| Lumber Muscle Strainis a common surgical disease, in textbooks it is described as:muscle strain is a more common cause of low back pain is the body back waist muscle fascia and muscle attachment points, or even deep periosteum of chronic injury inflammation. Muscle strain injury is actually a chronic inflammation of the body waist occur, or damage from chronic inflammation of long-term stimulation occurred back pain disorders. Theory of Western medicine, many pathological changes can lead to muscle strain. Lumbar spine and the surrounding small joints, muscles, ligaments, fascia and other soft tissue caused by prolonged pressure tight cumulative damage, persistent fatigue, prolonged bad posture, bending load of work, so that over time the Minister back tension, fatigue accumulation, caused by muscle strain muscle involvement occurs. Another important risk factors may be due to acute lower back muscles are accidental sprain, failed to complete treatment, local chronic inflammation occurs repeatedly, long time is also can occur with chronic lumbar muscle strain. Soft tissue pain and lumbar muscle strain occurred, not only associated with pathological changes around the waist, but also may be related to age, sex, their own health, geography, nature of work, work postures, around climate change and so more or less contact. Entangled refractory muscle strain, there is not much effective treatment measures, the key is to rely on prevention. Modern medicine for the treatment of muscle strain is generally symptomatic treatment, the use of more drugs non-steroidal anti-inflammatory analgesic. Non-steroidal anti-inflammatory analgesic drugs are only symptomatic treatment, not treat the root cause muscle strain, and then taking a long time may cause serious side effects, may also be addictive. In addition, a major means of Western medicine treatment of lumbar muscle strain is physical therapy, such as rehabilitation exercises, traction, medium frequency therapy, ultrasound therapy. Western medicine treatment described above can be mitigated in the short term pain, relieve back muscle tissue, have a certain effect, but its long-term effect can not be guaranteed, a palliative. Not motherland medicine "muscle strain" disease name, throughout Chinese classic literature, the disease should belong to the "tendon injury", "back pain", "arthralgia syndrome" and other areas. Medicine for muscle strain etiology, pathogenesis, diagnosis and treatment for a long time, has a very good solution. Study of its etiology and pathogenesis, mainly due to prolonged exertion muscle strain, leading to lower back blood runs sluggish, blood entrapment sun tendons, resulting in blood stagnation, poor tendons, context barrier, not pain. So when treatment with qi and blood circulation, getting a vivid Dafa. After the river acupuncture kinesitherapy, that acupuncture River Point at the same time requires a treatment of patients with active lumbar lumbar disorders characteristic needle. In view of the above, the motion after the river to explore acupuncture treatment effect on muscle strain, a very important clinical significance. This article will after the river motion Acupuncture muscle strain literature research and clinical randomized controlled trials, to provide the necessary support for clinical use.Objective:This topic through the establishment of a regular traditional acupuncture techniques as a control, was observed after the river motion acupuncture treatment of patients after lumbar muscle strain Oswestry Disability Index questionnaire (ODI), to simplify the McGill Pain Questionnaire (including pain rating index PRI, visual analogue score VAS, now pain PPI), integral standard clinical signs, spinal mobility, etc. scale score changes, and after statistical analysis comparing the efficacy of the overall effect of immediate pain relief after the acupuncture kinesitherapy in the treatment of lumbar muscle strain, treatment and long-term follow-up of efficacy.Method:The clinical observation programs in all of the cases were recruited through the establishment of brand Christian Family Service Centre in Hong Kong, Causeway Bay Chinese medicine center, which recruited patients with lumbar muscle strain obtained. Recruitment 2015 and 1 Feb.1-December 31,2015. During this period a total of recruiting Clinical trials comply with the diagnostic criteria, inclusion criteria, exclusion criteria, exclusion criteria and shedding 60 cases of patients with lumbar muscle strain, followed by the study purpose before the start of the test were randomized, divided into treatment group and the control group two groups. (1) control group therapy, acupuncture prescription:Shenshu, Venezuela, bladder Yu, colon Yu, after the river, all the points were taken on both sides. Operation:traditional acupuncture regimen. Choice, "Hua" brand disposable sterile acupuncture needles, the specifications for the 0.25mm ×50mm needle, needling the patient prone, Shenshu, Venezuela, bladder Yu, colon Yu, after the river conventional acupuncture, conventional 75% after disinfection, rapid piercing points after needling purposes lift and thrust twisting tactics reinforcing-reducing, needle for 30 minutes, every other day treatment of 1,10 times as a course of treatment. (2) treatment group Treatment Methods:After the river motion acupuncture combined with traditional acupuncture regimen; Prescriptions:Shenshu, Venezuela, bladder Yu, colon Yu, after the river, all the points were taken on both sides. Operation:The patient sitting, after the River Point first needle, positioning points based on international standards after the River Point taken, with 75% alcohol cotton ball routine disinfection, the choice of "Hua" brand disposable sterile acupuncture needles, size of 0.3mm × 50mm of the needle, after the River Point clamping method using needle piercing tip toward Hoku direction, depth of about 