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The Influence Of Lumbar Function To Prolapse Of Lumbar Intervertebral Disc Patients With Lumbar Guided Operation

Posted on:2012-02-14Degree:MasterType:Thesis
Country:ChinaCandidate:S H LiFull Text:PDF
GTID:2214330338460399Subject:Acupuncture and Massage
Abstract/Summary:PDF Full Text Request
Significance:Prolapse of lumbar intervertebral disc (LDH) refers to degenerative lumbar intervertebral disc, fiber ring fracture and herniated, lumbar spine biomechanics dysfunction, stable coefficient is reduced, the disorder of dynamic balance. Secondary oppression or stimulate the spinal cord, nerve root cause corresponding series, and the signs and symptoms. LDH common and frequently-occurring diseases that clinical and recurrence rate high, clinical modern studies indicate that the lumbar function is lower recurrence rate is the main cause of LDH high, while the traditional method in improving the waist functions, improve the function, and the operation is simple, effective. Is the treatment prolapse of lumbar intervertebral disc continued development of effective technology for the prevention and control of lumbar intervertebral disc hemiation has an important significance.Objective:Through the clinical randomized study, evaluation and VAS JOA scale objective quantitative lumbar guided operation improve lumbar intervertebral disc hemiation and rehabilitation of flank pain patients with the ability of living. And using the lumbar multi-function testing training system (Tergumed) recovery period of lumbar intervertebral disc hemiation patients, the detection of lumbar power function analysis and conventional technique of lumbar guided operation for lumbar muscle strength biggest influence of long contraction.Methods:Using clinical randomized controlled trials research design scheme that will satisfy diagnosis, into, eliminate the standard of 60 patients with lumbar intervertebral disc hemiation and rehabilitation patients were randomly divided into the treatment group and control group, each group of 30 cases respectively, the treatment group and control group by lumbar guidance exercise routine massage technique using textbooks. Efficacy evaluation methods: (1) visual simulation test table (VAS); (2) JOA rating scale; (3) Tergumed detector detection. Statistical analysis:(1) data collection, arrangement with Excel the establishment of database after SPSS13.0 statistical software package, using the statistical analysis, set P< 0.05 to have significant difference; (2) measurement material use (x and the mean and standard deviation, said s) by t-test comparison; (3) count material adopts a chi-square test comparisonResults:1. The two groups through treatment 1 VAS score found treatments and compared. Treatment group and control group compared with their respective before treatment all had significant effect (P< 0.05). The two groups after treating between groups VAS scores improve index compared the non-significance difference (P> 0.05).; Three months after its long-term follow-up phone follow-up VAS review group-two groups is compared between the curative effect of significantly (P< 0.05).2. The two groups through treatment 1 JOA score found treatments and compared. Treatment group and control group compared with their respective before treatment all had significant effect (P< 0.05). The two groups after treating between groups JOA scores improve index with significant difference (P< 0.05).3. Compare Tergumed detection proneness, extension, or so lateral flexion biggest strength found. Treatment group and control group compared with their respective before treatment all had significant effect (P< 0.05). The two groups after treating between groups to improve muscle strength index with significant difference (P< 0.05).Conclusion:1. A treatment ended, lumbar guided operation with conventional gimmick contrast improve lumbar intervertebral disc herniation and rehabilitation waist pain patients are obviously curative effect.2.3 months follow-up found before, lumbar guided operation rehabilitation pour lumbar intervertebral disc herniation waist pain patients with better therapeutic conventional technique controls.3. Lumbar guidance exercise in improving prolapse of lumbar intervertebral disc and rehabilitation of lumbar proneness, patients after about out, the biggest lateral flexion muscle strength is better than that of the conventional technique group.4. This study found that lumbar guided operation improve lumbar intervertebral disc herniation and rehabilitation patients with its superiority, lumbar function with simple, effective, cheap, the recurrence rate is low characteristic.
Keywords/Search Tags:Lumbar intervertebral disc herniation, Rehabilitation stage, Lumbar guided operation, Lumbar function
PDF Full Text Request
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