| Objective:To observe the effect of Sling-Exercise-Therapy and extracorporeal shock wave on the treatment of lumbar back myofascitis,so as to provide a new rehabilitation program for the treatment of lumbar back myofascitis,and provide a theoretical basis for the effect of main exercise combined with physical therapy.Methods:60 patients aged 40-50 years with lumbar back myofascitis were randomly divided into three groups: shock wave group(group A,20 persons),Sling-Exercise-Therapy group(group B,20 persons)and combination group(group A + B,20 persons).Group a only received shock wave therapy,once a week,for 6 weeks.Group B only received Sling-Exercise-Therapy,3 times a week,for 6 weeks.A + B group was given Sling-Exercise-Therapy with shock wave,and the frequency was the same as a and B groups.VAS pain rating scale was used to evaluate the pain feeling,cure rate and pain degree during each shock wave treatment;SF-36 health survey scale was used to evaluate the change of quality of life;Oswestry lumbar dysfunction questionnaire was used to evaluate the lumbar dysfunction;ROM was used to evaluate the lumbar function of patients;infrared thermography was used to evaluate the changes of life quality Two months later,the three groups were followed up to evaluate the pain improvement and cure rate with VAS score.Each test is performed by a fixed tester.The test data adopts SPSS19.0 statistical software for statistical analysis and treatment.The differences of related indexes before and after the intervention in the three groups were mainly compared by multiple repeated measures analysis of variance,generalized estimation equation.The difference is P <0.05,and the difference is very significant.The level is P <0.01.Results:(1)Pain assessment before and after the intervention and each shock wave treatment:(1)compared with before the intervention,vas of the three groups after 3weeks of intervention The VAS scores of group A and group A + B were significantly lower than those of group B(P < 0.01);After 6 weeks,the difference between the three groups did not have statistical significance(P > 0.05),but group A + B showed a more significant trend of reduction.(2)The vas values of group A and group A + B showed a downward trend with the extension of the intervention process,The VAS difference between the two groups in the treatment is not statistically significant(P >0.05).(2)Evaluation of quality of life before and after intervention: compared with before intervention,the scores of physiological function(PF),physiological function(RP),physical pain(BP),general health(GH),energy(VT),mental health(MH),social function(SF)and emotional function(RE)in three groups were significantly increased after 6 weeks of intervention(P < 0.01);the scores of physiological function in group A were significantly increased after 3 weeks and 6 weeks of intervention(P <0.01)The scores of physical function(PF),physical function(RP)and physical pain(BP)in group A + B were significantly higher than those in group B(P < 0.01);the scores of physical function(PF)in group A + B were significantly higher than those in group A(P < 0.05);the scores of physical function(PF),physical function(RP)and physical pain(BP)in group A + B were significantly higher than those in group B(P< 0.01);after 6 weeks,the scores of physical pain(BP)in group A + B were significantly higher than those in group B Compared with the control group,it was significantly increased(P < 0.05).(3)Assessment of dysfunction before and after intervention: Compared with the intervention,the Oswestry rating of the three groups was significantly reduced after 3weeks of intervention,which has a significant difference(P <0.01);after 3 weeks of intervention,Oswestry scores of group A and group A + B were significantly decreased compared with group B(P < 0.01);After 6 weeks,the score of the A + B group was significantly reduced compared to other two groups,with very significant difference(P <0.01),the score difference between group A and B did not have statistical significance(P> 0.05).(4)ROM evaluation before and after intervention: compared with before intervention,ROM of lumbar extension,left flexion,right flexion,left rotation and right rotation increased in group A after 3 weeks of intervention(P < 0.05,P < 0.01,P< 0.01,P < 0.01,P < 0.01);ROM of lumbar flexion increased in group B and group A+ B(P < 0.05,P < 0.01);ROM of lumbar extension,left flexion,right flexion,left rotation and right rotation increased in group A + B(P < 0.01),In group B,ROM of left and right flexion and left and right rotation increased(P < 0.01);compared with before intervention,ROM of left and right flexion and left and right rotation increased in three groups after 6 weeks(P < 0.01);ROM of anteflexion and extension increased in group A and group B(P < 0.01);ROM of anteflexion and extension increased in group A + B(P < 0.01);compared with 3 weeks after intervention,ROM of right flexion and right rotation increased in group A after 6 weeks(P < 0.01),ROM of left and right flexion increased in group B(P < 0.01),and ROM of extension,left and right flexion increased in group A + B(P < 0.01).(5)Evaluation of temperature changes of pain parts before and after the intervention: Compared with the intervention,it is 3 weeks after intervention,The infrared thermography scores of the three groups were improved,with a very significant difference(P < 0.01)After 3 weeks,the temperature of infrared thermo-graphy in group A and group A + B was significantly higher than that in group B(P <0.05);Compared with the A + B group,the A group is not statistically significant(P>0.05);After 6 weeks,the A group compared to the B group,there was no statistical significance(P> 0.05),and the temperature of infrared thermography in group A + B was significantly higher than that in other two groups(P < 0.05).Conclusions:(1)6 weeks Sling-Exercise-Therapy combined with extracorporeal shock wave therapy is superior to shock wave therapy and Sling-Exercise-Therapy in improving the pain,quality of life,dysfunction and range of motion of patients with lumbar back myofascitis.(2)Shock wave therapy is superior to Sling-Exercise-Therapy in the improvement of pain and cure rate in a short time.(3)Sling-Exercise-Therapy is superior to shock wave therapy in long-term treatment and maintenance. |
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