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| Observation on the clinical rehabilitation effect of fixed-point two-step therapy on giant lumbar disc herniation |
| WANG Xiaobin1 XIE Hongzhi2▲ LI Hongtao1 SHA Yihui1 YANG Qi1 LI Baoli3 |
1.Department of Orthopedics and Traumatology, Beijing Daxing District Hospital of Integrated Chinese and Western Medicine, Beijing 100076, China; 2.Rehabilitation Treatment Center, Beijing Daxing District Hospital of Integrated Chinese and Western Medicine, Beijing 100076, China;
3.Department of Orthopedics and Traumatology, Jiugong Hospital, Beijing 100076, China |
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Abstract Objective To explore the method and clinical rehabilitation effect of the fixed-point two-step method to treat huge lumbar disc herniation. Methods From January 2018 to February 2019, a total of 160 patients who were hospitalized in the Department of Orthopedics and Traumatology of the Daxing District Hospital of Integrated Traditional Chinese and Western Medicine in Beijing were selected and they were divided into treatment group and control group by random number table method, with 80 cases in both groups. The treatment group was treated with the responsibility fixed-point side wrench method combined with suspension traction, while the control group was treated with massage manipulation combined with suspension traction. The clinical efficacy, the visual analogue scale (VAS), the Japanese orthopaedic association assessment treatment score (JOA), rang of motion (ROM), and skin segmental somatosensory evoked potential (DSEP) recorded in the skin segment innervation area of the stimulated nerve root before and after treatment were compared. Results Compared with the control group, the total effective rate of the treatment group was increased, and the difference was statistically significant (P ＜ 0.05). The VAS of the two groups after treatment were lower than those before treatment, while the treatment group was lower than the control group, and the differences were statistically significant (P ＜ 0.05); the JOA scores of the two groups after treatment were higher than before treatment, and the treatment group was higher than the control group, and the differences were statistically significant (P ＜ 0.05). The joint range of motion of the two groups after treatment were significantly higher than those before treatment, while the treatment group was higher than the control group, and the differences were statistically significant (P ＜ 0.05). The latency value of the somatosensory evoked potential DSEP-P40 wave after treatment between the two groups were lower than those before treatment, while the treatment group was lower than the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion The application of fixed-point two-step method to treat giant lumbar disc herniation has a good clinical rehabilitation effect.
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