非手术脊柱减压系统结合麦肯基疗法治疗腰椎间盘突出症的临床效果

Abstract
Figure/Table
References (26)
Related Citation (15)

Download: PDF (688 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the clinical effect of non-operative spinal decompression system combined with McKenzie therapy in the treatment for lumbar disc herniation. Methods A total of 95 patients with lumbar disc herniation admitted to the Department of Rehabilitation Medicine, Tianjin People’s Hospital from September 2020 to July 2021 were selected and divided into control group 1 (31 cases), control group 2 (32 cases), and combined group (32 cases) according to random number table method. The control group 1 was treated with non-operative spinal decompression system, and the control group 2 was treated with McKenzie therapy, the combined group was treated with non-operative spinal decompression system combined with McKenzie therapy. All of the three groups received four weeks of treatment, five days of continuous treatment per week. Visual analogue scale (VAS) score, Oswestry disability index (ODI), Japanese Orthopaedic Association (JOA) lumbar function score, root mean square (RMS) value of semg signal on erector spine surface, and flexion and extension ratio (FER) were compared between the two groups before and after treatment. The clinical efficacy of the two groups was compared. Results During the treatment, there were one case of detachment in control group 1, two cases in control group 2, and two cases in combined group, and 90 cases were eventually included in the study. After treatment, VAS score, ODI, and RMS in the three groups were lower than those before the treatment, JOA lumbar function score and FER were higher than those before the treatment, and VAS score, ODI, and RMS in the combined group were lower than those in the control group 1 and 2, while JOA lumbar function score and FER were higher than those in the control group 1 and 2, the differences were statistically significant (P ＜ 0.05). After treatment, the clinical efficacy of combined group was better than control group 1 and 2, the difference was statistically significant (P ＜ 0.05). Conclusion Non-operative spinal decompression system combined with McKenzie therapy can improve the strength of lumbodorsal muscles, strengthen the stability of spinal muscles and function, further reduce muscle tension, relieve clinical symptoms, and thus improve the function of lumbar spine and the ability of daily living.

Key words： Non-operative spinal decompression system McKenzie therapy Lumbar disc herniation Surface myoelectricity

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIU Xiaoyan1 ZHANG Ying2 WANG Chunfang2 SUN Changcheng2 WANG Zhonghan2

Cite this article:

LIU Xiaoyan1 ZHANG Ying2 WANG Chunfang2 SUN Changcheng2 WANG Zhonghan2. Clinical effect of non-operative spinal decompression system combined with McKenzie therapy in the treatment for lumbar disc herniation[J]. 中国医药导报, 2022, 19(21): 99-102,118.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I21/99

[1] Zhang CQ，Zhang T，Gao L，et al. Ratcheting behavior of intervertebral discs under cyclic compression：experiment and prediction [J]. Orthop Surg，2019，11（5）：895-902.
[2] Pavlovi■ T，?譒tefan■i■ K，Ro?觩ankovi■ M，et al. Ventrolateral disc herniation causes psoas muscle compression：A case report [J]. Radiol Case Rep，2020，15（2）：136-140.
[3] Andersson GB. Epidemiological features of chronic low-back pain [J]. Lancet，1999，354（9178）：581-585.
[4] Martin BI，Deyo RA，Mirza SK，et al. Expenditures and health status among adults with back and neck problems [J]. JAMA，2008，299（6）：656.
[5] 张竞争，郭闯.中频脉冲电结合半导体激光治疗腰椎间盘突出症坐骨神经痛的临床效果[J].中国医药导报，2021， 18（6）：111-114.
[6] 梁杰，郑军凡，陈述荣，等.非手术脊柱减压系统治疗腰椎间盘突出症的疗效观察[J].中国康复，2019，34（11）：579-582.
[7] 魏海滨，张然，王俊领，等.麦肯基疗法在腰椎间盘突出症行经皮椎间孔镜手术后的辅助治疗价值：前瞻性对照研究[J].颈腰痛杂志，2019，40（6）：820-822.
[8] 胥少汀，葛宝丰，徐印坎.实用骨科学[M].4版.郑州：河南科学技术出版社，2019：1693-1697.
[9] McKenzie RA. Treat Your Own Back [M]. New York：Spinal Publication，1998：67-69.
[10] 汪仲涵，张颖，王春方，等.腰椎间盘突出症患者的平衡能力实验学研究[J].解放军预防医学杂志，2019，37（4）：21-22.
[11] 纪树荣.运动疗法技术学[M].2版.北京：华夏出版社，2011：356-360.
[12] 罗宾·麦肯基，克雷格·库贝.麦肯基疗法——7步告别颈椎腰椎烦恼[M].北京：金城出版社，2011：57-63.
[13] 冯晓楠.浮针结合麦肯基疗法对慢性非特异性下腰痛患者的疗效观察[D].广州：广州体育学院，2020.
[14] 张丽华，米立新，杨华清，等.脊柱减压治疗对腰椎间盘突出症的临床疗效及对多裂肌弹性的影响[J].中国临床医生杂志，2020，48（9）：1075-1077.
[15] 吴均华.针灸治疗腰椎间盘突出症临床观察[J].中国中医药现代远程教育，2021，19（10）：127-129.
[16] Kesikburun B，Eksioglu E，Turan A，et al. Spontaneous regression of extruded lumbar disc herniation：correlation with clinical outcome [J]. Pak J Med Sci，2019，35（4）：974-980.
[17] Momenzadeh S，Koosha A，Kazempoor Monfared M. The effect of percutaneous laser disc decompression on reducing pain and disability in patients with lumbar disc herniation [J]. J Lasers Med Sci，2019，10（1）：29-32.
[18] 刘建，曹柏龙.补肾通络方联合毫火针治疗腰椎间盘突出症的临床效果[J].中国医药导报，2020，17（31）：158-161.
[19] Kerr D，Zhao W，Lurie JD. What Are Long-term Predictors of Outcomes for Lumbar Disc Herniation？A Randomized and Observational Study [J]. Clin Orthop Relat Res，2015，473（6）：1920-1930.
[20] 韩文文，赵凯.非手术脊柱减压治疗腰椎间盘突出症的疗效观察及机制探讨[J].按摩与康复医学，2018，9（9）：11-14.
[21] 徐洋，贾功伟，谭波涛，等.非手术脊柱减压系统牵引与普通牵引对颈棘旁肌表面肌电信号的影响[J].中华物理医学与康复杂志，2014，36（7）：544-548.
[22] Howarth SJ，Glisic D，Lee JG，et al. Does prolonged seated deskwork alter the lumbar flexion relaxation phenomenon？ [J]. J Electromyogr Kinesiol，2013，23（3）：587-593.
[23] 梁杰，陈述荣，卢惠苹，等.非手术脊柱减压系统对腰椎间盘突出症患者椎旁肌电信号的影响[J].现代医药卫生，2019，35（22）：3426-3428，3432.
[24] 汪丹颖，高晓平.腰椎间盘突出症的康复评定及非手术治疗进展[J].安徽医学，2012，33（6）：775-777.
[25] 古恩鹏，吴思，王志彬.积分肌电与腰椎活动度在手法治疗腰椎间盘突出症中的相关性研究[J].中国中医骨伤科杂志，2011，19（11）：21-24.
[26] 吴红波，陈兴华，张锐科，等.岭南无痛蜂疗联合麦肯基疗法治疗腰椎间盘突出症临床研究[J].康复学报，2020， 30（6）：441-446.