| Objective:To observe the clinical efficacy of three-step five manipulation therapy and conventional massage in the treatment of degenerative lumbar spondylolisthesis,to explore the three-step five manipulation therapy of efficacy and mechanism of action for the clinical treatment of degenerative lumbar spondylolisthesis,and to provide a safe and effective treatment.Methods:65 patients were randomly divided into two groups: 33 cases in the experimental group,shedding in 3 cases;32 cases in the control group,shedding in 2 cases.The experimental group was treated with three-step five manipulation therapy,and the control group used conventional massage techniques that reference Wang Hualan editor of "massage therapy" in the treatment,Each treatment time is 30 minutes;Two groups of patients in addition to massage therapy are combined with guidance exercises for exercise.Above treatment once a day,2 weeks for a course of treatment,the implementation of a course of treatment.The changes of "pain degree(PD)" and "JOA score" before and after treatment were statistically analyzed,and the clinical data of the two groups were statistically analyzed.Results:1.To complete the study of the 60 cases of patients,after a course of treatment,30 cases in the treatment group of clinical control in 6 cases,markedly effective in 10 cases,effective in 13 cases,Invalid in 1 case,the total effective rate was 96.67%;30 cases in the treatment group of clinical control in 2 cases,markedly effective in 6 cases,effective in 20 cases,effective in 13 cases,the total effective rate was 93.33%.Compared with the control group,the difference was statistically significant(P <0.05),indicating that the overall effect of the three-step five manipulation therapy group was better than that of the conventional massage technique group.2.In the reduction of pain,the difference between the two methods before and after treatment,the difference was statistically significant(P <0.05);After the end of treatment,the difference was statistically significant(P <0.05),indicating that the three-step five manipulation therapy group was superior to the conventional massage technique group in reducing the pain degree of the patients.3.In the improvement of clinical symptoms and signs,the scores of the two groups before and after treatment were statistically significant(P <0.05);After the end of treatment,the difference was statistically significant(P <0.05);Indicating that the three-step five manipulation therapy group in improving the clinical symptoms and signs of patients than conventional massage techniques group.Conclusion:1.After a course of treatment,the three-step five manipulation therapy group and the conventional massage group can reduce the degree of pain and improve the clinical symptoms and signs;but between the groups,the three-step five manipulation therapy group is superior to the conventional massage method group;2.After a course of treatment,the overall effect of the three-step five manipulation therapy is better than conventional massage method group,the three-step five manipulation therapy is worthy of clinical use. |
PDF Full Text Request