Ultrasound Exploration Of The Therapeutic Mechanism Of Suspension Massage In The Treatment Of Third Lumbar Transverse Process Syndrome

Objective:In this study,the suspension massage technique was used to intervene the patients with the third lumbar transverse process syndrome.The therapeutic effect of the two methods was compared with that of massage alone in the treatment of the third lumbar transverse process syndrome.By using visual analogue scale(VAS),Japanese Orthopedic Association(JOA)lower back pain score and ultrasound to explore the changes of Transversus abdominis(Tr A)thickness,we explored the therapeutic mechanism of the third lumbar transverse process syndrome,and provided new scientific basis for the effective clinical application of suspension massage technique.Methods: In this study,70 eligible subjects were selected according to the inclusion criteria.They were divided into two groups by random number table.The treatment group(suspension massage technique)and the control group(massage technique)had 35 subjects in each group.They were given suspension massage exercise therapy and massage manipulation therapy respectively.The treatment time of the two groups was the same,40 min/time,1 time/day,5 times/week.The treatment lasted for 3 weeks.The treatment duration was 2 days.The therapeutic effect of the two groups was evaluated by Visual Analogue Scale(VAS),Japanese Orthopaedic Association(JOA)Lower Back Pain Assessment Scale and Ultrasound Exploration of the Muscle Thickness of Transverse Abdomen(Tr A)before and after treatment.Statistical analysis of the evaluation data was carried out,and the differenceof clinical efficacy between the treatment group and the control group was discussed and analyzed under different treatment methods.Results:Before treatment,there was no significant difference in general condition,VAS,JOA score,thickness of transverse abdominal muscle between the two groups(P > 0.05).In terms of pain indicators,the VAS scores of group A and group B after treatment were significantly lower than those before treatment(P <0.05).The comparison between groups showed that the reduction index of group B treated with suspension massage technique was more obvious than that of group A(P< 0.05).In terms of waist function,JOA scores of group A and group B after treatment were significantly higher than those before treatment(P < 0.05).The comparison between groups showed that the JOA scores of group B after treatment were significantly higher than those before treatment(P < 0.05).The thickness of the transverse abdominal muscles of the affected side and the healthy side was significantly increased in group B after treatment(P < 0.05),while the thickness of the transverse abdominal muscles of the affected side and the healthy side was not significantly changed in group A after treatment(P > 0.05).Conclusion:Suspension massage technique and massage manipulation have good clinical efficacy in the treatment of third lumbar transverse process syndrome;in the treatment effect,the effect of suspension massage technique is significantly better than that of simple hand manipulation;suspension massage technique can effectively relieve pain,improve waist dysfunction and increase muscle thickness,thus increasing muscle.Endurance,explosive power,flexibility.Therefore,this technique is worthy of clinical promotion and further study.