Effect Of Traditional Chinese Manipulation Combined With Extension Guidance On SEMG Of Erector Spinae For Patients In LDH Restoration Stage

ObjectiveThe purpose of this study is to observe the clinical efficacy of tendon-soothing maneuver with postoperative extension guidance in patients with LDH convalescence.The parameters of the Oswestry disability index score and surface EMG,to investigate the mechanism on tendon-soothing maneuver with postoperative extension guidance to improve the spinal muscle function,to provide effective treatment methods and exercise methods for reducing the recurrence rate of LDH convalescent patients.MethodsThe 30 patients who met the inclusion criteria and staging criteria were randomly divided into two groups,namely observation group and control group.The treatment group was treated with the combination of the rib method and the extension guide.The control group was treated with simple method.Two groups of patients were evaluated by ODI for 3 months before treatment,after treatment,and 3 months after treatment(by telephone follow-up).The surface electromyography of the lumbar spine muscle was measured by Biering-Sorensen testing(BST).The Finland ME6000-T8 electromyography system was used to test the sEMG signals of the two groups before and after the treatment,including two indexes of the average electromyography value(AEMG)and the median frequency slope(MFs).In the process of culling and shedding,patients who could not be treated or required to withdraw from the middle of the study(this study did not eliminate and fall off).The whole research process was completed by 3 people: fixed person massage manipulation and guidance treatment group patients’ extension guidance exercise method,fixed person operation surface electromyography instrument,fixed person data analysis and curative effect evaluation.Results1.wo groups of patients before and after treatment comparison: the contralateral lumbar spinal muscular AEMG were increased,MFs absolute value decreases in the observation group,MFs absolute value in the control group increases,but both are not obvious,and there was no significant difference There was a significant decrease in the absolute value of MFs in both the patients with the lateral lumbar spine,and there was a significant difference(P < 0.05).Compared between groups,there was no significant difference in the absolute value of AEMG and MFs in the two groups of patients with healthy side lumbar spine muscle(P > 0.05).The patients in the observation group were significantly increased in the lateral lumbar spine muscle AEMG compared with the control group,and the absolute value of MFs was significantly decreased compared with that in the control group,with significant difference(P < 0.05).2.Two groups of patients make an comparison before and after treatment,the ODI score were decreased,there was significant difference(P < 0.05);long term effect of telephone follow-up after 3 months,the ODI scores of the two groups were decreased,the observation group decreased significantly(P < 0.05),there was significant difference,in the control group no obvious decline(P > 0.05),there was no significant difference.After treatment,there was a significant difference in the ODI scores between the two groups(P < 0.05).The long-term effect was observed by telephone follow-up after 3 months.The ODI score in the observation group was significantly lower than that in the control group(P < 0.05).Conclusion1.In the ODI score,the combination of tendon manipulation and extension guidance is better than the simple manipulation therapy.2.After the 2 course of treatment,the combination of tendon manipulation and extension guidance in the improvement of the function of the lumbar spine muscle(AEMG,MFs)were superior to those in the simple muscle manipulation group.3.After 3 months of telephone follow-up,the ODI score and the number of recurrence rates,it was found that the curative effect was significant and the recurrence rate was low.4.In the recovery phase of LDH,tendon manipulation combined with traction guidance can enhance the muscle strength and stamina of the vertical muscle,relieve fatigue and reduce the recurrence rate,which is better than the simple tendon manipulation.