Abstract
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.
摘要
目的
观察推拿联合 “三桥” 运动训练治疗非特异性下腰痛(NSLBP)的疗效.
方法
选取NSLBP患者80例, 按随机数字表法随机分为对照组和观察组, 每组40例. 两组均给予推拿治疗, 观察组在此基础上辅以桥式运动训练, 治疗4周, 随访6个月. 治疗前, 治疗4周和随访6个月时分别采用疼痛视觉模拟量表(VAS)、 Oswestry功能障碍指数(ODI)及日本骨科协会(JOA)评分评估患者腰痛情况.
结果
观察组治疗4周及治疗结束6个月随访时的总有效率分别为92.5%和85.0%, 与对照组有统计学差异(P<0.05).治疗4周及治疗结束6个月随访时两组VAS, ODI和JOA评分均较治疗前改善(P<0.05); 观察组所有指标优于对照组(P<0.05).
结论
推拿联合 “三桥” 运动训练能有效减轻NSLBP患者的疼痛程度, 改善功能障碍, 并且有较好的长期疗效.
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Acknowledgments
The research sincerely appreciates the support of the Department of Traditional Chinese Medicine and Geriatrics of the First Affiliated Hospital of China University of Science and Technology (Anhui Provincial Hospital).
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Statement of Ethics
The research followed the ethical principles of medical research formulated in the World Medical Association Declaration of Helsinki. In this research, Tuina and the “three-bridge” exercise were used to treat non-specific low back pain. The subjects included were all informed and voluntary participants, and the research methods, procedures, and treatment fully respected and protected the subjects’ health and power. Tuina and the “three-bridge” exercise are non-drug therapies without any side effects. The research does not adversely affect the environment or the health of the subjects. The therapeutic effect of the study justifies the study.
Author: LI Jinhu, M.M., associate chief physician.
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Li, J. Observation on the therapeutic efficacy of Tuina plus “three-bridge” exercise for non-specific low back pain. J. Acupunct. Tuina. Sci. 20, 363–369 (2022). https://doi.org/10.1007/s11726-022-1332-6
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DOI: https://doi.org/10.1007/s11726-022-1332-6
Keywords
- Tuina
- Massage
- Exercise Therapy
- Low Back Pain
- Pain Measurement
- Visual Analog Scale
- Randomized Controlled Trial