Clinical Observation On The Treatment Of Lumbar Disc Herniation By Spine Decompression In Upright Position

Object:The purpose of this study is to evaluate the clinical efficacy and mechanism of upright spinal decompression in the treatment of lumbar disc herniation through clinical observation of patients with lumbar disc herniation treated by upright spinal decompression.Methods:100 patients with lumbar disc herniation who wereadmitted to the outpatient department and ward of the rehabilitation hospital of the Second Affiliated Hospital of Shandong University of traditional Chinese medicine from December 2021 to November 2022 were selected and randomly divided intothe test group and the control group,with 50 cases each.They were treated with upright spinal decompression,conventional supine traction and massage.Before and 4 weeks after treatment,the patients were assessed with visual analogue score(VAS)to assess the degree of pain,lumbar Oswstry dysfunction index(ODI)to assess the extent of somatization,modified lumbar Schober test(mLST)to determine the range of lumbar flexion motion,and Japanese Orthopaedic Association(JOA)Score to assess the spinal nerve function,Real time surface electromyography(EMG)imaging analysis results EP(Electrophysiological)value to determine the lumbar muscle tension.Results:(1)After treatment,VAS score,ODI score,mLST score and EP value of patients in both groups decreased(P<0.05),while JOA score increased(P<0.05).(2)After treatment,there were significant differences in VAS score,ODI score,mLST score and JOA score between the two groups(P<0.05),and the test group was superior to the control group.Conclusion:Compared with the traditional supine traction combined with massage,the vertical spine decompression technologycan better relieve the lumbar pain of patients with lumbardisc herniation,relieve the tension of lumbar muscles,improve the lumbar function and spinal nerve function,and more fully traction and decompression the spine.