| Objective: Lumbar disc herniation is one of the common diseases in orthopedics,which seriously affects people's lives and work.This article is to investigate the effect of McKenzie therapy stretching exercise combined with electroacupuncture massage and abdominal bridge movement combined with electroacupuncture massage on patients with lumbar disc herniation under WeChat supervision.Follow up two methods to return to the family after lumbar disc herniation The efficacy of rehabilitation training continued for months,3 months,and 6 months.Methods: A single-blind controlled study was conducted in which 71 patients with lumbar disc herniation who met the diagnostic criteria and included the standard in the outpatient department of Sichuan Provincial Orthopaedic Hospital were divided into abdominal bridge movement and electroacupuncture group(abdominal bridge group)according to the order of single and double treatment.And the McKenzie therapy stretching action with the electroacupuncture massage group(extension group).The abdomen bridge group received electroacupuncture and massage treatment combined with abdominal bridge movement;the extension group received electroacupuncture and massage treatment combined with McKenzie therapy for stretching exercises.The two groups of patients received outpatient electroacupuncture treatment 5 times a week,one course a week,two courses can be.Under the supervision of WeChat,the two groups of patients began rehabilitation training after the pain was relieved,and returned to the family to continue training.The extension group received McKenzie therapy 4 times a day(including hand support and elbow support),and the abdominal bridge group received abdominal bridge training 4 times a day.Rehabilitation assessment was performed before treatment and at 1,3,and 6 months after treatment.The evaluation index used the lumbar spine disease treatment score scale(JOA),VAS score,and statistical clinical effectiveness and efficacy index.Statistical analysis was performed using SPSS 20.0 statistical analysis software.Results: In this study,a total of 71 patients,35 patients in the abdominal bridge group,2 patients fell off,including 33 cases;36 patients in the extension group,3 cases fell off,including 33 cases.1.Before treatment,the age,gender,treatment times,lumbar spine disease treatment scores(JOA)score,VAS score and other basic conditions were not statistically significant(P>0.05),which was comparable.2.Abdominal bridge group Lumbar disease treatment score(JOA): average score before treatment(13.24)<1 month after treatment(16.30)<3 months after treatment(20.64)<6 months after treatment The average score(22.76);intra-abdominal intra-abdominal comparison within 3 months,there was a statistical difference(P <0.05),with clinical significance,the treatment effect continued to improve,but 6 months and 3 months after treatment,improved efficacy statistics There was no difference(P>0.05).Treatment scores(JOA)for lumbar spine disorders in the extended group: average score before treatment(13.61)< average score 1 month after treatment(15.79)< average score 3 months after treatment(22.33)< average score 6 months after treatment(26.85);There was a statistical difference(P<0.05)in the stretching group,which had clinical significance and the treatment effect continued to improve.Comparison between groups: 2 groups of treatment within 3 months,all were in the extension group score > abdominal bridge group score,no difference in statistics(P> 0.05),no difference in the two groups;6 months after treatment,the two groups were compared,the stretching group The scores of the abdomen bridge group were statistically significant(P<0.05),and the extension group was superior to the abdominal bridge group.3.VAS score:The score of the extension group: average score before treatment(5.73)> average score of 1 month after treatment(4.58)> average score of 3 months after treatment(3.00)> average score of 6 months after treatment(1.00).The VAS scores of the extension group at each stage after treatment were significantly decreased,and P<0.05,which was statistically significant.Abdominal bridge group score: average score before treatment(5.64)> average score after 1 month of treatment(4.21)> average score of 3 months after treatment(2.70)> average score of 6 months after treatment(2.15).The VAS scores of the abdomen group were significantly decreased at each stage after treatment,and P<0.05,which was statistically significant.There was no significant difference in VAS scores between the 1 month and 3 months after treatment(P>0.05).The VAS score of the extension group was better than that of the abdominal group at 6 months after treatment,P<0.05,which was of clinical significance.4.The evaluation of clinical effective rate and efficacy index in the stretching group was better than that in the abdominal group,and P<0.05,which had clinical significance.Conclusion: First,the McKenzie therapy stretching action combined with electroacupuncture massage and abdominal bridge movement combined with electroacupuncture and massage can greatly alleviate the pain and functional symptoms of patients with lumbar disc herniation.Second,the long-term pain and functional symptoms of the patients with lumbar disc herniation in the McKenzie therapy extension group were better than those in the abdominal bridge exercise group.Third,the McKenzie therapy stretching group was superior to the abdominal bridge group in clinical recovery and efficacy index evaluation. |
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