| Objective: with the core control training in basic manipulation treatment,analysis methods with the core control of L4/5 and L5/S1 intervertebral disc herniation patients,measuring object were observed in the two groups before treatment and second weeks after treatment and second months JOA,VAS score and measurement of straight leg raising test angle.From the point of view of biological mechanics of muscle and spinal stabilization of manipulation with mechanism and effects of exercise on LDH core control,for the clinical treatment of LDH put forward innovative treatment methods,laid a strong theoretical basis for providing stable spine mechanics based treatment method.Methods: 60 cases with L4/5 and L5/S1 unilateral lumbar disc herniation patients according to the treatment sequence number 1 to 60,control the random number table,60 cases were randomly divided into control group and treatment group,the control group treated with massage therapy,treatment group with the core on the basis of control in exercise methods.The two groups were treated for manual 3/ cycles,6 times for 1course of treatment,a total of 2 courses of treatment,measured before treatment and 2 weeks and 2 months JOA,VAS scores and straight leg raising test angle,change statistics before and after treatment in the two groups of JOA,VAS score changes and straight leg raising angle.And make a statistical analysis and correlation statistics using SPSS17.0 statisticalsoftware,using the standard deviation(+ s)said the normal distribution of measurement data,paired T test compared with group before and after treatment of said data;two independent samples T test indicated before and after treatment in two groups of data comparison;X2 inspection said count data;using two-sided test,P<0.05 said there were significant differences.Result:Comparison of two groups of JOA before and after treatment(1)the JOA scores of the two groups before treatment were T=1.508,P= 0.137 > 0.05,and there was no significant difference.There was a significant difference in the JOA scores between the two groups after 2weeks treatment(T=3.043,P = 0.004 < 0.05),and the JOA score in the treatment group was significantly higher than that in the control group at 2weeks after treatment.(2)there was significant difference between the two groups after February(T=5.418,P = 0.000** < 0.05),and the JOA in the treatment group was significantly higher than the control group at 2 months after treatment.(3)after treatment for second weeks,the score of JOA in the treatment group was significantly higher than that in February after treatment for 2months,and the score in the 2 month after treatment was significantly higher than that in 2 weeks after treatment.The score in February in the control group was higher than that in 2 weeks after treatment.The scores in the treatment group before and after treatment in the two groups were all higher than those in the control group.(4)the mean JOA score of the treatment group increased significantly after treatment than before treatment,and the mean of 2 months after treatment was higher than that of 2 weeks after treatment.The mean JOAscore of the control group was higher than that before treatment,and the mean of 2 months after treatment was higher than that of 2 weeks after treatment.Comparison of two groups of VAS before and after treatment(1)there was no significant difference between the two groups before treatment(T=2.172,P = 0.034>0.05).In the two groups,there were significant differences in the VAS after 2weeks of treatment(T=3.189,P = 0.002<0.05),and the VAS in the treatment group was lower than that of the control group.(2)there was significant difference between the treatment group before and after the treatment in February(T=13.984,P = 0.000**<0.05),and the VAS in the treatment group was significantly lower than that before the treatment in the treatment group after the treatment in the treatment group(P= 0.000**<0.05).(3)there was significant difference between the control group before and after the treatment in February(T=7.719,P = 0.000**<0.05),and the VAS in the control group was significantly lower than that before the treatment in the control group after the treatment in February.(4)the VAS score of the treatment group decreased significantly after treatment than before treatment,and the mean of 2 months after treatment was lower than that of 2 weeks after treatment.The mean VAS score of the control group was lower than that before treatment,and the mean of 2months after treatment was lower than that of 2 weeks after treatment.The comparison of straight leg elevating angles between the two groups before and after treatment:There is no significant difference between the two groups before and after treatment of the straight leg raising angle(T=1.00 = 0.321,P > 0.05);and 2 weeks after treatment in two groups of straight leg raising test angle has significant difference(T=3.990,P = 0.000**<0.05),straight leg raising test angle of treatment group was significantly higher than that of the control group;After treatment,the angle of straight leg elevation test in the two groups after treatment in February was significantly different(T=3.220,P =0.002<0.05),and the straight leg elevation of the treatment group was higher than that of the control group.The treatment group before and after treatment of straight leg raising test after February with significant difference(T=17.563,P = 0.000**<0.05),straight leg raising test angle after treatment in the treatment group were significantly higher than those before treatment;the control angle of straight leg raising test group before and after treatment with significant difference(T=15.508,P = 0.000**<0.05).The control group after treatment,straight leg raising test angle was significantly higher than that before treatment.The treatment group after treatment the mean angle of straight leg raising test was higher than before treatment,and after treatment,the February straight leg raising test angle,mean more than 2 weeks after treatment;the control group after treatment of straight leg raising test angle mean higher than that before treatment,and after treatment,the February straight leg raising test angle than the mean 2 weeks after the treatment of high.Conclusion:The effect of manipulation combined with core control on L4/5 andL5/S1 disc herniation is better than simple manipulation.By strengthening muscle adjustment and training after manipulation treatment,is conducive to promoting the recovery after the balance technique,build stronger core muscles,so as to maintain the stability of the normal spinal posture,walking and other daily life process,ensure the effective transfer and balance of the body position of center of gravity and forces,and reduce the pressure of the intervertebral disc,reduce the nerve root stimulation,so as to improve the symptoms of low back pain,with short-term and long-term curative effect for the treatment of low back pain caused by LDH. |
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