The Clinical Observation Of Chronic Low Back Pain Treated By The Massage Combined With Core Muscles Training

Purposes:Chronic low back pain is a common disease, which seriously affected the people’s life and work, and some patients lost the ability to work, this gives patients and their families, as well as enormous economic burden on society. Most of the chronic low back pain patients are not surgical indications, non-surgical treatments are the preferred method to most patients. This research, observation of massage combined with core muscles training on the curative effect of chronic low back pain, clear massage combined with core muscles exercise for the treatment of chronic low back pain characteristics and advantages, for the clinical application of this method to provide credible evidences of evidence-based medicine. Methods:Selected 60 patients with chronic low back pain, the selected patients meets the set criteria and exclusion criteria. Using random numbers into study group and control group, every group have 30 patients. Two groups of patients,their age、sex、duration of VAS scores、 continuous sitting time、lumbar function index(ODI) by statistical analysis, there was no significant difference(P>0.05).Control group using simple massage therapy, for a course of treatment for 7 consecutive times, a total of 2 courses; observer group by massage and core muscles training methods combined therapy, massage methods are the same with the control group, for a course of treatment for 7 consecutive times, a total of 2 courses.Before and after the treatment, the VAS pain score, ODI, continue sitting time were recorded, data employment and statistical analyzed by SPSS17.0 data software packages. Results:1. In both groups,the VAS scores, ODI, continuous sitting time, starting with the first after treatment compared with before treatment have statistical significance(P<0.05);2. After the end of the first clinical, the control group effective rate was 66.7%, the test group was 80%;3. After the end of the second clinical, the effective rate of the control group was 83.3%. the test group was 93.3%;4. Comparison between the two groups, the test group improvements are better than the control group at the VAS score, ODI and continuous sitting time.5. Two groups of patients in the treatment process. A total of 60 patients ’ blood pressure、pulse、breathing、body temperature and other vital signs no significant anomalies, no serious adverse events occurred in the experiment. Conclusions1. Massage combined core muscles training and massage methods are all effective methods of treatment for chronic low back pain, Massage combined core muscles training methods are better than only massage methods;2. Massage combined core muscles training and only massage therapy has a more stable and sustained efficacy, and the improvements in patients with low back pain and lumbar dysfunction is superior compared to the only massage therapy.3. In the treatment of chronic low back pain, massage and core muscles training have synergistic enhanced role when they combined;4. Massage and core muscles treatment have good and security training in the treatment of chronic low back pain.