| Objective: Lumbar Intervertebral Disc Protrusion is a common andfrequently-occurring disease in orthopedics clinical,and it is also one of thecommon reasons for causing lumbocrural pain.With the development ofmodern society and the changes in the life style,for example,the popularity ofcomputer in recent decades,sitting a long time,the increase number of drivinggens,etc.The rate of this disease is constantly rising and increasingly tend to beyounger,it seriously affects the quality of people’s lives,brings heavy economicburden to the family and society,so more and more people pay attention to thedisease.Therefore seeking for a simple and inexpensive treatment becomes thecurrent urgent task.All the clinical research objects come from the orthopedicshospitalized patients,who belong to Chinese medicine hospital,Hebeiprovince.After the treatment,through observating and contrasting the twogroups change in the JOA score,the visual analog score(VAS) and thecurvature of the lumbar spine,analyse and study the clinical effect of Palasytechnique for treating Lumbar Intervertebral Disc Protrusion.In order toprovide reliable theoretical basis for clinical application and technicalsupport,preliminarily explore its action mechanism.Methods: According to the randomized and controlled principle,thisstudy divide the90orthopedics hospitalized patients into2groups,whoconform to the uniform clinical diagnostic criteria,inclusion criteria andexclusion criteria.The45cases as treatment group use palasy technique andbasic therapy(Chinese medicine iontophoresis treatment and take chlorinevinegar Finn acid),the other45cases as control group only use the basictherapy.Palasy technique treatment to go once each other day,basic treatmentonce a day,all cases treat2weeks as a treatment period.Record the observationindexes and carry on the summary analysis before and after treatment.All the data through SPSS13.0for processing.Results:1Before treatment,all the cases who check the electrocardiogram,liver andkidney function,blood routine,coagulation five detection have normal indings；after treatment,the test results compare with the previous have no obviouschanges.2Clinical curative effect comparisonAfter the teatment,45cases in the teatment group,15cases are curved,16cases are markedly improved,11cases are effected,3cases are invalid,the totaleffective rate is93.33%;the other45cases in the control group,6cases arecurved,14cases are markedly improved,12cases are effected,13cases areinvalid,the total effective rate is71.11%.Compare the two group total effectiverate by statistics,P<0.01,there is a significant difference,the treatment groupcurative effect is better than the control group.3Compare the JOA score before and after the treatmentComparision in the group:the two groups after treatment compare withbefore treatment,the JOA score have been significantly increased,P<0.01,there is a significant difference.The treatment group JOA score improves from11.73±4.06to3.02±2.68,the control group JOA score improves from11.42±3.87to20.76±2.49.Comparision between the group:(1)the comparison of JOA score betweenthe two groups before treatment,P>0.05,there is no statistically significantdifference,they are comparable;(2)through statistical tests,the two groups JOAscore have a significant difference after treatment,P<0.01;(3)By the statisticaltests,the two groups JOA score difference between after trentment and beforetrentment is significant,P<0.01.The results show that the treatment group isbetter than that of the control group.4Compare VAS before and after the treatmentComparision in the group:the two groups after treatment compare withbefore treatment,the VAS have been significantly reduced,P<0.01,there is asignificant difference.The treatment group VAS declines from7.11±1.99to 2.47±1.78,the control group VAS declines from7.04±1.87to3.33±1.93.Comparision between the group:(1)the comparison of VAS between thetwo groups before treatment,P>0.05,there is no statistically significantdifference,they are comparable;(2)the two groups VAS have a statisticallysignificant difference after treatment,P<0.05.The result shows that thetreatment group is better than that of the control group.5Compare lumbar curvature before and after the treatmentComparision in the group:the two groups after treatment compare withbefore treatment,the lumbar curvature have been increased,P<0.01,there is asignificant difference.The treatment group lumbar curvature increases from8.84±2.01to16.93±1.88,the control group lumbar curvature increases from8.60±2.27to10.96±2.88.Comparision between the group:(1) the comparison between the twogroups before treatment,P>0.05,there is no statistically significant difference,they are comparable;(2)the two groups lumbar curvature have a significantdifference after treatment,P<0.01.The result shows that the treatment group isbetter than that of the control group.Conclusion: The two groups of treatment can all improve the JOA scoreand the curvature of the lumbar spine,they also can reduce the VAS,what ismore,the treatment group is much more better than that of the controlgroup;total effective rate of treatment in the treatment group is more betterthan the control group.All the data by the contrast analysis show that:Palasytechnique has a definite clinical therapeutic effect for treating LumbarIntervertebral Disc Protrusion.Palasy technique by using the principle of thelever force and rotational force,fixing point and position where is theoperation area by the doctor’s thumb palpation,in order to make the rotatingforce maximize the acts on the affected part,through correcting the small jointdislocation,adjust the biological structure of spine line force, maintain thestability of the lumbar inner balance factors (such as lumbar, lumbar spine andjoints and ligaments) and external balance factors (such as waist, back,abdominal muscle and fascia,etc.)to restore reaching a new equilibrium state,can adjust the lumbar compliance,improve the curvature of the lumbarspine,remove or alleviate the compression between outstanding intervertebraldisc material and nerve root,release adhesion of the nerve root,which caneffectively improve the symptoms of the patient’s pain and lumbar function,ability of daily life,etc,enhance the clinical curative effect,relieve the pain ofthe patients,improve the quality of lives.The humman body is an organicwhole,muscle is attached to the bones and joits,“regular bone tendonsupple,reinforced bone is sof”,such as rubbing, pressing,rolling,pushing,plucking and so on,these reinforcement techniques help to release the localmuscle cramps,can create condition for Palasy technique and consolidate itstherapeutic effect.Treatment should pay equal attention to the bone and muscleboth,to achieve better treatment.Palasy technique,the treatment of LumbarIntervertebral Disc Protrusion refining,not only scientific,effective,and it iseasy for all level physicians to master;but also it has many adventures,suchas:light,simple,safe and reliable with no pain,no side effects,it can reducepatients’ economic burden,it has less adverse reaction etc,so this technique isworth further applicating in clinical areas. |
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