Clinical Observation Of Core Muscle Group Training Combined With Acupuncture And Moxibustion On Chronic Lumbar Muscle Strain

ObjectiveThe clinical efficacy of core muscle group training combined with acupuncture and moxibustion in the treatment of chronic psoas muscle strain was observed by randomized controlled experiment in order to objectively evaluate its clinical efficacy and safety.The characteristics and advantages of core muscle group training combined with acupuncture in the treatment of chronic psoas muscle strain were clarified to provide reliable evidence-based medical evidence for clinical application.MethodThe patients with lumbar muscle strain caused by chronic or long-term sports injury were selected and diagnosed in the acupuncture department of the second traditional Chinese Medicine Hospital of Guangdong Province.The patients were numbered according to the order of visits.Divided into joint group(core muscle group training acupuncture)and acupuncture group,each group 30 cases.In the combined group,the core muscle group was trained by bridge movement,side bridge movement and Feiyan type,and acupuncture points were taken:Shenshu,large intestine Yu,Ashi point and Wei Zhong point were the main points,acupuncture was used for treatment;acupuncture group only adopted the same acupuncture point for treatment.The degree of pain(VAS),the degree of dysfunction(ODI),the activity of lumbar vertebrae,the activity index of daily life(ADL),the endurance test of dorsal abdominal muscle,the score of clinical signs and the quantitative index of curative effect were observed and recorded before,after and after treatment.ResultsThe baseline analysis before treatment,of disease(gender,age,duration),VAS score,ODI,lumbar mobility,ADL,abdominal endurance,and clinical signs,showed no significant difference(P>0.05).1.VAS score comparison:after symbolic rank test,the comparison between the two groups was statistically significant(P<0.01),and the difference of VAS score between the two groups after treatment was statistically significant(P<0.01).Combined group and acupuncture group can significantly alleviate the pain of CLMS patients.2.ODI score comparison:after Wilcoxon symbolic rank test,the comparison between the two groups was statistically significant(P<0.01),and the difference of ODI score between the two groups after treatment was statistically significant(P<0.01).The results showed that the improvement of dysfunction in the combined group was better than that in the acupuncture group.3.Comparison of lumbar vertebrae activity score:after Wilcoxon symbolic rank test.the comparison between the two groups was statistically significant(P<0.01),and the difference of lumbar vertebrae activity score between the two groups after treatment was statistically significant(P<0.01).The results showed that the lumbar vertebrae activity of the two groups was improved,and the curative effect of the combined group was better than that of the control group.4.ADL score comparison:after Wilcoxon symbolic rank test,the two groups were statistically significant(P<0.01),and after Mann-Whitney U rank sum test,there was no significant difference in after treatment was not statistically significant(P>0.05).The results showed that both groups could improve the ability of daily life activities,but the curative effect of the two groups was not significant.5.Comparison of abdominal dorsal muscle endurance score:the results of abdominal muscle endurance score showed that the comparison between the two groups was statistically significant(P<0.01),and the Mann-Whitney U rank sum test.The difference of abdominal muscle endurance score between the two groups was statistically significant(P<0.01).The results of dorsal muscle endurance score showed that the comparison between the two groups was statistically significant(P<0.01)after Wilcoxon symbolic rank test,and the difference of dorsal muscle endurance score between the two groups was statistically significant(P<0.01).The results showed that the two groups had significant effect on the improvement of abdominal dorsal muscle endurance,and the combined group had more significant effect on abdominal dorsal muscle endurance.6.Clinical signs score comparison:after Wilcoxon sign rank test,the two groups were statistically significant(P<0.01),and after Mann-Whitney U rank sum test,the difference between the two groups before and after treatment was statistically significant(P<0.05).The results showed that the combined group improved the clinical signs of the patients better than the acupuncture group.7.Clinical efficacy comparison:after chi-square test,there was significant difference between the two groups(P<0.05).The results showed that the total effective rate of the combined group was greater than that of the acupuncture group,and the curative effect was better.Conclusions1.Core muscle group training combined with acupuncture and moxibustion treatment can better relieve lumbar pain,improve lumbar dysfunction,restore lumbar vertebrae activity,effectively improve its core muscle strength and abdominal dorsal muscle endurance,and improve the quality of life of patients.and the total effective rate was significantly higher than that of the conventional treatment group,2.Core muscle group training combined with acupuncture and moxibustion group has good clinical effect,no adverse reactions,high safety,simple operation and is worthy of clinical promotion.