整脊手法与传统按摩手法治疗腰椎管狭窄症的临床效果随机对照研究

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (580 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the clinical effect of spinal manipulation and traditional massage in the treatment of lumbar spinal stenosis. Methods A total of 120 patients with lumbar spinal stenosis admitted to the Department of Spine Zhuhai Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine from March 2018 to March 2019 were collected. They were divided into the spinal manipulation treatment group (60 cases) and the control group (60 cases) by simple random method, and the clinical efficacy was evaluated by Japanese orthopaedic association (JOA) scores and visual analogue scale (VAS). The lumbar arch area and the sagittal anteroposterior diameter before and after treatment were measured. Results JOA, VAS scoring time, intergroup and interaction were compared before and after treatment, and the differences were statistically significant (P ＜ 0.05). JOA scores after treatment, 1 month of follow-up and 3 months of follow-up were higher than that before treatment, VAS scores were lower than that before treatment, and the differences were statistically significant (all P ＜ 0.05). Comparison between groups: JOA score of the treatment group was higher than that of the control group, and JOA score was lower than that of the control group after treatment, with statistically significant difference (P ＜ 0.05). There were no statistically significant differences between the two groups before treatment in the sagittal diameter of lumbar spinal canal and the area of lumbar curvature (P ＞ 0.05). In the treatment group, the sagittal diameter of lumbar spinal canal and the area of lumbar curvature were larger than those before treatment, and the differences were statistically significant (P ＜ 0.05). Conclusion Spinal manipulation is more effective than traditional massage in the treatment of lumbar spinal stenosis, it is worth popularizing in clinic.

Key words： Chiropractic method Traditional massage technique Lumbar spinal stenosis Randomized controlled trial Clinical effects

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZENG Haobin CHEN Maoshui▲ WU Yongsheng

Cite this article:

ZENG Haobin CHEN Maoshui▲ WU Yongsheng. A randomized controlled study on the clinical effect of spinal manipulation and traditional massage in the treatment of lumbar spinal stenosis[J]. 中国医药导报, 2020, 17(18): 103-106.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I18/103

[1] 徐广浩，李传实，崔瑞兰.完善我国医养结合养老机构发展的思考[J].中国医药导报，2018，15（18）：150-153.
[2] 刘新宇，贾军.腰椎管狭窄症脊柱-骨盆矢状位参数研究进展[J].山东大学学报：医学版，2019，57（5）：30-35，42.
[3] 任少东，杨学军.退行性腰椎管狭窄症诊断与保守治疗研究进展[J].世界最新医学信息文摘，2018，18（16）：106-108.
[4] Nomura H，Akihisa Y，Watanabe T，et al. Quantitative analysis of indirect decompression in extreme lateral interbody fusion and posterior spinal fusion with a percutaneous pedicle screw system for lumbar spinal stenosis [J]. J Spine Surg，2019，5（2）：266-272.
[5] 王炳强，田伟.腰痛防治指南[M].北京：人民卫生出版社，2003：62-65.
[6] Gupte G，Jacob M，Buchowski J，et al. Reliability of the Neck Disability index （NDI） and Japanese Orthopedic Association （JOA） questionnaires in adult cervical radiculopathy and myelopathy patients when administered by telephone or via online format [J]. Spine J，2019，19（9）：s20-s21.
[7] Hiroshi T，Yasuchika A，Junya S，et al. Unilateral laminectomy for bilateral decompression improves low back pain while standing equally on both sides in patients with lumbar canal stenosis：analysis using a detailed visual analogue scale [J]. BMC Musculoskelet Disord，2019，20（1）：100.
[8] 韦以宗.中国整脊学[M].北京：人民卫生出版社，2016：246-247.
[9] 佘瑞涛，刘国科，林远方.以宗健脊十八式对强直性脊柱炎患者躯体功能及腰曲的影响[J].中医药临床杂志，2019， 31（6）：1141-1144.
[10] Bumann H，Nüesch C，Loske S，et al. Severity of degenerative lumbar spinal stenosis affects pelvic rigidity during walking [J]. Spine J，2020，20（1）：112-120.
[11] Kayalar A Erhan，O Mehmet R，et al. A Simple Cost-Effectiveness Analysis of Bilateral Decompression via Unilateral Approach versus Instrumented Total Laminectomy and Fusion for Lumbar Spinal Stenosis [J]. Turk Neurosurg，2019，29（5）：643-650.
[12] Hansen B，Brandt N，Cecilie L，et al. Weight-bearing MRI of the Lumbar Spine：Spinal Stenosis and Spondylolisthesis [J]. Semin Musculoskelet Radiol，2019，23（6）：621-633.
[13] Minetama M，Kawakami M，Teraguchi M，et al. Therapeutic Advantages of Frequent Physical Therapy Sessions for Patients with Lumbar Spinal Stenosis [J]. Spine，2019（2）：126-133.
[14] Kitano C，Tomoko K，Mamoru F，et al. Preoperative psychological factors affecting surgical satisfaction of elderly patients with lumbar spinal stenosis [J]. J Orthop，2019（12）：223-230.
[15] 鲁天祥.四维牵引整脊疗法与骨盆牵引法对退行性腰椎管狭窄症患者腰椎功能障碍和生活质量的影响[J].颈腰痛杂志，2018，39（4）：474-476.
[16] 唐彬彬.四维牵引对腰椎管狭窄症多裂肌改变的临床研究[D].广州：广州中医药大学，2018.
[17] Mohamed I，Refaat K，Elsamman A，et al. Microsurgical unilateral laminotomy for bilateral decompression of degenerative lumbar canal stenosis：a comparative study [J]. Pain Physician，2019，55（1）：489-493.
[18] 肖镇泓.以宗整脊治疗腰椎管狭窄症生存质量的中期随访[D].广州：广州中医药大学，2016.
[19] 魏圣青.中医手法联合小针刀对退行性腰椎管狭窄症患者疼痛症状与功能障碍的疗效研究[D].武汉：湖北中医药大学，2019.
[20] 朱绍琼，王世鑫，杨家林，等.经皮椎间孔镜技术治疗老年人腰椎椎管狭窄症的临床疗效观察[J].中国现代医生，2018，56（5）：69-71.
[21] 孙学春，蔡志远，陈文浩.减压融合内固定术治疗伴Ⅰ度退行性滑脱的腰椎管狭窄症的疗效分析[J].中国医药科学，2019，9（10）：222-225.
[22] 郑明慧.中医药治疗腰椎管狭窄症研究进展[J].中西医结合心血管病电子杂志，2018，6（21）：21-24.
[23] 关自德.老年退行性腰椎管狭窄症非手术治疗与手术治疗效果比较[J].中外医学研究，2018，16（28）：143-145.
[24] 刘伟.不同手术方法治疗腰椎滑脱合并腰椎管狭窄的临床效果对比[J].中外医学研究，2019，17（14）：162-163.
[25] 胡海平.椎间孔镜治疗高龄老年患者腰椎管狭窄合并基础疾病的效果及对VAS、ODI评分的影响[J].中国医学创新，2018，15（26）：74-77.