Observation Of The Effect Of Fu's Subcutaneous Needing Combined With McKenzie Therapy On Patients With Chronic Non-specific Low Back Pain

Objective: To observe the comparison of clinical effect of Fu's Subcutaneous Needing combined with Mckenzie therapy and traditional electroacupuncture combined with McKenzie therapy in patients with Chronic Nons-pecific Low Back Pain(CNLBP),and provide a new method for patients with Chronic Non-specific low back pain.Methods: A total of 23 patients seeking care for CNLBP were randomly allocated to either experimental group and control group.The experimental group underwent Fu's Subcutaneous Needing combined with Mckenzie therapy and the control group performed traditional electroacupuncture combined with McKenzie therapy.Patients from two groups both received treatment over 4 weeks,and was evaluated before,after and 4 weeks after treatment.The efficacy of two methods in the treatment of CNLBP was compared by Visual analogue scale for pain(VAS),Oswestry disability index(ODI),Self-Rating Anxiety Scale(SAS),pressure pain threshold for pain points,and lumbar mobility.SPSS 21.0 software was used for statistical data analysis.Paired t test was used in the group;independent sample t test was used between the groups.95% confidence interval,and P <0.05 was considered statistically significant.Results: Efficacy: The short-term(4 weeks)effective rate reached 87.5%,and the long-term(16 weeks)75% in the experimental group;However,the short-term(4 weeks)effective rate reached 75%,and the long-term(16 weeks)84% in the control group.VAS score: The difference between the 4-week VAS score of the experimental group and those before treatment was notable statistically significant(p <0.01),and the 16-week VAS score and those before treatment was statistically significant(p <0.05);The 4-week VAS score of the control group was statistically significant compared with those before treatment(p <0.05);,and the16-week VAS score was notable(p <0.01);The difference of VAS score between two groups before treatment was not statistically significant(p>0.05),and after 4 weeks it was statistically significant(p <0.05),and after 16 weeks it was the same..ODI score: The ODI scores of the two groups at 4 weeks were compared with those before treatment,and the differences were statistically significant(p <0.05).After 16 weeks they were the same.The results of comparison between groups,the ODI scores of each time node were not statistically significant(p> 0.05).Anxiety score:There was no statistically significant difference in the anxiety score between the two groups at 4 weeks compared with that before treatment(p> 0.05),and the anxiety score at16 weeks of the experimental group was significantly different from those before treatment(p<0.05).By contrast,the control group was not so(p> 0.05).Pressure pain threshold at trigger point: At 4 weeks,compared with the pre-treatment threshold,the threshold difference in the experimental group was statistically significant(p <0.01),while that in the control group was statistically significant(p <0.05);At 16 weeks,pressure pain threshold of the experimental groups was not statistically significant compared with that before treatment(p> 0.05),while the threshold difference of the control group was statistically significant(p <0.05);the comparison results between groups is that the difference of threshold each time nod was not statistically significant(p> 0.05).Lumbar joint ROM:Compared with before treatment,the lumbar joint ROM two groups were statistically significant(p <0.05);the control group had a statistically significant difference in lumbar posterior extension(p <0.05);The 16-week lumbar spine joint activity in the two groups was significantly different from that before treatment in the experimental group(p <0.01).The results of the comparison between the groups showed that there was a difference in the activity of the two groups at each time node.None were statistically significant(p> 0.05).Conclusion:1.Fu's Subcutaneous Needing combined with McKenzie therapy and traditional electroacupuncture combined with McKenzie therapy have obvious effects on the relief of symptoms of CNLBP(including pain,lumbar spine function,and pressure pain threshold of irritable points);2.In the fourth week,Fu's Subcutaneous Needing combined with McKenzie therapy has a faster effect on pain relief,and make active MTrP into a hidden MTrP;3.In the Sixteenth week,traditional electroacupuncture combined with McKenzie therapy has more advantages in pain relief.