Efficacy Of Fu's Subcutaneous Needling Combined With David Spinal Rehabilitation Training In The Treatment Of Nonspecific Low Back Pain

Objective:To observe the therapeutic effect of Fu's subcutaneous needling and David spinal rehabilitation training on non-specific low back pain patients by combining Fu's subcutaneous needling with David spinal rehabilitation training.In order to provide a new rehabilitation program for the rehabilitation of patients with non-specific lower back pain,to provide theoretical basis for the David spinal rehabilitation system and Fu's subcutaneous needling curative effect,and to facilitate the popularization and application of Fu's subcutaneous needling and David spinal rehabilitation system in clinical practice.Methods:Twenty-nine non-specific low back pain patients were selected from 45patients with low back pain.They were divided into three groups:Fu's subcutaneous needling group(F),David group(D),Binding group(F+D).9 patients in group F,10patients in group D and group F+D.Group F was treated with floating acupuncture,3times a week for 2 weeks.In group D,only David spinal rehabilitation training was performed,and the treatment time of each instrument was about 10 min,3/week,3groups/time for a total of 6 weeks.F+D group was treated with Fu's subcutaneous needling combined with David spinal rehabilitation training to treat non-specific low back pain.The frequency of Fu's subcutaneous needling treatment was the same as that of group F,and the frequency of David spinal rehabilitation training was the same as that of group D.Before,2 weeks and 6 weeks after intervention,all subjects were evaluated with VAS pain score scale for pain sensation and cure rate,and RMDQ lumbar spine dysfunction questionnaire was used to evaluate lumbar function.The David spinal rehabilitation training system was used to evaluate the lumbar joint motion(ROM)and the maximum isometric muscle strength of the lumbar dorsum muscle,and the isokinetic muscle strength test system was used to evaluate the muscle capacity of the subjects.Each test is performed by a fixed tester.All data were processed by SPSS17.0 statistical software.The test results were expressed by(`x±S),single factor analysis of variance(F test)and rank sum test were used to analyze the data results,and the difference was significant(P<0.05),the difference was very significant(P<0.01)and the difference was significant extremely(P<0.001).Results:(1)All three intervention schemes were effective for NLBP.After 2 weeks of intervention,the clinical cure rate of group F was better than that of group D and group F+D,and the clinical cure rate of group F+D was significantly better than that of group F and group D after 6 weeks of intervention.(2)The RMDQ scores of the three groups were significantly decreased after 2 weeks of intervention(P<0.001,P<0.01,P<0.001);compared with the pre-intervention,the RMDQ scores of the three groups were significantly reduced after 6 weeks of intervention(P<0.001);and the RMDQ scores of the F group decreased after 6 weeks after the intervention(P<0.05);the RMDQ scores in the D and F+D groups were significantly reduced as compared to the 2-week intervention(P<0.001,P<0.01).(3)ROM:Compared with pre-intervention,after 2 weeks of intervention,the ROM of lumbar spine extension,the left and right flexion and the left lateral rotation of the F group increased(P<0.05,P<0.001,P<0.01,P<0.01);ROM of lumbar flexion and left lateral rotation in group F and group F+D increased(P<0.05,P<0.001);the left and the right flexion ROM of the D group were increased(P<0.01,P<0.001);the ROM of the left and right flexion in F+D group increased(P<0.001,P<0.05);the ROM of the right lateral rotation in all three-group increased(P<0.001);compared with the pre-intervention,the left and right flexion and rotation ROM of the three groups increased after 6 weeks(P<0.001);the ROM of lumbar anterior flexion in D group and F_+D group increased(P<0.05,P<0.01);the ROM of the right rotation in F group increased after 6 weeks(P<0.05);the ROM of lumbar left and right flexion in group D and group F+D increased significantly(P<0.01,P<0.001).(4)Muscle strength:after 2 weeks of intervention,the muscle strength of three groups in flexion and extension increased(P<0.01,P<0.05);and the left rotator muscle strength of the three groups increased(P<0.05,P<0.001,P<0.01);left and right flexor and right rotator muscle strength were increased in F group(P<0.01);right flexor and rotator muscle strength were increased in D and F+D group(P<0.05,P<0.001);the left flexor muscle strength were increased in F+D group(P<0.001);after6 weeks of intervention,the flexion,left and right flexion and contrator strength of the three groups were increased(P<0.001)compared with the pre-intervention;the muscle strength of extension increased in F group(P<0.01);the flexion,post extension,left and right flexion and left and right rotator strength were increased in D group and F+D group(P<0.001);compared with the two weeks after intervention,the right flexion and right rotator muscle strength in the three groups were increased(P<0.001);the left and right rotator muscle strength in group F increased(P<0.05,P<0.01);the muscle strength of flexion,post extension,left and right rotator were increased in group D and group F+D(P<0.001,P<0.01,P<0.001);the muscle strength of left flexion were increased in group D and group F+D(P<0.01,P<0.001).(5)Average work of flexion and extension:compared with before intervention,the average work of post extension in group D and F+D increased(P<0.05)after 2weeks of intervention;after 6 weeks,the average work of flexion in group D and F+D increased(P<0.01,P<0.001);after 6 weeks of intervention,the average extension work of D and F+D group increased(P<0.01);compared with the intervention for 2weeks,there was a significant difference in the average work of forward flexion in F+D group after 6 weeks(P<0.05).The peak torque of flexion and extension:after 2 weeks of intervention,the peak torque of flexion and extension in group D and F+D were increased(P<0.05,P<0.01);compared with pre-intervention,the peak torque of flexion and extension in group D and F+D increased significantly after 6 weeks(P<0.01,P<0.001);and there was significant difference between group D and F+D after 6 weeks(P<0.01,P<0.001).Conclusion:(1)Three kinds of intervention methods have obvious curative effect on symptom relief of NLBP;(2)In a short period of time,Fu's subcutaneous needling has a faster effect on pain relief;(3)The David spinal function training system has significant effect on the recovery and activation of the muscle strength of the lumbar dorsal muscle in NLBP patients,which can enhance the stability of the spine and improve the function;(4)Fu's subcutaneous needling combined with David spinal function training can quickly reduce pain and promote functional recovery in patients with NLBP,and the curative effect is better than that of Fu's subcutaneous needling alone or David spinal function training alone.