| 引用本文: |
郑皓云,祝永刚,柳根哲,彭亚,陈超,李春根.中医微调手法推拿对腰椎间盘突出症患者腰部核心稳定肌群功能的影响[J].湖南中医药大学学报,2022,42(7):1180-1184[点击复制] |
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| 中医微调手法推拿对腰椎间盘突出症患者腰部核心稳定肌群功能的影响 |
| 郑皓云,祝永刚,柳根哲,彭亚,陈超,李春根 |
| (首都医科大学附属北京中医医院骨科, 北京 100010) |
| 摘要: |
| 目的 探讨中医微调手法推拿对腰椎间盘突出症（lumbar disc herniation,LDH）患者腰部核心稳定肌群功能的影响。方法 选取2018年2月至2020年9月本院骨科门诊收治的120例LDH患者，按随机数字表法分为对照组和观察组，各60例。对照组行常规康复训练联合腰椎间歇牵引，观察组在对照组的基础上加用中医微调手法推拿。比较两组临床疗效、复发率、功能障碍、疼痛程度、肌肉厚度以及腰背伸肌群力学性能。结果 观察组治疗总有效率明显高于对照组（P<0.05），复发率明显低于对照组（P<0.05）；治疗后，两组患者日本骨科协会评分和腰背伸肌的峰力矩、平均功率明显高于治疗前（P<0.05），且观察组明显高于对照组（P<0.05）；治疗后，两组患者视觉模拟评分、腰背屈/腰背伸比值明显低于治疗前（P<0.05），且观察组明显低于对照组（P<0.05）；治疗后，两组患者腹横肌、多裂肌厚度明显优于治疗前（P<0.05），且观察组明显优于对照组（P<0.05）。结论 中医微调手法推拿应用于LDH可有效改善患者腰背伸肌生物力学性能，增加腹横肌、多裂肌厚度，同时能够减轻腰部疼痛，降低复发率。 |
| 关键词: 中医微调手法推拿 腰椎间歇牵引 腰椎间盘突出症 腰部核心稳定肌群功能 康复训练 腰背伸肌 生物力学性能 |
| DOI：10.3969/j.issn.1674-070X.2022.07.019 |
| 投稿时间：2021-11-03 |
| 基金项目:北京市中医药科技发展资金项目（JJ-2020-63）。 |
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| Effect of fine-tuning manipulation massage of traditional Chinese medicine on the function of lumbar core stable muscle groups in patients with lumbar disc herniation |
| ZHENG Haoyun,ZHU Yonggang,LIU Genzhe,PENG Ya,CHEN Chao,LI Chungen |
| (Department of Orthopedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China) |
| Abstract: |
| Objective To investigate the effect of fine-tuning manipulation massage of traditional Chinese medicine on the function of lumbar core stable muscle groups in patients with lumbar disc herniation (LDH). Methods A total of 120 LDH patients admitted to our hospital orthopedics clinic from February 2018 to September 2020 were selected and divided into a control group and an observation group according to a random number table, with 60 cases in each group. The control group was given routine rehabilitation training combined with intermittent lumbar traction, while the observation group was given fine-tuning manipulation massage of traditional Chinese medicine on the basis of the control group. The clinical efficacy, recurrence rate, dysfunction, pain degree, muscle thickness and mechanical properties of low back extensor muscles were compared between the two groups. Results The total effective rate of the observation group was significantly higher than that of the control group (P<0.05), and the recurrence rate was significantly lower than that of the control group (P<0.05); after treatment, the Japanese Orthopaedic Association score, peak torque and average power of lumbar extensor muscle in the two groups were significantly higher than those before treatment (P<0.05), and those in the observation group were significantly higher than those in the control group (P<0.05); after treatment, the visual analog score and the ratio of lumbar dorsiflexion/lumbar dorsiflexion in the two groups were significantly lower than that before treatment (P<0.05), and the observation group was significantly lower than that in the control group (P<0.05); after treatment, the thickness of transverse abdominal muscle and multifidus muscle in the two groups was significantly better than that before treatment (P<0.05), and the observation group was significantly better than that in the control group (P<0.05). Conclusion The application of fine-tuning manipulation massage of traditional Chinese medicine to LDH can effectively improve the biomechanical properties of the lumbar dorsal extensor muscles, increase the thickness of the transversus abdominis and multifidus muscles, and at the same time, can relieve back pain and reduce the recurrence rate. |
| Key words: fine-tuning manipulation massage of traditional Chinese medicine intermittent lumbar traction lumbar disc herniation function of lumbar core stable muscle groups rehabilitation training lumbodorsal extensor muscle biomechanical property |
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