Gait Analysis Was Performed Before And After The Treatment Of Special Massage In Patients With Lumbar Intervertebral Disc Herniation

Objective:This study analyzed the gait changes before and after treatment of patients with lumbar disc herniation with leg radiating pain treated by "White Tiger Lock" therapy and deep muscle stimulation(DMS)therapy through a three-dimensional gait instrument.To discuss the mechanism of the treatment of lumbar disc herniation with lumbar disc herniation by preliminarily exploring the mechanism of “Bai Husuo” therapy;to formulate a scientific,standard,and preliminary set of time-distance parameters and lower-limb joint motion parameters transmitted by the three-dimensional gait and gait analysis systems.Quantitative and overall functional evaluation criteria for lumbar disc herniation.Methods:From June 1,2016 to May 31,2017 in the First Clinical Hospital of Hubei University of Traditional Chinese Medicine(Huayuanshan District,Hubei Provincial Hospital)patients in the department of massage/rehabilitation medicine/pain clinic,Through recruitment,a total of 156 patients met the diagnostic criteria and inclusion criteria of this study,84 patients were excluded(76 patients did not consent to participate,and 8 patients were later rejected),12 patients were detached(without completing 1 course of treatment),and finally participated.A total of 60 trials were completed.According to the random number table of medical statistics,30 patients were randomly divided into treatment group and control group.Patients in the treatment group were treated with “White Tiger Lock” therapy to treat the iliopsoas and adductor muscles(sartorius,adductor,gracilis,semitendinosus,and semimembranosus).Patients in the control group used deep Muscle stimulator(DMS)method for stimulating the trigger points of the iliopsoas and adductor muscles(sartorius,adductor,gracilis,semitendinosus,and semitendinary muscles)of all participants daily Treatment once,continuous treatment for five days as a course of treatment.The Visual Analogue Scale(VAS),Oswestry Disability Index(ODI),and Gait Analysis System were used in both groups before and after the treatment.Among them,the main observation index 1 time-distance parameters(step length,pace,step frequency,pace,gait cycle time,support phase,swing phase)2 lower limb joint kinematic parameters(hip flexion angle,knee flexion angle And the angle of the ankle joint).Summarize the statistical data,input all the data into the EXCEL table,establish a database,and perform statistical processing through the SPSS22.0 statistical software.Result:1.The overall curative effect comparison: The total effective rate in the treatment group was 96.67%,and the total effective rate in the control group was 83.33.The total effective rate of the two groups after treatment was compared,P=0.027<0.05,the difference between the groups was statistically significant.2.Baseline data: Before treatment,statistics were made on the general demographic data such as age,gender,disease duration,education level,treatment history,and whether or not they were living alone.Comparisons of variance analysis and chi-square test were used to obtain two groups of patients.There was no significant difference between the basic data(P>0.05),indicating that the baseline levels of the two groups of patients before treatment were consistent and comparable.3.Paired sample T test showed that there was no significant difference between the two groups in the VAS score and ODI score before treatment.After treatment,ODI scores(12.83±1.12)in the treatment group were significantly lower than those in the control group(17.37±1.83)(P<0.05);VAS scores in the treatment group(3.53±0.51)were significantly lower than those in the control group.(4.77±0.73),there was significant difference between groups(P<0.05).4.Three-dimensional gait analysis:(1)Before treatment,the lower limb parameters of the affected side of the two groups were compared between groups and the parameters of the contralateral lower limbs were compared between groups.There was no significant difference in time-distance parameters and joint kinematics parameters of the lower limbs between the two groups,P>0.05.(2)Time-distance parameters: After the course of treatment,the pace,pace,gait cycle,limb length,limb support phase,and limb swing phase of the treatment group were all significantly higher/faster than the control group.P< 0.05,there was a statistically significant difference between the groups;there was no significant change in the pace of the affected side,P=0.186>0.05.(3)Lower extremity joint kinematic parameters: Compared with the control group,the values of hip flexion angle,knee flexion angle,and sacroiliac joint flexion angle of the affected limb in the treatment group were statistically significant(P<0.05).Conclusion:1.For lumbar disc herniation radiating pain in the lower extremities by taking different stimulation methods,open white tiger lock therapy and DMS stimulation trigger point therapy have achieved good clinical efficacy.The open white tiger lock therapy was superior to the DMS stimulation trigger point in improving the VAS pain score and ODI dysfunction score;in improving the patient’s gait,the open white tiger lock therapy improved the gait ability of the affected limb better than the control group..2.Different methods of operation stimulate the same muscles but produce different clinical effects;it may be related to the special nature of “white tiger lock” therapy to stimulate meridian or manipulation of traditional Chinese medicine.3.The combination of three-dimensional gait parameters and rating scales combined subjectively and objectively,and initially formulated scientific,standardized,quantitative and overall functional evaluation criteria for patients with lumbar disc herniation.