The Clinical Study On Feng's Spinal Manipulation For Lumbar Intervertebral Disc Herniation

[Objective] To establish COX model validation and quantify Feng's SpinalManipulation prolapse of lumbar intervertebral disc type and cure patients waistthe correlation of time; Using magnetic resonance imaging technique (MRM)spinal cord for fixed point rotation method of evaluation reset spine huge prolapseof lumbar intervertebral disc curative effect provides image basis; Using electricchart table semg confirmed orthopaedic spinal stability shoes balance lumbarmuscle function, prospective studies confirmed orthopaedic shoes can shorten cureprolapse of lumbar intervertebral disc cure time.[Method] In this study258cases of lumbar intervertebral disc herniation patientswere selected to observe and record the age, sex, in the nature of work and sicktime, pain parts (whether waist pain, whether with lower limbs with painful); pain,and presence of intermittent claudication, straight legs raise height; pulp nuclearprominent stage, location, size, and presence of calcification in stenosis, whetheror not; posture change (if accompanied by pelvic rotation) and clinical cure time.Set up the spine fixed point rotation reduction method to cure prolapse of lumbarintervertebral disc and the time required for the related factors of the COX model.And further the39cases huge prolapse of lumbar intervertebral disc of the patientsbefore and after treatment technique record straight legs raise Angle, visual painscale (visual analogue, VAL), Japanese orthopaedic learn to low back pain score(JOA), MRI outstanding nucleus pulposus sagittal diameter index (SI), MRMimage nerve root scabbard sleeve and dural Angle, nerve root scabbard sleeve thediameter size, dural terminal filled with the recovery period. In addition, theselection of pelvic sideways prolapse of lumbar intervertebral disc44cases ofpatients, the tactics were performed before and after treatment sEMG test on a leftand waist segment shaft spinal muscular table electric chart sEMG time domainaverage muscle power amplitude (average EMG, AEMG) and spectrum area(spectrum area, SPA), observation wear shoes left or right side of verticalorthopaedic spinal muscular effects, according to prolapse of lumbar intervertebraldisc cure is the standard and control group in two groups of patients with clinicalcure time.[Result] The COX model results show that: the pelvis rotation with tilt of thepatients had a significantly longer time without the pelvis rotation tilt of thepatients. The more serious pain, the longer the time needed for cure. Greatoutstanding and other relevant highlight the description of the nucleus pulposus index for a cure has no significant effect on time. And for huge prolapse of lumbarintervertebral disc of patients before and after treatment technique of the clinicaland radiographic index statistic suggests, part of the huge lumbar intervertebraldisc and caused no dural, nerve root sleeve under pressure. Although the spinefixed point rotation reduction method can't make pulp nuclear obvious change orHaiNa, but can reduce the outstanding pulp check dural pressure. Wear shoesorthopaedic obviously improve lumbar intervertebral disc herniation stand andwalk patients with bilateral vertical asymmetric spinal muscular contraction, andprove the orthopaedic shoes can shorten the treatment technique of intervertebraldisc cure time mechanism.[Conclusion]To sum up, the subject for the first time at home and abroad to useCOX model technique analysis on clinical cure prolapse of lumbar intervertebraldisc and the required time related factors, MRM observation fixed point rotationof the spine to treat enormous reduction of intervertebral disc images changesbefore and after.1,Feng's spinal manipulation of lumbar intervertebral disc herniation can from thewhole trunk inspection perspective waist step four type change rule, in accordancewith the judgment of illness and prognosis length. Meet modern social prolapse oflumbar intervertebral disc patients to improve treatment requirements of technique,cox mathematical models are verified clinical experience, and for physicians andpatients to choose gimmick treatment, prognosis and treatment time providequantitative basis.2, Feng's spinal manipulation with orthopaedic shoes treatment lumbarintervertebral disc herniation has achieved good effect, compared with othertreatments to levy wide, the pain is small, low cost, high efficiency, short cure timeadvantages. MRM not only confirmed fixed point rotation method can reset thespine to decrease or eliminate great outstanding pulp check dural, nerve rootscabbard sleeve pressure, patients to great outstanding spinal canal itself also has anucleus pulposus tolerance, still make spine fixed point rotation reset the curativeeffect of evaluation method more intuitive and objective.