A Clinical Study Of Tongyuan Tui Therapy In Treating Chronic Lumbar Muscle Strain

BackgroundChronic lumbar muscle strain is a common and frequently-occurring disease in clinical practice.It is characterized by a long course of disease,lingering difficulty in recovery and recurrent symptoms.In recent years,the incidence rate of chronic lumbar muscle strain has increased year by year and is getting younger and younger.Many people often give up treatment because they cannot be completely cured,or develop into other more serious diseases or even disabilities due to improper treatment.This has brought great pain and economic burden to patients,families and society.Therefore,it is an urgent problem to study and explore a treatment method with high cure rate and good long-term curative effect in acupuncture and TUINA clinic.Tongyuan therapy is a short name for the academic thought of "Tongduyangshen-yinqiguiyuan".It is a summary of professor Lai Xinsheng’s clinical experience of more than 40 years and has the characteristics of wide application,practical standardization and remarkable curative effect.Professor Wang Jihong is the successor of professor Lai Xinsheng’ s academic experience.In the process of treating chronic diseases,he found that the application of Tongyuan therapy theory to guide TUINA therapy can greatly shorten the course of disease,reduce the recurrence rate,improve the cure rate,and improve the patient’s treatment compliance.For this reason,teacher Wang combined the theory of "Tongyuan therapy" with TUINA technique and created a set of external therapy with definite curative effect,which was named Tongyuan Tui Therapy.ObjectiveThrough observing the clinical effect of Tongyuan Tui Therapy in treating chronic lumbar muscle strain,the mechanism of Tongyuan Tui Therapy in treating chronic lumbar muscle strain is preliminarily discussed,and the curative effect is compared with that of conventional TUINA treatment,highlighting the advantages of Tongyuan Tui Therapy in the treatment concept and curative effect,thus providing better curative effect and better long-term curative effect for chronic lumbar muscle strain.MethodsIn this project,60 patients with chronic lumbar muscle strain who meet the design of this research plan were randomly divided into two groups.The treatment group was treated by Tongyuan Tui Therapy and the control group was treated by conventional TUINA manipulation,30 patients in each group,each time for about 25 minutes.The treatment was performed once every other day,and 3 times were a course of treatment,totally two courses of treatment.The changes of the quantitative scores of the two groups of patients before and after treatment were recorded respectively,and the patients were followed up for 1 month and 3 months after treatment.Relevant data were analyzed by statistical methods to observe the clinical effect of Tongyuan Tui Therapy on chronic lumbar muscle strain.ResultsBaseline analysis of general data:Comparing the general data of the two groups of patients before treatment,the results show that there is no significant difference in gender,age,course of disease,VAS score,ODI score and lumbar muscle strain symptom score(P>0.05).the baseline data of the two groups of patients before treatment are balanced and comparable.The curative effect analysis:After the first course of treatment,both the treatment group and the control group have effects on chronic lumbar muscle strain,and the therapeutic level of the two groups is equivalent(P>0.05);After the second course of treatment,the obvious cure rate of the treatment group is 90%,the total effective rate is 96.7%,the obvious cure rate of the control group is 60%,the total effective rate is 90%,the curative effect of the control group was not as good as that of the treatment group(P<0.05)During the one-month follow-up after treatment,the degree of improvement of the patients in the treatment group was equivalent to that at the end of treatment(P>0.05),while the degree of improvement in the control group was significantly lower than that at the end of treatment(P<0.01).During the 3-month follow-up after treatment,the degree of improvement of the patients in the treatment group is equivalent to the curative effect of 1 month after treatment(P>0.05).The degree of improvement of the patients in the control group is further decreased than that of 1 month after treatment(P<0.01).The effective rate and recurrence of the treatment group are obviously better than those in the control group(P<0.01),where in the cure rate of the treatment group is 46.7%,the total effective rate is 93.3%,the recurrence rate is 3.33%,the cure rate of the control group is 6.67%,the total effective rate is 66.7%,and the recurrence rate is 23.3%.ConclusionTongyuan Tui Therapy and conventional TUINA can effectively treat chronic lumbar muscle strain,and the short-term therapeutic effect and onset speed of the two methods are equivalent.However,the application of Tongyuan Tui Therapy is more effective,more lasting and lower in recurrence rate than conventional massage therapy.Tongyuan Tui Therapy has more exact overall effect and long-term effect on the treatment of chronic lumbar muscle strain,which can significantly improve the quality of life of patients and is worthy of clinical application and promotion.