摘要
目的:观察双侧腹外斜肌弹拨旋腰法治疗腰椎小关节紊乱症的临床疗效。方法:将96例腰椎小关节紊乱症患者随机分为治疗组和对照组各48例,治疗组给予双侧腹外斜肌弹拨旋腰法治疗,对照组则给予常规腰椎斜扳法治疗,采用JOA评分评定两组临床疗效。结果:96例患者均获随访,随访时间为1~3个月;治疗组主观症状、临床体征、日常活动、总分等JOA评分改善程度均显著优于对照组(P<0.05),治疗组临床疗效显著优于对照组(P<0.05)。结论:双侧腹肌弹拨旋腰法治疗可快速解除腰椎小关节紊乱症滑膜的嵌夹、挤压,自主纠正腰椎小关节解剖关系,迅速缓解临床症状和改善腰部功能,操作简单安全,可推荐作为治疗腰椎小关节紊乱症的有效方法在临床应用。
Objective： To observe the efficacy of plucked spin waist method at both side of external oblique muscle of abdomen for lumbar vertebral facet joint disorder. Methods： 96 cases of patients with lumbar vertebral facet joint disorder were randomly divided into treatment group （48 cases） and control group （48 cases）, the treatment group treated by plucked spin waist method at both side of external oblique muscle of abdomen, while control group by conventional lumbar oblique-pulling method, evaluated the efficacy of the two groups with JOA scores. Results： 96 cases of patients were followed up for 1-3 months; the improvements of subjective symptoms, clinical signs, daily activities and total score which were included in JOA scores of treatment group were significantly better than those of control group （P〈0.05）, the efficacy of treatment was significantly better than that of control group （P〈0.05）. Conclusion： Plucked spin waist method at both side of external oblique muscle of abdomen can quickly relieve the synovial incarceration and extrusion of lumbar vertebral facet joint disorder, autonomously correct the anatomical relationship of lumbar facet joints, rapidly relieve the clinical symptoms and improve the waist function, and its simple operation and safety make it can be recommended as the effec- tive therapy for lumbar vertebral facet joint disorder in clinical practice.
出处
《按摩与康复医学》
2017年第11期27-29,共3页
Chinese Manipulation and Rehabilitation Medicine
关键词
腰椎小关节紊乱症
腹外斜肌弹拨旋腰法
腰椎斜扳法
JOA评分
疗效
lumbar vertebral facet joint disorder
plucked spin waist method at both side of extemal oblique muscle of abdomen
lumbaroblique-pulling
JOA scores
efficacy
