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Clinical efficacy of Tuina manipulations for lumbar disc herniation and its influence on posture-associated indicators

推拿手法治疗腰椎间盘突出症的临床疗效及对姿势相关指标的影响

  • Clinical Study
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Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To observe the clinical efficacy of sinew-bone balancing manipulation in treating lumbar disc herniation (LDH) and offer clinical evidence to support the concept of paying equal attention to sinew and bone.

Methods

Sixty LDH patients were randomized into an observation group and a control group, with 30 cases in each group. The observation group was treated with the sinew-bone balancing manipulation, and the control group received conventional Tuina (Chinese therapeutic massage) manipulation. The clinical efficacy and posterior muscle chain tone effect were compared between the two groups by observing the visual analog scale (VAS) score, Japanese Orthopaedic Association (JOA) score, and posture-associated indicators.

Results

The total effective rate was 86.7% in the observation group, higher than 76.7% in the control group, but the between-group difference in efficacy was statistically insignificant (P>0.05). After treatment, the VAS and JOA scores, angle-dependent muscle tone indicator of the posterior muscle chain, and lumbar posture symmetry showed significant changes in both groups (P<0.05). The VAS and JOA scores, angle-dependent muscle tone indicator of the posterior muscle chain, and lumbar posture symmetry in the observation group were significantly different from those in the control group after treatment (P<0.05), but the between-group difference in the general posture symmetry was statistically insignificant (P>0.05).

Conclusion

Both the sinew-bone balancing and conventional Tuina manipulations can reduce pain in LDH patients, improve lumbar function, and adjust the angle-dependent muscle tone coefficient of the posterior muscle chain and lumbar posture symmetry; except for the general posture symmetry of the posterior muscle chain, the sinew-bone balancing manipulation wins out over the conventional Tuina manipulation.

摘要

目的

观察“筋骨调衡”手法治疗腰椎间盘突出症(LDH)的临床疗效, 为“筋骨并重”理念提供临床依据。

方法

将60例LDH患者随机分为观察组和对照组, 每组30例。观察组采用“筋骨调衡”手法治疗, 对照组采用常规推拿手法治疗。通过观察疼痛视觉模拟量表(VAS)评分、日本骨科协会(JOA)评分和姿势相关指标比较两组临床疗效及后肌链张力效应。

结果

观察组总有效率86.7%, 高于对照组的76.7%, 但组间疗效差异无统计学意义(P>0.05)。两组治疗后VAS和JOA评分、后肌链角度肌张力指数、整体姿势对称性及腰部姿势对称性与同组治疗前均有统计学差异(P<0.05)。观察组治疗后VAS和JOA评分、后肌链角度肌张力指数、腰部姿势对称性与对照组均有统计学差异(P<0.05),但整体姿势对称性组间差异无统计学意义(P>0.05)。

结论

“筋骨调衡”手法和传统推拿手法均可以缓解LDH患者的疼痛, 改善其腰椎功能, 调整后肌链角度肌张力指数及腰部姿势对称性; 除后肌链整体姿势对称性以外,“筋骨调衡”手法的作用均优于传统推拿手法。

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Acknowledgments

This work was supported by Traditional Chinese Medicine Science Research Planning Key Project of Hunan Province (湖南省中医药科研计划项目重点课题, No. 201907); Innovative Research and Development Project of Development and Reform Commission of Hunan Province [湖南省发改委创新研发项目, No. 2019(127)]; Hunan Province High-level Health Talents “225” Project Training Project [湖南省高层次卫生人才“225”工程培养项目, No. 2019(196)].

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Authors and Affiliations

  1. Hunan University of Chinese Medicine, Changsha, 410208, China

    Tao Shen  (申韬) & Sheng Fan  (范升)

  2. The First Hospital of Hunan University of Chinese Medicine, Changsha, 410007, China

    Yong Ye  (叶勇), Rong Luo  (罗容), Jiang Pan  (潘江) & Wei Tang  (汤伟)

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  1. Tao Shen  (申韬)
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  2. Yong Ye  (叶勇)
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  3. Sheng Fan  (范升)
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  4. Rong Luo  (罗容)
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  5. Jiang Pan  (潘江)
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  6. Wei Tang  (汤伟)
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Correspondence to Yong Ye  (叶勇).

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There is no potential conflict of interest in this article.

Statement of Informed Consent

Informed consent was obtained from all individual participants.

First Author: SHEN Tao, master degree candidate of grade 2018

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Shen, T., Ye, Y., Fan, S. et al. Clinical efficacy of Tuina manipulations for lumbar disc herniation and its influence on posture-associated indicators. J. Acupunct. Tuina. Sci. 20, 213–220 (2022). https://doi.org/10.1007/s11726-022-1315-7

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  • DOI: https://doi.org/10.1007/s11726-022-1315-7

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