Analysis Of The Therapeutic Effect Of Non-surgical Spinal Decompression On Lumbar Disc Herniation

Objective: To observe and analyze the therapeutic effect of non-surgical spinal decompression treatment on lumbar disc herniation.Methods: This clinical study has been approved by the hospital ethics committee.45 cases of 18-75 years old inpatients with lumbar disc herniation were included and divided into experimental group and control group according to computer random numbers,22 and 23 respectively.Patients in the experimental group received conventional physical therapy and non-surgical spinal decompression therapy(SDS),SDS treatment(DRX9000 system)was conducted once a day,25 minutes each time,5times a week for 4 weeks;patients in the control group received conventional physical therapy once a day for 4 weeks.Before and after the trial,the following rehabilitation assessments were performed by a physical therapist(without knowledge of grouping): pain analog(Numerical Rating Scale,NRS),lumbar spine JOA score(Japanese Orthopedic Association Scores);an experienced sonographer in our hospital collected paravertebral muscle Elastography data.Results were analyzed by GraphPad prism 6.0software.Results: A total of 45 patients were finally included in the study,and22 and 23 in the experimental group and control group,respectively.Results are as follows: There was no statistical difference between the two groups in terms of age,course of disease,initial NRS score,initial JOA score,and initial Young's modulus,and they were comparable.After treatment :(1)the pain score(NRS)of two groups of subjects decreased,and the NRS score of test group was lower than that of control group;(2)the JOA score of lumbar spine of two groups of subjects increased,and the JOA score of test group was higher than that of control group;(3)The elastic modulus of the lumbar paraspinal muscles of the two groups decreased,and elastic modulus in test group was lower than that in control group.The above differences are statistically significant(P <0.05).Conclusion: Non-surgical spinal decompression therapy is more effective than conventional physical therapy in the treatment of lumbar disc herniation.This may result from the mechanism of relaxing the paravertebral muscle,which makes the decompression force concentrate on the diseased disc.