Efficacy Analysis Of Trunk Muscle Strength Testing And Training In The Rehabilitation Of Lumbar Disc Herniation

Objective:To observe and analyze the strength changes of lumbar dorsal and abdominal muscle and improvement of symptoms in the rehabilitation of lumbar disc herniation with additional trunk muscle strength training, in order to discuss the clinical value of lumbar dorsal and abdominal muscle quantitative isometric contraction training in the rehabilitation of lumbar disc herniation.Methods:According to the case inclusion criteria, we select 120 cases of p-atients with lumbar disc herniation. All patients is divided into two g-roups by random number table method (training group and control gr-oup).Two groups both accept routine rehabilitation therapy which incl-udes transcutaneous electrical nerve stimulation (TENS), microwave an-d lumbar traction. Two weeks later, the training group uses the trunk muscle strength testing and training system (GT-350) for muscle quant-itative isometric contraction training on the basis of routine rehabilitat-ion therapy, the course of treatment is 4 weeks. At the same time, the control group continues routine rehabilitation therapy for 4 weeks. B-oth groups measure the average of peak value of lumbar muscle’s pr-oneness and stretch and assess VAS, JOA and ODI scale before the t- reatment, after 2 weeks and after 6 weeks. We collect the data of rec-urrence rate through follow-up 3 months after the end of treatment.Results:1. Compared with 2 weeks ago respectively, the lumbar abdominal muscles strength of 2 groups are both increased after 6 weeks’treatment, difference is statistically significant (P< 0.01). Muscle strength of the training group rise significantly higher than the control group, compared 2 groups, the difference is statistically significant (P< 0.01).2. Compared with 2 weeks ago respectively, the JO A score of 2 groups both improve, the ODI and VAS scores decline after 6 weeks’ treatment, difference is statistically significant (P< 0.01). The score change of the training group is more obvious than the control group before and after treatment, compared 2 groups, the difference is statistically significant (P< 0.01).3. The data of follow-up 3 months after the end of treatment indicates that the training group recurrence rate is 6.90%, the control group recurrence rate was 22.81%. Compared 2 groups, the recurrence rate of the training group is lower than the control group. Compared 2 groups, the difference is statistically significant (P< 0.05).Conclusions:1. To the patients with lumbar disc herniation, the curative effect of trunk muscle strength testing and training in combination with routine rehabilitation treatment is better than routine rehabilitation therapy alone. It is Worthy of clinical popularization and application.2. Trunk muscle strength training can be effective in preventing recurrence of lumbar disc herniation.