筋舒霜膏摩疗法镇痛作用的实验研究

目的:观察筋舒霜膏摩疗法的镇痛作用。方法:分别设立模型对照组、筋舒霜涂抹组、筋舒霜膏摩组,采用热板法和醋酸致小鼠扭体法实验观察镇痛作用。结果:筋舒霜膏摩组能延长小鼠舔足跖时间,并能显著减少模型小鼠扭体次数,与模型对照组、筋舒霜涂抹组相比,有显著性差异(P<0.05)。结论:筋舒霜膏摩疗法具有较好的镇痛作用。

Clinical observation of tendon-regulating manipulation plus core stability training for non-specific low back pain

Objective： To evaluate the clinical efficacy of tendon-regulating manipulation plus kinesiotherapy in treating low back pain. Methods： Sixty patients were randomized into a treatment group and a control group by using the random number table, 30 cases in each group. The treatment group was intervened by tendon-regulating manipulation plus kinesiotherapy, while the control group was by the tendon-regulating manipulation alone. The lumbar lordosis was measured by X-ray （side view）, the pain was evaluated by analgesy meter, the lumbar range of motion was by using goniometer, and the function was judged by Oswestry disability index （ODI） before and after treatment, and the therapeutic efficacy was also observed. Results： After treatment, the pain level was significantly reduced, lumbar lordosis was significantly increased, the lumbar range of motion was markedly improved, and the ODI score significantly dropped （all P^O.05） in both groups; the improvement of each item in the treatment group was more significant than that in the control group （all P〈O.05）. The total effective rate was 90.0% in the treatment group versus 63.3% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion＂ In the treatment of low back pain, tendon-regulating manipulation plus kinesiotherapy can mitigate topical pain, improve the motion of low back, enhance the quality of life, and produce a more significant therapeutic efficacy compared to tendon-regulating manipulation alone.

Clinical Study on Treatment of Myofascial Pain Syndrome with Ashi Points

Objective： To investigate the clinical efficacy of Ashi points in the treatment of myofascial pain syndrome. Method： A hundred and fifty cases were randomized into a treatment group and a control group by the order of visit. The cases in the treatment group were treated with ＂Stuck Needle＂ method in Ashi points plus tuina manipulations. The cases in the control group were treated with external local application of Votalin. The cases in both groups were treated once a day and 10 times made up one course. Results： Among 90 cases in the treatment group, 18 got clinical recovery, 34 got marked effect, 34 got certain effect, the marked effective rate was 57.8% and the total effective rate was 94.4%; while among 60 cases in the control group, 1 got clinical recovery, 18 got marked effect, 15 got certain effect, the marked effective rate was 31.7% and the total effective rate was 73.3%. Statistical management showed P〈0.01, indicating a significantly better effect in the treatment group. In addition, ＂Stuck Needle＂ method in Ashi points plus tuina manipulations can effectively improve local pain, tenderness, muscle spasm and motion range of joints, and can obtain significantly better effect for muscle spasm and motion range of joints. Conclusion： This therapy is safe, reliable and effective, and therefore worth spreading for clinical application.

Observation on Tuina plus needling the distal acupoints along the pathway of meridians for shoulder periarthritis

Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)plus needling the distal acupoints along the pathway of meridians for shoulder periarthritis(SP).Methods A total of 70 patients with SP were divided into an observation group and a control group using the random number table method,with 35 cases in each group.The patients in the observation group were treated by Tuina combined with needling distal acupoints along the pathway of meridians,while those in the control group only received the same Tuina treatment as in the observation group.The visual analog scale(VAS)and shoulder joint function were scored before and after treatment,and the efficacy after treatment was evaluated.Results After three courses of treatment,the total effective rate of the observation group was 94.3%,while the total effective rate of the control group was 80.0%,showing a statistical difference(P<0.05).After treatment,the VAS scores of the two groups were significantly lower than the baseline scores(P<0.01),and the VAS score of the observation group was lower than that of the control group(P<0.01).After treatment,the total scores of internal rotation,external rotation,back touching,ear touching and motion function in the two groups were significantly higher than those before treatment(P<0.01),and the above five scores in the observation group were significantly higher than those in the control group(P<0.01).Conclusion Tuina combined with needling the distal acupoints along the pathway of meridians is more effective than Tuina alone in treating SP.The combined therapy can relieve the pain and improve joint function more effectively.

Observation on the therapeutic efficacy of Tuina plus“three-bridge”exercise for non-specific low back pain

Objective To investigate the efficacy of Tuina(Chinese therapeutic massage)plus“three-bridge”exercise for non-specific low back pain(NSLBP).Methods A total of 80 patients with NSLBP were randomly divided into a control group and an observation group according to the random number table method,with 40 cases in each group.The two groups received Tuina treatment,and the observation group received an additional“three-bridge”exercise.The treatment lasted 4 weeks,and a follow-up evaluation was carried out 6 months after treatment.The visual analog scale(VAS),Oswestry disability index(ODI),and the Japanese Orthopaedic Association(JOA)scores for low back pain were used to evaluate patients’conditions before treatment,after 4-week treatment,and at the 6-month follow-up.Results The total effective rate was 92.5%and 85.0%in the observation group,respectively,after 4-week treatment and at the 6-month follow-up,significantly different from the control group(P<0.05).After 4-week treatment and at the 6-month follow-up,the VAS,ODI,and JOA scores of the two groups were improved compared with those before treatment(P<0.05),and all the indicators in the observation group were significantly better than those in the control group(P<0.05).At the 6-month follow-up,the VAS,ODI,and JOA scores in the two groups were improved compared with those before treatment(P<0.05).Conclusion Tuina plus“three-bridge”exercise can effectively alleviate pain,improve function,and have relatively sound long-term effects in treating patients with NSLBP.