The Clinical Observation Of Lumbar Intervertebral Disc Herniation Treated With Thongdu Qiangji Three-seven Manipulation

Significance:Lumbar intervertebral disc herniation (for short LIDH) is a common and frequent disease on the clinical, which is the most common cause to pain in waist and lower extremities. According to the United States national institutes of health statistics, adults have 80% suffered lumbago annoyance, and LIDH have 15%～20% of outpatient which are lumbago, including 80 to 90 percent of the LIDH patient should be cure by nonsurgical therapy, in the ordinary circumstances, except to huge type, ossification type, free type and companion stenosis cases unfavorable to the nonsurgical therapy, lest may cause or worsen horsetail nerve damage, general LIDH patients all chooses nonsurgical therapy.Most patients are the preferred treatment is also nonsurgical therapy, the main methods including massage, acupuncture, physiotherapy, traction, herb, earpins methods. Among the nonsurgical therapy, Due to Chinese massage treatment is simple and comfortable valid, no side effect, less complications, LIDH patients are willing to accepted, has been taken as the main treatment of LIDH.Tongdu Qiangji Three-seven Manipulation is an effective therapy,which is summed up my tutur WangShiZhong director doctor inherited famous clinics for Chinese elder's academic thoughts and inheriting national famous clinics professor Traditional chiropractic's academic experience, and lead Spinal Rehabilitation Division over ten years of clinical teaching and research work experience.This subject is to summarize the inheritance old doctor of traditional Chinese medicine experience, better promotion application, make this Manipulation more scientific, standardized, subject to the establishment of a research plan, to observe this Manipulation of lumbar intervertebral disc herniation treatment the clinical features, effectiveness, discusses Tongdu Qiangji Manipulation's clinical curative effect in treatment of LIDH.Objective:Through clinical randomized controlled study Tongdu Qiangji Three-seven Manipulation treatments for the clinical curative effect of LIDH. Through the spine test evaluation training system (Tergumed) Testing to LIDH patients' lumbar vertebral function, we could analysis the influence on the maximum musele strength of isometric contraction by Tongdu Qiangji Three-seven Manipulation.Methods:60 case with LIDH those met the inclusion criteria were randomly divided into two groups:the treatment group were performed Tongdu Qianji Manipulation,and the control group were performed traditional massage. Two groups of patients are in one time every day, six times every week,2 weeks for an observation period. Two groups of patients are used clinical curative effect evaluation, the universal JOA rating scale, VAS rating scale and Tergumed detection of lumbar maximum isometric muscle strength to observe index, observation records two groups the clinical symptoms, signs, treatment, and after 2 months follow-up of grading, compare two sets of patients, and after 2 months follow-up assessment. Statistical analysis:Data collection, sorting, using SPSS 13.0 soft to statistical analysis, Measurement data to x±s says, two groups of measurement data comparison with chi-square or t test, counting material wit X2 inspection, grade material use rank and inspection, compared with before and after the treatment group t test, when P< 0.05 significant differences. If above data in non-normal distribution or variance not neat, non-parameter statistics method is adopted.Results:1..After a course of treatmen of clinical efficacy:two groups of patients after a course of treatmen the clinical efficacy of treatment group and control group compared, total effective 88.89% and 81.48 respectively, recovery rate was 22.22% and 14.81%, effect comparison between groups no significant difference (P> 0.05).2. After 2 months of treatment of clinical curative effect:2 months after the follow-up clinical curative effect of comparison, treatment group and control group recurrence rate is respectively 7.41% and 22.22%; Two groups comparison in effect, statistically significant difference (P< 0.05). It show follow-up Tongdu Qiangji Three-seven Manipulation than traditional massage have apparent curative effect,(P< 0.05, there is significant)after two months.3. JOA rating scale score:After a course of treatment, treatment group and control group, the respective JOA rating scale score with before treatment significantly compared the difference (P< 0.05). After treatment, comparison between groups of group and control group JOA rating scale score no significant difference (P> 0.05).4. VAS rating scale score:After a course of treatment, treatment group and control group, the pain threshold compared with therapy improve each other before the curative effect significantly (P< 0.05). After treatment, comparison between treatment group and control group to improve pain threshold no significant difference (P> 0.05).Conclusion:1. After a course,the Tongdu Qiangji Three-seven Manipulation and traditional massage treatment of LIDH all have apparent curative effect, but two groups are no statistically different. After two months the follow-up observations indicate that Tongdu Qiangji Three-seven Manipulation's recurrence rate less than traditional massage group, and significant (P< 0.05).2. The Tongdu Qiangji Three-seven Manipulation and traditional massage treatment of LIDH has the obvious function to3. The Tongdu Qiangji Three-seven Manipulation improve maximum isometric muscle strength is better than the traditional massage,and significant (P< 0.05).