Short-term Efficacy Observation Of Lumbar Back Muscle Functional Exercise Combined With Chinese Medicine Ironing On Degenerative Spondylitis

Objective: To observe the clinical effectiveness of lumbar back muscle functional exercise combined with traditional Chinese medicine ironing on lumbar degenerative spondylitis,so as to provide reference for implementing a simple and effective treatment scheme for lumbar degenerative spondylitis in clinic.Methods: From December 2021 to December 2022,80 patients with degenerative spondylitis of lumbar spine were selected as the research object.Randomly divided into two groups,the experimental group was treated with lumbar muscle functional exercise combined with Chinese medicine ironing,and the control group was treated with Chinese medicine ironing.Seven days of continuous treatment is a course of treatment,and two courses of treatment are continuously observed and evaluated.Before treatment and after the first and second courses of treatment,the visual analogue scale(VAS),Japanese Orthopedic Association’s lower lumbar function(JOA)scoring standard,finger-to-floor distance(FFD)and Oswestry dysfunction index(ODI)scores of the two groups are counted.Statistical software SPSS25.0 was used to analyze the data.Results:(1)Comparison of Visual Pain Scale(VAS): Before treatment,the scores of the two groups were compared,and there was no statistical significance(P>0.05).After one course of treatment and two courses of treatment,the comparison between the experimental group and the control group showed that P<0.05,with significant difference.There was no significant difference between the experimental group and the control group after the first course of treatment(P>0.05),but there was significant difference after the second course of treatment(P<0.05).(2)Lower Lumbar Function(JOA)score of Japanese Orthopedic Association: Before treatment,there was no statistical significance in comparing the scores of the two groups(P>0.05).After one course of treatment and two courses of treatment,the comparison between the experimental group and the control group showed that P<0.05,with significant difference.There was no significant difference between the experimental group and the control group after the first course of treatment(P>0.05),but there was significant difference after the second course of treatment(P<0.05).(3)Finger-to-ground distance(FFD)score: Before treatment,the scores of the two groups were compared(P>0.05),and there was no statistical significance.After one course of treatment and two courses of treatment,the comparison between the experimental group and the control group showed that P<0.05,with significant difference.There was no significant difference between the experimental group and the control group after one course of treatment(P>0.05),but there was significant difference between the two groups after the second course of treatment(P<0.05).(4)Oswestry Dysfunction Index(ODI)score: There was no significant difference between the two groups before treatment(P>0.05).After one course of treatment and two courses of treatment,the comparison between the experimental group and the control group showed that P<0.05,with significant difference.There was no significant difference between the experimental group and the control group after one course of treatment(P>0.05),but there was significant difference between the two groups after the second course of treatment(P<0.05).Conclusion: Lumbar back muscle functional exercise combined with Chinese medicine ironing has a synergistic effect in the treatment of LDS,which can significantly improve the pain of patients with LDS,and at the same time,it has a significant effect on relieving the symptoms of the waist,improving the activity function of the waist and improving the quality of life.