Clinical Observation Of Acupotomy Combined With Core Strength Training For Treatment Of Lumbar Disc Herniation

Abstract:Purpose:Observe the clinical effects of the treatment of lumbar interverterbral disc protrusion according to needle knife with core strength training.Methods:This research totally cured 65 cases of patients that were diagnosed as protrusion of lumbar intervertebral disc and subordinated to the standards in Hubei Shiyan Hospital of Integrated Traditional and Western Medicine Rehabilitatio n Department Ambulant Clinic and in-patient Department from July-November,2017were divided into simple needle knife treatment group(needle knife group or comparison group)and needle knife with core strength training group(needle knife+training group or treatment group),by random number table method according to the sequence of seeing the doctor,among which there were 5 loss cases,2 cases of needle knife group,3 cases of needle knife+training group,the effect evaluation was terminated due to poor compliance and the acceptance of other treatments for lumbar interverterbral disc protrusion.There were 60 cases of non-loss and 30 cases of each group.Needle knife group adopted the needle knife therapy,which complied with protrusion of lumbar intervertebral disc of Acupotomology Clinical Diagnosis and Treatment and Operation Specification formulated by Professional Committee of Minimally Invasive Needle Knife from China Association for Acupuncture and Moxibustion,whereas needle knife+training group utilized core strength training(build movement,cobra hold hand,knee balance and tablet support)based on needle knife therapy.Respectively evaluate the patients of these two groups before the treatment,after the treatment group therapy and after 3 months'into the treatment group,and evaluation standards include response evaluation criteria and VAS,JOA,ODI scale of in protrusion of lumbar intervertebral disc issued by State Administration of Traditional Chinese Medicine.All the data was statistically analyzed by the software SPSS19,measurement data was presented by mean±standard deviation,comparison of basic information between groups was used by independent samples t to test.Repeated measurement data in different time points was analyzed by variance,count data was used by?~2 to test and the difference of P<0.05 was statistically significant.Results:at the end of the treatment and after 3 months'into the treatment group,the two groups both achieved comparatively good curative effect,the overall effectiveness of needle knife+training group(cured+improved)was significantly higher than that of needle knife group and the differences were statistically significant(P<0.05).The differences from the contrast of VAS score,JOA score and ODI value before the treatment was statistically insignificant(p>0.05),which were comparable.Compared with before treatment,the differences of the VAS score,JOA score,changes of ODI value in both groups at the end of the treatment and after 3 months'into the treatment group were statistically significant(P<0.05);Compared with needle knife,the differences of the VAS score,JOA score,changes of ODI value in needle knife+training group at the end of the treatment and after 3 months'into the treatment group were statistically significant(P<0.05).Conclusion:The two groups got comparatively good curative effect in treatment methods,needle knife with core strength training relieved patients'pain,improved the patient's subjective symptom and clinical signs;their daily life ability was better,and overall curative effect was better than that of pure needle knife therapy,so it was worth clinically promoting.