| Background and Objective:Studies have pointed out that 85%of low back pain are non-specific low back pain,hereinafter referred to as NSLBP(non-specific low back pain).NSLBP refers to the symptoms of lumbosacral,buttocks and lower extremities with pain,but neither a specific cause nor a type of low back pain can be identified by examination.Studies have pointed out that the United Kingdom in 1998 a conservative estimate,low back pain brought about by the direct or indirect costs of 1.623 billion and 3.44 billion euros.In addition,some studies have pointed out that the United States between 1997 and 2005,it is estimated that spastic pain generated by medical expenses increased by more than 65%,more than the overall rate of growth in medical expenses,and in 2005 accounted for the 9 percentage of the total public medical expenses.Non-specific low back pain,although not affect the safety of patients,but it will be because of pain and lumbar dysfunction caused by the serious impact of quality of life.And patients can not participate in normal social activities,and thus become a huge burden of individuals or society.Therefore,the prevention and treatment of low back pain clinical research on the socio-economic impact is of great value and significance.The etiology of Non-specific low back pain(NSLBP)is complex,diverse.Its clinically have a variety of different conservative treatments.Most NSLBP patients have no surgical indications,therefore,conservative treatment is the choice for most patients.There is currently no conservative treatment is definitely superior to other methods,and has not yet found the gold standard for NSLBP conservative treatment.Conservative treatment choices are tailormade,the conservative treatment program is also developed due to illness and change.Clinical treatment of NSLBP strategy is mainly due to the clinical experience.Recently,usage of acupuncture,chiropractic,massage,physical therapy,rehabilitation exercise and other treatments,including acupuncture and chiropractic use of the most common.The treatment effect is satisfactory.However,the efficacy and safety of chiropractic has been the lack of clinical evidence-based,part of the study of chiropractic treatment of scientific,effective,safety are questioned.Therefore,this study intends to clinical research on the effectiveness of acupuncture and moxibustion with chiropractic for NSLBP,and it is expected to provide better evidence for clinical practice.Methods:90 patients were randomly divided into treatment group one,treatment group two,treatment group three.30 cases in each group with specific treatment options are as follows:Treatment group one:Acupuncture treatment.Selection of disposable sterile acupuncture needles,the quality meet the requirements(no curved needle,barb,rust candle,needle round and not blunt,local).After disinfection,the waist Jiaji points(EX-B2)with 1.5 inch needle,needle enter inside the gap slowly to penetrate through the bilateral Shenshu points(BL23),bilateral Qihaishu Point(BL24),bilateral Dachangshu Point(BL25),bilateral Guanyuan(RN4),bilateral Weishu Point(BL31),bilateral Zhibian Point(BL54),Weizhong Point(BL40).Jumping Round Point(GB30)by the selection of 3-inch needle,and to show the lower limb eletric discharge-like feeling.for 30 minutes,1 treatmnet every 2 days,7 times for a course of treatment.Treatment group two:Chiropractic treatment.First,check the paravertebral tenderness point,the physician then stands on the patient's affected side.One hand push the patient's shoulder forward,the other elbow push the buttocks down.First slowly force down,when the patient's waist to the maximum rotation(plate machine point),the shoulder and buttocks at the same time the opposite direction with instantly force,"Click" sound could be heard.To re-check wthether the tenderness point disappeared.1 treatmnet every 2 days,7 times for a course of treatment.Treatment group three:Acupuncture with chiropractic treatment.Acupuncture:the same treatment group one.After doing acupuncture,take a short rest for 5 minutes,and then to the chiropractic treatment:the same treatment group two.1 times for every 2 days,7 times for a course of treatment.Results:The results of this study collected 90 cases,44males and 46 females,age and course of the distribution of treatment group one in 30 cases,14males and 16 females,aged 32 to 62 years old,the shortest course 2 months,up to 2 and a half years.Treatment group two of 30 cases,16 males and 14 females,aged 32 to 65 years old,the shortest duration of 3 months,up to 2 years.Treatment group three of 30 cases,14 males and 16 females,aged 27-60 years old,the shortest duration of two months,up to 2 years.There were no significant differences in age,sex and course of disease between the three groups(P = 0.817>0.05).The VAS score of the treatment group one before treatment was 7.54,the VAS score was 5.34 after the 14th day of treatment,and the VAS score was 2.4 after the 28th day of treatment.The VAS of the treatment group two before treatment was 7.34,and the VAS Score of 5.27,after 14th day of treatment.The VAS score was 2.3 after the 28th day of treatment.The VAS of the treatment group three before treatment was 7.53,VAS score was 5.83 after 14 days of treatment,VAS score was 1.9 after 28 days of treatment.Before treatment between groups VAS score was not statistically significant(P = 0.462>0.05).There were significant difference(P<0.05)in VAS score between three groups after all treatment done.There were statistically significant differences(P<0.05)in VAS scores between the groups one,two and three after two weeks of treatmen,and there was a significant difference in VAS score(P<0.05).between the groups one,two and three after 28days treatment,According to the results,the pain relief of treatment group three was better than that of treatment group one and two.There was no significant difference in ODI score before the treatment between group one,two and three(P = 0.502>0.05).There was no significant difference in ODI score after the treatment(P = 0.271>0.05).There were significant differences(P<0.05)in ODI scores between the groups one,two,three before and after treatment.Treatment group one had an ODI score of 32 before treatment,a score of 25 after 14 days of treatment,a score of 14 in the treatment group after 28 days.Treatment group two with an ODI score of 34 before treatment,a 24-day score of 23,The score after treatment for 28 days was 13.The treatment group three had an ODI score of 37 before treatment,a score of 19 after 14 days of treatment,and a score of 10 after 28 days of treatment.There was no significant difference in ODI scores between the groups one,two,three(P=0.546>0.05).There was a significant difference in ODI scores between the groups one,two,three after treatment(P<0.05)There were significant differences in the VAS scores between the groups one,two,three(P<0.05).The results revealed that the recovery of functional group was better than that of the treatment group.The curative effect,cure rate and clinical clinic final total effective rate were compared before and after treatment.Treatment group one cured 15cases,markedly 9 cases,no change in 6 cases,the cure rate was 50%,the effective rate was 30%,the inefficiency rate was 20%,the clinic final total effective rate was 80 ‰;Treatment group two cured 15 cases,markedly 10 cases,no change in 3 cases,the cure rate was 50%,markedly effective rate of 33%,inefficient rate of 16.7%,the clinic final total effective rate was 83%;Treatment group three cured 18 cases,markedly effective 9 cases,no chagne in 3 case,the cure rate was 60%,the effective rate was 30%,the inefficiency was 10%,the clinic final total effective rate was 90%.The results revealed that the clinic final total effective rate of treatment group three was higher than that of treatment group one and two,was statistically significant difference(P<0.05).Suggesting that acupuncture combined with chiropractic than a single needle or chiropractic for the treatment of non-specific low back pain better efficacy and more clinical efficacy.Conclusions:Acupuncture combined with chiropractic method can effectively eliminate the improvement of non-specific low back pain,a clear effect,and better than acupuncture alone and simple chiropractic treatment for non-specific low back pain treatment provides an effective treatment. |
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