Advertisement

Journal of Acupuncture and Tuina Science

, Volume 5, Issue 6, pp 372–376 | Cite as

Acupuncture treatment for subacute non-specific low back pain—A retrospective cohort study in the role of the back exercise in acupuncture services for low back pain sufferers

  • Edwin Yong Miao (缪勇)
Clinical Report
  • 107 Downloads

摘要

目的

研究腰部的锻炼方法与针刺疗效的内在关系, 以揭示部分腰痛病人针灸治疗恢复较慢的原因。

方法

采用回顾性调查研究方法。 70 例被诊断为腰痛的患者按顺序性抽样方法分为两组。 观察组44 例采用针刺治疗加锻炼的方法, 对照组26 例仅针刺治疗。 根据针刺治疗后1 年内的复发率比较两组间的差异。

结果与结论

背部锻炼是一个危险因素, 它和腰痛的频繁发作有关。 而针刺治疗是一种对亚急性非特异性腰痛的有效治疗方案。

Abstract

Objective

To investigate the interrelationship between back exercise and acupuncture curative effect, and unveil the reason that recovery usually delays in a number of low back pain sufferers.

Method

The study is designed as a retrospect investigation. Seventy patients who were newly diagnosed with low back pain were sequentially selected and divided into two groups, 44 cases in the observation group treated with acupuncture plus exercise, and 26 cases in the control group only treated with acupuncture. The recurrence rates in the one-year follow-up after the acupuncture service were compared between the two groups.

Result and Conclusion

Back exercise is a risk factor associated with frequent back pain recurrence. In contrast, acupuncture is an effective intervention method for the treatment and prevention of non-specific low back pain.

