Based On The Idea Of "harmony Of Meridians And Tendons", The Clinical Efficacy Of "tension Balance Acupuncture" In Treating LDH Patients And Its Effect On The Biomechanical Effects Of Core Muscles Were Explored

Objective:Lumbar dynamic / static force imbalance is an important pathological link in the pathogenesis of lumbar disc herniation(LDH),which is consistent with the description of "meridian tendon imbalance" in traditional Chinese medicine.Taking LDH as the observation object and under the guidance of "Jingjin Heheng",this study observed the clinical efficacy of tension balance acupuncture in the treatment of LDH and the change of biomechanical effect of core muscle group,discussed the biomechanical effect of coordinating core muscle group balance on LDH,and provided a scientific basis for the clinical evaluation system of traditional Chinese medicine acupuncture and moxibustion.Method:100 LDH subjects were divided into observation group(51 cases)and control group(49 cases).The observation group was treated with "tension balance acupuncture" and the control group was treated with ordinary acupuncture.The treatment time of both groups was one course of treatment(10 times).The clinical efficacy and biomechanical effect of the two groups were compared before and after treatment to observe the improvement of the clinical efficacy of "tension balance acupuncture" on pain,dysfunction,negative emotion,core muscle recruitment and endurance,posterior muscle chain tension and posture symmetry in patients with LDH,so as to comprehensively evaluate its clinical efficacy and biomechanical effect.Result:1.Compared with the control group,the scores of vas and ODI in the follow-up period(2 weeks and 4 weeks)between the two groups were statistically significant(P <0.05).Compared with the baseline period,the differences between the two groups after treatment were statistically significant(P< 0.05);It is suggested that both groups can improve the pain and dysfunction of LDH,and the long-term treatment is more stable in the "tension balance acupuncture" group.2.Compared with the control group,there was no significant difference in the general hospital anxiety / depression scale between the two groups(P > 0.05).Compared with the baseline period,there was significant difference between the two groups after treatment(P< 0.05);It is suggested that both groups can improve the negative emotions such as anxiety and depression of LDH,and there is no significant difference between the two groups in improving the negative emotions of LDH patients.3.Compared with the control group,the difference of endurance scores of lumbar flexor and extensor groups between the two groups during the follow-up period(2 weeks and 4 weeks)was statistically significant(P < 0.05).Compared with the baseline period,the difference between the two groups after treatment was statistically significant(P <0.05);It is suggested that both groups can improve the endurance of lumbar flexion and extensor muscles of LDH,and the long-term effect of "tension balance acupuncture" group is more stable.4.Compared with the control group,the RMS values of the key muscles of trunk muscles in the two groups were statistically significant in the treatment period and follow-up period(P < 0.05).Compared with the baseline period,the differences between the two groups after treatment were statistically significant(P < 0.05);It is suggested that both groups can improve the muscle contractility of key trunk muscles in patients with LDH,and the "tension balance acupuncture" group has more advantages in improving the muscle contractility of key trunk muscles in patients with LDH.5.Compared with the control group,the MF values of erector spinalis and rectus abdominis in patients with LDH were statistically significant(P< 0.05).Compared with the baseline period,the MF values of the three groups were statistically significant(P <0.05);It is suggested that both groups can improve the anti fatigue ability of key muscles of trunk muscles in patients with LDH,and the "tension balance acupuncture" group has more advantages in improving the anti fatigue ability of rectus abdominis and erector spinalis muscles in patients with LDH;6.Compared with the control group,there was no significant difference in posterior muscle chain angle and muscle tension between the two groups(P > 0.05);Compared with the baseline period,there was significant difference between the two groups after treatment(P< 0.05);It is suggested that both groups can improve the posterior muscle chain angle and muscle tension in patients with LDH,and there is no significant difference between the two groups.7.Compared with the control group,the difference of overall and waist posture symmetry between the two groups at 10 days of treatment and follow-up period(2weeks and 4 weeks)was statistically significant(P < 0.05).Compared with the baseline period,the difference between the two groups after treatment was statistically significant(P< 0.05);It is suggested that both groups can improve the overall and lumbar posture symmetry of LDH,and the long-term effect of "tension balance acupuncture" group is more stable.Conclusion:1."Tension balance acupuncture" can effectively improve clinical symptoms and negative emotions such as pain and dysfunction in patients with LDH,and the curative effect is stable during the follow-up period.2."Tension balance acupuncture" can balance meridians and tendons by improving the endurance and recruitment degree of core muscle group,adjusting the angle of back surface muscle chain,muscle tension and posture symmetry,which may be the effective way of this acupuncture in the treatment of LDH.