Clinical Research Of Zheng Massage Core Strength Training In The Treatment Of Chronic Nonspecific Low Back Pain

Objectives:To observe the clinical study on the Zheng massage core strength training in the treatment of chronic nonspecific low back pain (chronic nonspecific low back pain, CNLBP)Methods:The 60 required cases of NLBP patients were randomly divided into three groups:group A core muscle group 20 cases, group B Zheng massage group 20 patients, group C combined treatment group of 20 cases. Group A by Zheng massage therapy, group B by core strength training, group C by combined treatment simultaneously core strength training and Zheng massage therapy, treatment for 3 months. To campare Low back pain visual analogue scale (visual analogoue scale (VAS) score, Oswestry disability index (Oswestry disability index (ODI) value and abdominal muscle endurance before treatment and treatment after 3 months, and to observe the rate of low back pain recurrence within 3 months after the end of treatment.Results:Gender, age, weight, height, waist pain visual analogue scale (visual analogoue scale (VAS) score and Oswestry disability index (Oswestry disability index (ODI), Schober measurement and abdominal muscle endurance and between groups comparison of 3 groups before treatment adopted analysis of variance, LSD-t test was used for pairwise comparison, test the level of alpha=0.05, statistical analysis had no significant difference, with comparability. After the end of treatment, the three groups were changed:1) VAS score:intervention, three groups of VAS score in dry prognosis evaluation were reduced, after treatment among the three groups in VAS score:there was a significant difference (P<0.05), again by pairwise comparison LSD-t test, after treatment in group A and C VAS score was significantly lower than that of group B, and group A and group C had no significant difference, indicating that in group A and C to improve the index is superior to that of B group.2) Oswestry score:after the intervention, three groups of Oswestry score in dry prognosis evaluation were reduced, after treatment among the three groups OSWESTRY score: there was a significant difference (P<0.05), again by pairwise comparison LSD-t test, after treatment in group B and C OSWESTRY score significantly below group A, and B, C group had no significant difference, indicate that the improvement of the index B, group C was superior to group A.3) Measurement of Schober value comparison: intervention and three groups Schober measurement value in prognosis evaluation were increased. After treatment among the three groups measure Schober exist significant difference (P<0.05), again by pairwise comparison LSD-t test, after treatment measurement of group B Schober was significantly lower than that of group A and C, and group A slightly lower than group C, show that for improving the index in group B was obviously less than that of a and C groups.4) Abdominal muscle endurance after the intervention of three groups in prognosis evaluation has increased, after treatment among the three groups of abdominal muscle endurance tests exist significant difference (P<0.05), again by pairwise comparison LSD-t test shows, after treatment, abdominal muscle of group A, back muscle endurance test was significantly lower than that of the group B and C, and C group slightly higher than group B, show that for improving the index in group A was obviously less than that of group B and C.5) Effects:after the intervention, to a certain extent, three groups can treat NLBP, fisher accurate test of the line x list χ~2 test showed that there are statistical differences (P<0.05) among the curative effects of three groups, the effect in group C was significantly better than A, B two groups.6) Recurrence rate comparison:after the end of treatment in March, after the line x list χ~2 test, the recurrence rate between the three groups was statistically significant (P<0.05), the recurrence rate of A group was significantly higher than that of B, C two groups, C group was the lowest.Conclusions:(1) Zheng massage, core strength training and combined group therapy clinical symptoms of chronic nonspecific LBP patients had different degrees of improvement, the combined group superior Zheng massage group and core strength training in the treatment group.(2) Zheng massage therapy group in curative effected to improve NLBP VAS score, Schober measurement valued significantly better than core strength treatment group.(3) core strength training in the treatment group curative effected to improve the NLBP patients OSWESTRY score, abdominal muscle endurance was obviously superior to the Zheng massage treatment group.(4) United value in improving patients Schober measurement, OSWESTRY score, abdominal muscle endurance, recurrence rate and curative effect were better than pure Zheng massage treatment group; improving the VAS score, Schober measurement value, abdominal muscle endurance, recurrence rate and curative effect were better than single pure core strength training in the treatment group.(5) Zheng massage therapy NLBP was mainly to improve the symptoms of pain, and to improve the somatic dysfunction was the main core strength training, both with the use of effective treatment chronic non-specific waist pain and recurrence rate is low, it was worth for clinical use. If the patient pain symptoms was not obvious, and the main body dysfunction, with simple core strength training in the treatment, the pain as the main symptoms, the Zheng massage therapy, in order to simplify the medical, highlighting the individualized treatment plan.