Clinical Study Of Continuous Self-Weight Traction Coupled With Lumbar Spanner In The Treatment Of Acute Lumbar Sprain

Background: The traditional Chinese medicine "lumbar sitting rotation" manipulation in the treatment of acute lumbar sprain has been widely used in clinical practice,and the effect is significant.However,due to the great difference in manual pulling effort,traction weight,and the lack of persistence of traction,the clinical treatment is limited.Based on the above defects,in the early stage of this study,an adjustable self-weight traction lumbar reduction device(patent number: ZL 202011548621.5)was developed,which can make continuous self-weight traction and lumbar rotation manipulation form a coupling mechanism,which is conducive to the lumbar rotation treatment on the basis of continuous quantitative self-weight traction.Objective: To evaluate the efficacy and safety of continuous self-weight traction coupled with lumbar spanner in the treatment of acute lumbar sprain through clinical research,and to explore the coupling mechanism of continuous self-weight traction and lumbar spanner manipulation,so as to provide theoretical basis for its clinical application.Method: A total of 80 patients with acute lumbar sprain from the orthopedic outpatient department and inpatient Department of the Affiliated Hospital of Gansu University of Traditional Chinese Medicine from January 2021 to June 2022 who met the diagnostic criteria and included criteria were collected and assigned to the treatment group and control group by random grouping method in a ratio of 1:1,with 40 patients in each group,a total of 36 females and 44 males.The mean age of the treatment group was 38.53±10.78 years,and that of the control group was 38.63±10.91 years.The treatment group adopted the adjustable self-weight traction lumbar reduction device(patent No.: ZL 202011548621.5)was treated with continuous self-weight traction coupled with lumbar spanner rotation method,while the control group was treated with traditional Chinese medicine "lumbar sitting rotation" manipulation.Follow-up was conducted 2 weeks later after 2 treatments in both groups.VAS visual analog score,JOA low back pain score,ODI score and ROM score of lumbar motion were recorded before and after treatment.Results: There were no significant differences in age,gender and course of disease between the two groups.Visual analogue score of VAS pain,JOA low back pain score,ODI score and ROM score before treatment(P>0.05).After the first treatment,VAS score decreased,JOA score increased,ODI score decreased and ROM score decreased in both groups.After the second treatment,the score was further improved compared with the first treatment,with statistical significance(P<0.05),suggesting that the two groups of treatment can improve clinical symptoms,improve the quality of daily life,with good effects.With the delay of treatment time,the curative effect was further improved.VAS visual simulation score,JOA low back pain score,ODI score and ROM score of lumbar motion score of the treatment group after the first and second treatment were better than those of the control group(P<0.05),indicating that the clinical effect of continuous gravity traction coupled with lumbar spanner was better than that of the traditional Chinese medicine "lumbar sitting rotation" manipulation group.According to the curative effect evaluation criteria and index scores in the Diagnosis and Curative Effect Criteria of TCM Diseases and Syndromes,the comprehensive evaluation and analysis are concluded: In the treatment group,12 cases were cured,improved,2 cases were not cured,26 cases were not cured,2 cases were 92.5%,and in the control group,10 cases were cured,25 cases were cured,5 cases were not cured,the total effective rate was87.5%,with significant difference(P<0.05),indicating that the curative effect of the treatment group was better than that of the control group.None of the 80 patients had any safety incident or adverse reaction during treatment.Conclusion: Continuous self-weight traction coupled with lumbar spanner and traditional Chinese medicine "lumbar sitting rotation" manipulation in the treatment of acute lumbar sprain have good therapeutic effects,can significantly improve the lumbago and lumbar functional activities.At the same time,continuous self-weight traction coupled with lumbar spanner method can quantify traction weight in a continuous state in the treatment,make up for the traditional Chinese medicine "lumbar sitting rotation" manual traction size is not balanced,traction time is not sustainable defects,can effectively relieve the pain symptoms of patients,achieve the purpose of clinical treatment,worthy of clinical promotion.