| ObjectiveTo explore the clinical efficacy of core training combined with acupuncture versus simple core training and simple acupuncture for chronic non-specific low back pain,and provide a more effective treatment for chronic non-specific low back pain.MethodIn this study,90 cases were randomly divided into groups,and the eligible cases were divided into treatment group,control group I and control group II,with 30 cases in each group.Control group I:core training group.Specific training methods:the first stage:the first step:the reconstruction of the breathing mode,the patient' s supine position,knee flexion and hip 90°,the two hands crossed on the chest,inhalation stage:the air sinks in the abdomen,the abdomen is bulged,while the ribs Lateral opening;exhalation phase:abdominal contraction will remove the gas outwards,while the ribs are retracted laterally.At the end of exhalation,an "anal lift" action can be performed to activate the pelvic floor muscle movement.Some patients who are unable to adapt to this breathing mode can place one hand on the abdomen and the other hand on the ribs.When inhaling,induce abdominal abdomen and lateral opening of the ribs,and induce abdominal contraction and lateral retraction of the ribs during exhalation.This exercise is trained for 5 minutes each time.Step 2:After the breathing mode is rebuilt,the balloon is practiced:supine position,hip flexion and knee flexion 90°,yoga between the knees is clamped,the mouth contains the balloon,and the balloon can be held by the hand,according to the aforementioned inhalation method.Inhale,exhale from the mouth when exhaling,force the balloon to blow up(pay attention to abdominal contraction and rib retraction),after the breath is exhausted,keep the mouth from leaking,and then inhale the air to repeat the action of blowing the balloon.It is possible to blow the balloon up.If there is any discomfort in the middle,take the balloon in time to adjust your breathing.The second stage:Swiss ball double-legged supine support:the patient is supine,hands are naturally placed on the sides of the body,the heels are placed on the Swiss ball,and the hips are raised when exhaling,so that the shoulders,pelvis and feet are in a straight line.Through the control of the body,the Swiss ball is kept in balance,and after 30s,it returns to the starting position,repeating this action,each group is 15 times,each treatment is done in 3 groups;Swiss ball single-foot supine support:in the Swiss ball double-foot supine support foundation Lift one side of the lower limbs,maintain this action for 15s,alternate the two feet,do 15 times in each group,do 3 groups.Treatment 3 times a week,4 weeks for a course of treatment.VAS,ODI,and efficacy criteria were scored before treatment and after 4 weeks of treatment.Control group II:acupuncture treatment.Acupuncture selection points refer to the "13th Five-Year Plan" textbook "Acupuncture and Moxibustion"edited.The main points are:Shenshu(bilateral),Large Intestine Yu(bilateral),and Central Committee(two sides)Acupoints:cold and damp low back pain with Fengfu,want Yangguan,bloody low back pain with Yushu,ditch,kidney deficiency,low back pain,match the life gate,Taixi,disease in the Du Meridian,after the disease,in the disease with the pulse Weeping.The acupoint location is based on the method of acupoint positioning in Feng Shulan' s "Acupuncture and Moxibustion Law".Method of operation:Aseptic operation,using Huayu brand sterile acupuncture needle 0.30*25mm?40mm millineedle.The needle should meet the conditions of no curved needle,barb,cast candle,round tip and impure.After local skin disinfection,select a suitable acupuncture needle according to individual conditions and acupuncture points.Shenshu and Dachangshu acupuncture Quickly break the skin,the technique is used to urge the gas;the ring jump hole is selected by a 3-inch needle and the lower extremity discharge feels like a degree.When acupuncture is used,it is necessary to first lick the artery and avoid stabbing the artery to cause bleeding.All of them were treated with pingping and diarrhea.After taking the gas,the needle was left for 30 minutes,and the treatment was performed 3 times a week.The treatment was performed for 4 weeks.The VAS,ODI and efficacy criteria were scored before treatment and after 4 weeks.Acupuncture group.Treatment group:core training combined with acupuncture treatment.The first core training,method pain control group I,after the end of training,rest 5 minutes after acupuncture treatment,3 times a week,4 weeks for the course of treatment.Do not score VAS,ODI,and efficacy criteria before and after 4 weeks of treatment.Result1.Three groups of patients in general informationIn terms of age,by single factor analysis of variance,the ages of the three groups were compared,F=0.08,P=0.925(P>0.05),the difference was not statistically significant,the age of the three groups was comparable;gender,contingency table analysis,X2=0.6235,P=0.732(P>0.05),the difference was not statistically significant.The gender of the three groups were comparable.In the course of disease,the disease course of the three groups was compared by one-way analysis of variance,F=0.69,P=0.505.