The Clinical Observation Of Lumbar Dorsal And Abdominal Muscle Training In Patients With Lumbar Disc Herniation

Objective:To evaluate the clinical effect of back muscle and musculi abdominis exercise with basic treatment and low back muscle exercise with the basic treatment with basic treatment clinical effect on the treatment of lumbar disc herniation.Method:70 patients visited to the XiaMen hospital of traditional Chinese medicine from January 2015 to October 2015, diagnosed as lumbar disc herniation, signed the "informed consent", and meet the inclusion criteria were selected as the research object. The patients were divided into control group and observation group by random grouping and non blind control method, and each group had 35 patients respectively. The control group adopted the basic treatment with lumbar back muscle functional exercise, and the observation group used basic treatment with the waist muscle functional exercise. The clinical syptoms of the two groups at the second and the sixth week before and after treatment were observed and recorded, and the pain scores (visual analogue scales, VAS), low back pain scores (Japanese Orthopaedic Association Scores, JOA) and angle of side straight leg raising were recorded respectively. Eventually, the clinical comprehensive therapeutic effect had been evaluated.Result:1 General information:There was no significant difference between the two groups in the basic clinical data such as gender, age and course of disease (P>0.05).2 Comparison of VAS scores between two groups before and after treatment:There was no significant difference in the scores of the two groups before treatment (P>0.05). In the two groups after treatment, the scores were decreased compared to that before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in the scores of the two groups after 2 weeks treatment (P>0.05); But after 6 weeks of treatment, the scores of the two groups were statistically significant (P<0.05), which indicated that after 6 weeks of treatment, the observation group in improving LDH patients with lumbocrural pain was better than the control group.3 Comparison of JOA scores between two groups before and after treatment:There was no significant difference in the scores of the two groups before treatment (P>0.05). After treatment, the scores of the two groups were improved compared to that before treatment and the difference was statistically significant (P<0.05). After 2 weeks of treatment, there was a significant difference between the two groups (P<0.05), and after 6 weeks of treatment, there was also significant difference between the two groups (P<0.05). After 2 weeks and 6 weeks of treatment, the observation group was superior to the control group in improving the JOA scores of the patients with LDH.4 The comparison of two groups of cases in the angle of the front and back straight leg raising before and after treatment:There was no significant difference in the angle between the two groups before treatment (P>0.05). After treatment, the angle of the two groups was improved compared to that before treatment, the difference was statistically significant (P<0.05). After 2 weeks of treatment, there were statistically significant differences in the angle between the two groups (P<0.05), and after 6 weeks of treatment, there were also statistically significant differences in the angle between the two groups (P<0.05), which indicated that after 2 and 6 weeks of treatment, the observation group was superior to the control group in improving the angle of the straight leg raising.5 Comparison of clinical therapeutic effects of two groups of patients before and after treatment:After 2 weeks of treatment, the clinical efficacy of the two groups were compared, and the difference was statistically significant (P<0.05). The total efficiency of the treatment of LDH of the control group and the observation group were 29.03% and 60.61%, respectively, and the difference was statistically significant (P<0.05). The total effective rate of the treatment of LDH of the control group and the observation group were 80.65% and 90.91%, respectively, and the difference was not statistically significant (P>0.05). After 6 weeks of treatment, the clinical efficacy of the two groups were compared, and the difference was statistically significant (P<0.05). The total efficiency of the treatment of LDH of the control group and the observation group were 54.84% and 81.82%, respectively, and the difference was statistically significant (P<0.05). But the total effective rate of the treatment of LDH of tthe control group and the observation group were 93.33% and 96.97%, respectively, and the difference was not statistically significant (P>0.05), which indicated that the total efficiency of the observation group in the treatment of LDH patients was higher than that of the control group.Conclution:Back muscle and musculi abdominis exercise with basic treatment (acupuncture, physical therapy and cupping) in improving lumbar intervertebral disc herniation of lumbar and leg pain, activities of daily living (ADL) is obviously better than that of back muscle function exercise with basic treatment, which is worthy of clinical further research.