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Clinical Evaluation And Mechanical Study Of Low Back Pain With Auricular Therapy

Posted on:2011-09-22Degree:DoctorType:Dissertation
Country:ChinaCandidate:H Y LuoFull Text:PDF
GTID:1114360308472417Subject:Health rehabilitation science
Abstract/Summary:PDF Full Text Request
Low back pain is a common clinical syndrome. Seriously interfered with people's work and life. Non-surgical treatment is the most commonly used treatment. How to existing treatment methods and technology for objective evaluation. In order to always evaluate only a single factor. Evaluation of clinical results, however, involve a variety of indicators. If the effect of low back pain can be treated based on pain in the lumbar activity, sciatica and many other indicators for evaluation. Single-factor indices from different perspectives reflect the therapeutic effect. The comprehensive evaluation is the number of indicators used mathematical methods to develop an appropriate evaluation model in order to get a variety of treatment effect overall impression or integrated assessment.Objective:Using a comprehensive evaluation method. Comparison of ear pressure pills and conventional treatment of the efficacy of low back pain. Methods:150 cases of low back pain patients (both "reduce the shift syndrome"), the use of ear pressure pill Treating 50 cases,50 cases of the use of conventional physical therapy,50 cases with combined treatment. Treatment before and after treatment each day using the "visual analog scale" VAS) pain score obtained, and the activity of the lumbar spine, sciatica indicators, seven days,3weeks and half year after the effective treatment of a comparative analysis, and to compare the clinical effects sub-index comprehensive evaluation model based on the introduction of the three groups to conduct a comprehensive analysis of treatment effect. Results:Before treatment, combined treatment pain score (6.91+1.825), ear pressure pill Law Group VAS pain score (6.68±1.483) and conventional physical treatment group score (6.6±1.669) between the three groups, there was no significant difference P> 0.05, by 7 days of treatment, After the days of combines treatment VAS pain scores is lower than ear pressure pill Law Group VAS pain scores and were lower than those of conventional therapy (P all<0.05), indicating that combind therapy group and ear pressure pill Law Group better effect. In the lumbar flexion and extension function and sciatica after the improvement, the ear pressure pill France group also significantly better than conventional therapy group (P all<0.01). Composite index evaluation method using a comprehensive analysis. Pre-treatment groups showed no significant difference (, P> 0.05); treatment five days after the three groups was statistically significant (P<0.001). Composite Index combines add ear pressure method group was better than the average level of conventional treatment group and ear pressure group along. Conclusion:Treating with Ear Pressure mechanical lumbar pain and results are obvious and quick results.Visual observation of the body sagittal bending and stretching activities are an indicator of the clinical evaluation of low back pain. However, the simple visual inspection can not be related to muscle movement and the hip and spine, a precise evaluation of the interaction.In the sagittal plane in patients with low back pain when bending and stretching the hip and spine showed interaction (also known as the waist-pelvic rhythm). Adjacent lumbar muscle EMG show that patients with low back pain in patients with and without low back pain, muscle movement are different. But rarely the same time, evaluation of the hip extensor EMG activities, such as the gluteus maximus and biceps femoris activity. Because lumbar bone structures, ligaments and thoracolumbar fascia together form a complete system, this system allows the waist and pelvis in the sagittal trunk bend and stretch when the load rotation. Evaluation of sagittal trunk bend and stretch, the lumbar vertebrae adjacent muscles, the gluteus maximus and biceps femoris of the mutual relations. In addition, the control of chronic low back pain in patients with and without low back pain were different, the evaluation of chronic low back pain in patients with active MTrPs that cause LBP are usually activated as a consequence of other etiological lesions. Therefore, it is important to determine and treat the underlying pathological lesions in order to avoid recurrence of myofascial LBP. If the underlying pathological lesion is unable to be identified and the pain in MTrPs is very severe, we may still have to suppress the active MTrP for pain control. To inactivate MTrPs, need more further study to support.
Keywords/Search Tags:Auricular Therapy, Back Pain, Efficacy Assessment, Mechanism
PDF Full Text Request
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