(P>0.05),the difference was not statistically significant,and the course of the three groups was comparable.2.VAS scores?By paired t-test,before and after treatment in the treatment group,t=17.0158,P=0.000<0.01,the difference was statistically significant;?By paired t-test,before and after treatment in group ?,t=10.9191,P=0.000<0.01,the difference was statistically significant;?By paired t-test,before and after treatment in group ?,t=11.6891,P=0.000<0.01,the difference was statistically significant;?By one-way analysis of variance,the VAS scores of the three groups before treatment were compared,F=0.82,P=0.442(P>0.05),the difference was not significant,and the three groups were comparable;?By one-way analysis of variance,the VAS scores of the three groups were compared,F=14.86,P=0.000<0.01.The difference between the three groups was statistically significant.Compared with the control group,the treatment group was significantly better than the control group ?(P=0.035<0.05),control group ?(P==0.000<0.01),and control group ? was better than control group ?(P=0.016<0.05);?By one-way analysis of variance,the difference of VAS scores before and after treatment was compared between the three groups,F=13.32,P=0.000<0.01.The difference was statistically significant.Compared with the control group,the treatment group was better than the control group ?(P=0.039<0.05),control group ?(P=0.000<0.01),and control group ? was better than control group ?(P=0.031<0.05).3.ODI scores?By paired t-test,before and after treatment in the treatment group,t=15.3126,P=0.000<0.01,the difference was statistically significant;?By paired t-test,before and after treatment in group ?,t=14.3710,P=0.000<0.01,the difference was statistically significant;?By paired t-test,before and after treatment in group ?,t=12.2316,P=0.000<0.01,the difference was statistically significant;?By one-way analysis of variance,the ODI scores of the three groups before treatment were compared,F=0.83,P=0.4410(P>0.05),the difference was not significant,and the three groups were comparable;?By one-way analysis of variance,the ODI scores of the three groups were compared,F=12.61,P=0.000(P<0.05),the difference was statistically significant.In the two groups,the treatment group was better than the control group ?(P=0.0.037<0.05),control group ?(P=0.000<0.05),and control group? was better than control group ?(P=0.0.047<0.05);?By one-way analysis of variance,the difference of ODI scores before and after treatment was compared between the three groups,F=12.72,P=0.000(P<0.05).The difference was statistically significant.The difference between the two groups was better than that of the control group before and after treatment.The group(P=0.0.046<0.05)and the control group ?(P=0.000<0.05),and the control group ? was superior to the control group ?(P=0.0.036<0.05).4.Clinical efficacy of the three groups of patientsAfter treatment,the treatment group was cured in 8 cases,16 cases were markedly effective,3 cases were effective,3 cases were ineffective,and the total effective rate was 90.00%.In the control group ?,4 cases were cured,12 cases were markedly effective,10 cases were effective,and 4 cases were ineffective.The total effective rate was 86.67%;1 case was cured in the control group ?,6 cases were markedly effective,18 cases were effective,5 cases were ineffective,and the total effective rate was 83.33%.?By the rank sum test,the treatment group compared with the control group?,Z=-2.003,P=0.0452(P<0.05),the difference was significant;?By the rank sum test,the treatment group compared with the control group?,Z=-3.914,P<0.01,the difference was significant;?By rank sum test,compared with control group ?,Z=-2.063,P=0.039(P<0.05),the difference was significant.ConclusionThe core training combined with acupuncture,simple core training and simple acupuncture can effectively improve the clinical symptoms of patients with chronic non-specific low back pain.The curative effect is exact,and the core training combined with acupuncture treatment is better than acupuncture and simple core training. |
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