A Comparative Study Of The Effect Of Several Different Treatment Methods On Lumbar Muscle Strain

Research Purpose:The lumbar muscle strain is one of the public health problems, which frequently happen to both athletes and ordinary people. Although traditional treatments are massage, acupuncture, physiotherapy and so on, the one which is more efficient is still controversial. Besides, there are few reports on major treatments of the lower back training and the vibration therapy of the thermal and magnetic field. The purpose of this paper is, by observing and analyzing four different treatments on lumbar muscle strain, to seek a better treatment on it so as to provide reliable experimental evidence for the treatment on lumbar muscle strain.Research Methods:The subjects were 80 patients suffering from lumbar muscle strain, and randomly divided into 4 identical groups. 4 groups were Massage and exercise therapy group (MS), Massage and low-frequency therapy group (MT), Massage and electro-acupuncture therapy group (MA) and Massage warm magnetic field therapy group (MN) respectively. Patients in each group were invited to take part in one treatment out of 4 courses in total 5 times every three days. The following tests would be carried out respectively, before treatment, after 2 weeks and 4 weeks of treatment, and 4 weeks at the end of treatment. lumbar muscle strength was examined by back strength tester, spinal activity is evaluated by determining points, pains by VAS, daily viability by function of ADL, and effect responded by clinical symptoms index.Research Results:1 After 2 weeks of the treatment with MS, spinal movement is growing (P<0.05); after 4 weeks, VAS and ADL scores were clearly lower (P<0.01); back muscle strength and back muscle endurance had obvious changes through sports therapy, and there had significantly increasing than previous period(P<0.01);2 After 2 weeks of treatment of MT, spinal muscle endured longer than previous period(P<0.05), and ADL score decreased dramatically (P<0.01), so did VAS score (P<0.01); after 4 weeks, endurance and spinal movement ability improved a lot (P<0.01), compared with previous period, VAS and ADL scores were significantly lower (P<0.01);3 After 2 weeks of treatment of MA, spinal movement ability increased significantly (P<0.05); after 4 weeks, compared with previous period, endurance and spinal movement improved a lot (P<0.01), VAS and ADL scores were both reduced dramatically than before (P<0.01). The result of 4 weeks was better than that of treatment for 2 weeks(P﹤0.05); 4 After 2 weeks of treatment of MN, lumbar endured longer than that before (P<0.01), VAS and ADL scores became dramatically lower (P<0.05); after 4 weeks, endurance got great improvement (P<0.01), VAS and ADL scores decreased significantly than that before (P<0.01);5 Compared with four different treatments, it was found that MN group's efficacy index after 4 weeks'treatments was as high as 81.2% , significantly higher than any other group; after 4 weeks of treatment, MS group's spinal movement,back strength and endurance is longer than any other group; (P <0.05);MN group's VAS and ADL scores decreased significantly than MA group (P <0.01); MT and MA groups in VAS and ADL score were no significant difference (P> 0.05).Conclusion:1 Several treatments on lumbar muscle strain, such as Massage and warm-type magnetic field therapy, Massage and acupuncture treatment, Massage and Exercise Therapy, Massage and low-frequency therapy all have good effects;2 Compared with 4 different treatments, Massage and warm-type magnetic field treatment group (MN) is the best, followed by Massage and acupuncture therapy (MA), Massage and exercise therapy group (MS), Massage and the low frequency treatment group (MA);3 Massage and Exercise Therapy has better improvements on spinal activity and endurance than other three kinds of therapy.