Clinical Research On The Treatment Of Lumber Disc Herniation By Tuina Manipulation Combined With Sports Therapy

Objective:To study the long residual effect of treating Lumber Disc Herniation(LDH) by Tuina Manipulation combined with Exercise Therapy through clinical observation, in order to provide a safe and simple solution. Methods: 60 patients diagnosed as Lumber Disc Herniation(LDH) were divided into the treatment group and the control group by the method of randomized, single-blind and comparison, 30 cases of the treatment group and 30 cases of the control group. The treatment group(30) was treated by Tuina Manipulation combined with Exercise Therapy while the control group(30) treated by general Tuina manipulation. Treatment time: Treat one time every day, 6 days as a treatment course. After treating 3 treatment courses, evaluate in the near curative effect, and then make a follow-up visit for 6 months to evaluate in the forward curative effect. Use patients'clinical symptom sub-item degree grading and visual analogue pain scale(VAS), observe the range of lumbar curve, and take the safety evaluation by the physiological indicators and the adverse reactions. Results: 60 cases of patients, all of which completed the whole study. Baseline analysis: two groups of patients in terms of gender, age, disease course and pain degree of comparison have no significant difference (P>0.05).That is, the difference was not significant between the two groups. Treatment group of 30 cases, clinical cure rate is 6.7%, markedly effective rate is 26.7%, the effectiveness is 63.3%, the whole effectiveness is 96.67%; long-term clinical cure rate is 10.0%, markedly effective rate is 43.3%,the effectiveness is 46.7%,the whole effectiveness is 100%. The control group of 30 cases, clinical cure rate is 3.4%, markedly effective rate is 20.0%,the effectiveness is 73.3%,the whole effectiveness is 93.33%; long-term clinical cure rate is 3.4%, markedly effective rate is 16.7%, the effectiveness is 76.7%, the whole effectiveness is 96.67%. Through statistical analysis, two groups in the short-term clinical cure rate, markedly effective rate and effectiveness have no significant difference(P>0.05);in the long-term clinical cure rate,markedly effective rate and effectiveness have a significant difference(P<0.01); After treatment the clinical symptom sub-item degree grading and visual analogue pain scale(VAS)have no significant difference(P>0.05) while six months later are significantly different(P<0.05); Lumbar curvature examines of the two groups have a significant difference in the nearly and the long-term(P<0.05). The treatment group surpasses the control group obviously. Conclusion: "Tuina Manipulation combined with Exercise Therapy" treating the lumbar disc herniation (LDH) cases has a significant long residual effect. Analying the anatomy, physiological characteristics, mechanics analysis of the waist and LDH's modern research, its mechanism may adjust to lumbar compliance; ease cramps; change the relative positions of disc and nerve roots, reduce or lift the oppression; correct facet dislocation; release adhesions, improve circulation and promote absorption and repair of the inflammation and edema; analgesic pain threshold or enhance the organization; improve the waist myodynamia; reconstruct the balance of the waist and so on.