Clinical Study Of Massage Combined With Baduanjin In The Treatment Of Chronic Lumbar Muscle Strain

Objective:To observe the effects of massage combined with Baduan Jin on the muscle tone and strength of the lumbar back muscles,clinical efficacy and recurrence in patients with chronic lumbar muscle strain,and to provide a clinical basis for the treatment of CLMS with this regimen.Methods:A total of 74 CLMS patients who met the research criteria and were treated in the Tuina Department of the Second People’s Hospital of Fujian Province were randomly divided into a treatment group and a control group,with 37 cases in each group.The treatment group was treated with massage combined with Baduan Jin,once every 3 days for a total of 10 times;Baduan Jin twice a day,once in the morning and once in the evening,once for 12 minutes,for a total of 4 weeks.The control group was treated with massage,once every 3 days,for a total of 10 times.After 2 months,the patients with effective curative effect and above were followed up.Using K value of the posterior table chain muscle tension coefficient,the maximum isometric muscle strength of the lower back,and the JOA score scale as the observation indicators,the efficacy was evaluated according to the improvement of the patients’ JOA score before and after treatment,and the comparison between groups was carried out.By observing the improvement of the condition of the patients in the two groups and the recurrence in the follow-up,the clinical efficacy and recurrence of the two groups were evaluated.Results:1.Lumbar back muscle tension-K value of the posterior table chain muscle tension coefficient:Before and after treatment,there was a statistically significant difference between the two groups in the K value of the posterior table chain muscle tension coefficient(P < 0.05),indicating that the two groups of treatments could reduce the muscle tension of the lumbar back muscles of the patients.Compared with the K value between the groups,the difference was statistically significant(P<0.05),indicating that the treatment group was better than the control group in reducing the muscle tension of the back muscles.2.Lumbar back isometric maximal muscle strength: Lumbar back isometric maximal muscle strength: Before and after treatment,the intra-group comparison of low back muscle strength between the two groups was statistically significant(P<0.05),indicating that the two groups of treatment programs can enhance the isometric maximal muscle strength of low back flexion,extension,left and right lateral flexion;treatment The lower back muscle strength of the latter two groups was compared between the groups,and the difference was statistically significant(P<0.05),indicating that the treatment group was better than the control group in enhancing the lower back muscle strength.3.JOA score:The JOA scores of the two groups before and after treatment were compared within the group,and the difference was statistically significant(P < 0.05),indicating that both treatment schemes could improve the patients’ JOA scores,symptoms and lumbar functional status;after treatment,the JOA scores of the two groups were compared between the groups.The difference was statistically significant(P<0.05),indicating that the treatment group was better than the control group in improving the functional state of the lumbar spine.4.Clinical efficacy evaluation: after treatment,the difference between the two groups was statistically significant(P<0.05),indicating that the clinical efficacy of the treatment group for CLMS was better than that of the control group.5.Follow up: two months after the end of treatment,the recurrence rate of the two groups was significantly different(P<0.05),indicating that the treatment group can reduce the recurrence rate more effectively than the control group.Conclusions:1.Massage combined with Baduan Jin can effectively reduce lumbar muscle tension,improve symptoms and lumbar function in CLMS patients,and its clinical efficacy is better than that of simple massage.2.Massage combined with Baduan Jin can improve the isometric maximal muscle strength of the lumbar and back muscles in CLMS patients,enhance the muscle anti-fatigue ability,reduce the recurrence rate,and improve the quality of life of patients,and its clinical efficacy is better than that of simple massage.