQ)scores,lumbar mobility and trunk muscle strength were compared between two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group(93.22%vs.76.27%).After treatment,the VAS and RDQ scores of the observation group were lower than those of the control group(P<0.05),and the ranges of flexion,extension,left and right flexion were greater than those of the control group(P<0.05),and the flexor,extensor and rotational muscle strength of the observation group were better than those of the control group(P<0.05).Conclusion Compared with physical factor therapy,spinal mechanical impulsive manipulation is more effective in the treatment of mechanical low back pain LDH,and mechanical impulse force chiropractic is more effective in relieving pain,improving dysfunction,and increasing lumbar mobility and trunk muscle strength.