Clinical Observation Of Back Muscle Exercise Treatment Of Degenerative Spondylolisthesis

Degenerative lumbar spondylolisthesis (degenerative lumbar spondylolisthesis, DLS), also known as "pseudo-slip", is due to lumbar intervertebral disc and joint degeneration, so that abnormal connection between the vertebrae, the upper and lower vertebrae caused some or all of the vertebral body surface slip. Degenerative lumbar spondylolisthesis is a common clinical lumbar spine [I], the current clinical treatment can be divided into non-surgical treatment (conservative treatment) and surgical treatment of two categories, but if you choose not to appropriate treatment, it will cause disability The increase, in turn have serious implications for patients with normal working life [2]. For mild spondylolisthesis, most patients want to take a non-surgical treatment to relieve symptoms. Carried out under the guidance of a doctor back muscle exercises to enhance systemic and local function, and promote blood running, enhance the body’s ability to repair and prevent adhesions and muscle atrophy stiff joints, soft tissue, so that the body return to a normal state. Strengthen the power of the muscles, ligaments around the waist to maintain the stability of the lumbar spine, and its efficacy has been increasingly recognized by clinicians. The clinical observation of patients with degenerative spondylolisthesis selected from the anatomy, imaging of the lumbar spine in patients with signs and perspectives to understand degenerative lumbar spondylolisthesis and review the relevant literature references of the disease, focuses on the method of back muscle exercise. And select the confirmed cases, adopt randomized pattern, divided into a control group (bed rest, lumbar braking and other conservative treatment) and treatment group (control group on the basis of the tie back muscle exercise) compared the efficacy of treatment, objectively evaluate the clinical efficacy of back muscle exercise for the treatment of degenerative lumbar spondylolisthesis.Objective:To prove the lower back muscle exercise in the treatment of degenerative lumbar spondylolisthesis in performance, provide the basis for conservative treatment of degenerative lumbar spondylolisthesis, provide a scientific basis for the development of low back muscle exercise treatment of degenerative lumbar spondy-lolisthesis standards.Methods:The accord observation period (March 2014 to January 2015) and met the inclusion criteria of degenerative lumbar spondylolisthesis 60 cases of hospitalized patients (mean Orthopedics two wards from the First Affiliated Hospital of Heilongjiang University of Chinese Medicine), to take a random drawing lots randomly divided into treatment group and control group of 30 patients receiving the control group in bed, lumbar braking and other conservative treatment; treatment group with the control group on the basis of the lower back muscle exercise, the main outcome measures for patients before and after treatment JOA score, the time limit to one month for a course of treatment.Results:All subjects after a course of treatment, the outcome was the treatment group, the total efficiency of 90% in the control group, the total effective rate was 63%. And in patients treated with the assessment indicators are better than the control group, the statistical analysis, the difference was statistically significant data, showing initiative back muscle exercise in the treatment of degenerative lumbar efficacy is better than the traditional conservative approachConclusions:1. back muscle exercise for the treatment of degenerative lumbar spondylolisthesis have a significant effect.2. back and lumbar muscle exercise in maintaining stability play a role.3. back muscle exercise can effectively delay sexual development spondylolisthesis and non-surgical treatment is superior to conventional methods.4.back muscle exercise method is simple, systematic, safe and effective.