4 cm (1.2 inch equivalent), to impose a slight lift and thrust twisting tactics of such gas to give after the gas line lift and thrust his hands twisting and twisting to impose strong stimulation techniques, twisting amplitude greater than 180 degrees, continuous stimulation 1 min, acupuncture requires local soreness and spread to the entire hand is appropriate; in acupuncture at the same time and allow patients to stand up, side row needle, telling them to do first patient do helplessness and post within the physiological range do rotate left and right movement to maximize the waist for 10 minutes. After exercise, take the prone position, in Shenshu, Venezuela, bladder Yu, for the purposes of the routine acupuncture colon shu points lift and thrust twisting tactics reinforcing-reducing (with the control group), after the gas usage needle for 30 minutes, separated day treatment of 1,10 times as a course of treatment. After treatment, the patient Oswestry Disability Index questionnaire (ODI), simplify McGill Pain Questionnaire (including pain rating index PRI, visual analogue scale VAS, now pain PPI), integral standard clinical signs, spinal mobility and other scale scores were evaluated before treatment, respectively, after the first treatment immediate and timely evaluation at the end of treatment. Before treatment after treatment and evaluation of all indicators to evaluate the whole river after motion Clinical Acupuncture integrated lumbar muscle strain; after the first treatment immediate evaluation simplify McGill Pain Questionnaire and the VAS scores spinal mobility to one month after the end of treatment or follow-up telephone referral outpatient follow-up, only the evaluation of the Oswestry Disability index questionnaire in order to evaluate the river after acupuncture treatment of lumbar muscle strain movement forward; immediate evaluation of the efficacy of the treatment of lumbar muscle strain after the river motion stitch efficacy.Results:Before treatment, the statistical comparison of the treatment group and the control group, two groups of gender composition ratio, after chi-square test, x2=0.0770, P=0.781> 0.05, the sex ratio can be seen in the two groups were statistically constitute There was no significant difference, it is considered comparable in on this; the treatment group and control group of patients age composition ratio of statistical comparison, the age distribution of the two groups through the chi-square test, x2=0.3336, P=0.846>0.05, baseline consistency; on condition, Oswestry Disability index questionnaire (ODI), simplify McGill pain questionnaire (SF-MPQ), the four items integral standard clinical signs, spinal mobility so there was no significant difference (P>0.05), can be controlled observational studies.After the first treatment, VAS scores and statistics spinal mobility rates in two groups were compared before treatment and treatment group compared through paired t test after, P<0.05, that is considered a significant difference statistically, therapy effective; while the control group compared with before treatment after treatment for the first time, P<0.05, also believes that there are statistically significant differences, the treatment to be effective. But the scores between the two groups, the treatment group VAS score and spinal activity score compared with the control group, after t test, P<0.05, statistically significant difference in the treatment group and VAS score improved spinal mobility scores improved more significantly, That immediate therapeutic effect of the treatment group and the immediate improvement of pain lumbar muscle strain spinal mobility is more pronounced.Before and after the full course of treatment, patients in both groups after the ODI evaluation, pain rating index PRI score PPI pain scores and current statistical comparisons, the treatment group before treatment and after treatment, P<0.05, significantly different, treatment is effective; the average score in the control group compared with before treatment, P<0.05, significant difference in treatment to be effective. ODI score difference before and after treatment (improving) the degree of pain rating index score PRI and PPI pain scores now scores in the treatment group ODI evaluation, pain rating index PRI score PPI and current pain score improvement compared to the control group after t test, P<0.05, statistically significant difference in the treatment group ODI evaluation, pain rating index PRI score PPI and current pain scores improved more obvious. In the VAS score, clinical signs integral contrast, spinal mobility, the treatment and control groups, respectively, before and after treatment within the same group, there are P<0.05, there is a statistically significant difference in treatment is effective; and in the treatment of comparison of efficacy between the two groups and control groups in, P> 0.05, not statistically significant, that is, no significant difference.Comparative evaluation of long-term efficacy data by repeated measures analysis of variance, the treatment group after treatment month ODI score and scores in the control group, two groups of all ODI score after statistical analysis, F=4.044, P=0.049<0.05, the difference was statistically significant, that is, long-term efficacy of the treatment group is more obvious.Conclusion:Mechanism of meridian theory after attending the river and the role of acupuncture based motion put forward after the acupuncture kinesitherapy in the treatment of muscle strain with respect to the traditional acupuncture can produce better therapeutic effect immediate and relieve pain, instant improving spinal mobility, at the end of the entire course of treatment to improve ODI index (waist function), pain rating index PRI score PPI and current pain scores, and better able to improve the long-term effect. |
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