Key Words

Low Back Pain Exercise Acupuncture Therapy 

关键词

腰痛 锻炼疗法 针刺疗法 

CLC Number

R246.2 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. [1]
    VWA (Victorian WorkCover Authority). Guidelines for the management of employees with compensable low back pain. Australia: Victorian Government Publisher; 1996.Google Scholar
  2. [2]
    Andersson GBJ. The epidemiology of spinal disorders. In: Frymoyer JW, eds. The adult spine: principles and practice. 2nd Edition. Raven Press Ltd; 1997:93–141.Google Scholar
  3. [3]
    Waddell G. The back pain revolution. Glasgow: Churchill & Livingstone; 2004.Google Scholar
  4. [4]
    ABS (Australian Bureau of Statistics) Hospital Statistics South Australia. Separations from recognized and private hospitals. Canberra: ABS Catalogue No 4308.8. 1991.Google Scholar
  5. [5]
    CDOHS&H (Commonwealth Department of Human Services and Health). Better health outcomes for Australians: national goals, targets and strategies for better health outcomes for Australians into the next century. Canberra: AGPS. 1994.Google Scholar
  6. [6]
    NISU (National Injury Surveillance Unit). Epidemiology of injury in Australia: a scan of current literature and data. Canberra: Department of Human Service and Health. AGPS. 1994.Google Scholar
  7. [7]
    Work Safe Australia. Occupational health and safety performance, Australia: best estimates. Sydney: National Institute Report. 1993.Google Scholar
  8. [8]
    Work Safe Australia. Compendium of workers’ compensation statistics 1991–1992. Canberra: National Institute Report. AGPS. 1994.Google Scholar
  9. [9]
    Hollingworth W, Todd CJ, King H, et al. Primary care referrals for lumbar spine radiography: diagnostic yield and clinical guidelines. Br J Gen Pract, 2002, 52(6): 475–480.PubMedGoogle Scholar
  10. [10]
    VWA & DOHS (Victorian WorkCover Authority and Department of Human Service) (Victoria). Manual handling: reducing the risk, reducing the injuries. Melbourne: Victorian Government Publisher; 1996.Google Scholar
  11. [11]
    Deutsch FE. Isolated lumbar strengthening in the rehabilitation of chronic low back pain. J Manipulative Physiol Ther. 1996, 19(2): 124–133.PubMedGoogle Scholar
  12. [12]
    Taimela S, Harkapaa K. Strength, mobility, their changes, and pain reduction in active functional restoration for chronic low back disorders. J-Spinal-Disord. 1996, 9(4): 306–312.PubMedGoogle Scholar
  13. [13]
    Friedrich M, Gittle G, Halberstadt Y, et al. Combined exercise and motivation program: effect on the compliance and level of disability of patients with chronic low back pain: a randomized controlled trial. Arch Phys Med Rehabil. 1998, 79(5): 475–487.PubMedCrossRefGoogle Scholar
  14. [14]
    Underwood MR, Morgan J. The use of a back class teaching extension exercises in the treatment of acute low back pain in primary care. Fam Prac. 1998, 15(1): 9–15.CrossRefGoogle Scholar
  15. [15]
    Sinclair SJ, Hogg Johnson SH, Mondloch MV, et al. The effectiveness of an early active intervention program for workers with soft-tissue injuries: the early claimant cohort study. Spine, 1997, 22(24): 2919–2931.PubMedCrossRefGoogle Scholar
  16. [16]
    Waddell G, Feder G, Lewis M. Systematic review of bed rest and advice to stay active for acute low back pain. Br J Gen Pract. 1997, 47(423): 647–652.PubMedGoogle Scholar
  17. [17]
    Fass A. Exercises: which ones are worth trying, for which patients, and when. Spine. 1996,15; 21(24): 2874–2879.CrossRefGoogle Scholar
  18. [18]
    Hayden JA, Van Tulder MW, Malmivaara A. Exercise therapy for non-specific low back pain. Cochrane Database of Systematic Review 2007. Issue 1. The Cochrane Collaboration. Australia: John Niley & Sons Ltd.Google Scholar
  19. [19]
    Heymans MW, Van Tudler MW, Esmail R, et al. Back to school for occupational setting. Cochrane Database of Systematic Review 2007. Issue 1. The Cochrane Collaboration. Australia: John Niley & Sons Ltd.Google Scholar
  20. [20]
    Bruce Pomeranz. Acupuncture neurophysiology in Adelman. Birkhäuser, GB. eds. Encyclopedia of neuroscience. 1987.Google Scholar
  21. [21]
    Melzack R, Wall PD. Pain mechanisms: a new theory. Science. US: 1965, (50): 971–979.Google Scholar
  22. [22]
    Kelsey JL, Thompson WD, Evans AS. Methods in observational epidemiology. New York: Oxford University Press; 1986.Google Scholar
  23. [23]
    Brynhildsen JO, Hammar J, Hammar ML. Does the menstrual cycle and use of oral contraceptives influence the risk of low back pain: a prospective study among female soccer players. Scand J Med Sci Sports. 1997, 7(6): 348–353.PubMedCrossRefGoogle Scholar
  24. [24]
    Fish DR, Morris ADM. Musculoskeletal disorders in dentists. N Y State Dent J. 1998, 64(4): 44–48.PubMedGoogle Scholar
  25. [25]
    Thomae MK, Porteous JE, Brock JR, et al. Back pain in Australian military helicopter pilots: a preliminary study. Aviat Space Environ Med. 1998, 69(5): 468–473.PubMedGoogle Scholar
  26. [26]
    Cesana G, Arduca A, Latocca R, et al. Risk evaluation and health surveillance in hospitals: a critical review and contributions regarding experience obtained at the S. Gerado dei Tintori hospital in Monza. Med Lav. 1998, 89(1): 23–46.PubMedGoogle Scholar
  27. [27]
    Thorbjornsson CO, Alfredsson L, Fredriksson K, et al. Psychosocial and physical risk factors associated with low back pain: a 24 year follow up among women and men in a broad range of occupations. Occup Environ Med. 1998, 55(2): 84–90.PubMedCrossRefGoogle Scholar
  28. [28]
    Schlesselman JJ. Case-control studies: design, conduct, and analysis. New York: Oxford University Press; 1982.Google Scholar
  29. [29]
    Polgar S, Thomas SA. Qualitative field research. In: Introduction to research in the health sciences. The third edition. Melbourne, Australia: Churchill Livingstone; 1995.Google Scholar
  30. [30]
    Hanley ENJr. Distinguish the specific from non-specific low back pain. Bull Hosp Jt Dis. 1996, 55(4): 195–196.PubMedGoogle Scholar
  31. [31]
    Walsh MJ. Evaluation of orthopedic testing of the low back for nonspecific low back pain. J Manipulative Physio Ther. 1998, 21(4): 232–236.Google Scholar
  32. [32]
    Sinclair SJ, Hogg Johnson SH, Mondloch MV, et al. The effectiveness of an early active intervention program for workers with soft-tissue injuries: the early claimant cohort study. Spine. 1997, 22(24): 2919–2931.PubMedCrossRefGoogle Scholar

Copyright information

© Shanghai Research Institute of Acupuncture and Meridian 2007

Authors and Affiliations

  • Edwin Yong Miao (缪勇)
    • 1
  1. 1.M. Modern Traditional Chinese Medical ClinicVictoriaAustralia

Personalised recommendations