Clinical Study On The Treatment Of Transverse Process Syndrome Of The Third Lumbar Spine With Lateral Stretching And Massage

Objective:There are two methods treatment of transverse process synd rome of the third lumbar spine(TLTPS),one is the clinical efficacy of la teral stretching massage,and another method is conventional manipulatio n massage,compare them as objects of comparisonn.Our purpose is to conf irmed that the clinical use of lateral tendon massage in the treatment o f the TLTPS,it has better effction than regular massage.Which is our tho ught that to explore the future development prospect of clinical applica tion of lateral reinforcement massage,we would like to provide evidencebased medical research basis that is cureing the third lumbar transverse process syndrome with single manipulative therapy.Methods:The 66 patients who have the third lumbar transverse process syndrome and they are from the Massage department which is belong to Sh andong procince of Hospital of Traditional Chinese Medicine who conform to clinic standard were separeted into observation team,another is cont rol group which is according to method that is obey to the random number sheet.They are 33 patients who are belong to each experiment group.The observation group whose treated project is lateral tendon massage,The co ntrol group whose curement plan ware conventional manipulative massage t herapy Achieved the visual analog Pain Scale(VAS)and the Japanese Orth opaedic Association Lumbar Function Rating Scale(JOA)when the treatmen t project starting,and the treatment project ending with same opreation.The same course of treatment that the two groups were set,during a wee k 3 times under treatment,alternate day treatment,a course including 2 weeks,a total of 2 courses of treatment.The efficacy evaluation criteri a were formulated according to the criterion of therapeutical effectfor diagnosis of Traditional Chinese Medicine Diseases and the JOA improveme nt rate.SPSS26.0 statistical system which was used to analyzing and pro cessing,evaluating the above data.Results:1.As for clinical efficacy,there were 33 cases in the observation group,3 cases fell off,10 cases recovered,18 cases were improved,and 2 cases were void,a total effective rate which means observation group is 93.33%;The other side,the control team were 33 examples,3 cases dr opped off,Those who were cured ar 6 casese,19 cases were improved,5 ca ses were ineffective,and the total effective rate was 83.33%.After stat istical analysis,there were distinct differences between the two groups(P<0.05).2.① When treatment have not begining,it is no significant difference on VAS scores between the two groups(P>0.05),it is obvious that two groups were comparabled in the VAS scores of the pain symptom.② Within-group comparison:the VAS score when is including treatment before the treatment after they all have decreased before and after the treatment,statistically significant that have the difference distinction(P<0.05),that indicating the two groups had obvious effects on the pain symptoms of TLTPS;③Comparison between the two groups:VAS score which after the treatment there was a significant difference that between the two groups(P<0.05),we learned that there was a distinction in the treatment effect which between the two experiment groups.The smaller the VAS score,the better the effect.The VAS score of the observation group(1.97±1.22)was lower than that of the control group(2.73±1.36),so the observation group whose effect was remarkable better than that refers to the control crowd.3.① JOA scores which without treatment make comparisons between th e two groups was not remarkable(P>0.05),which is to say that not stat istically significant the comparable JOA scores between the two groups;② Intra-group comparison:the JOA scores which including the two experi ence groups which have not treatment and another team without treatment,the JOA scores that without treatment make comparisons between the two groups were improved compared to each other,and the difference was stat istically significant(P<0.05),it is obvious to see that the treatment that means the two groups had improved the lumbar activity dysfunction of the TLTPS.③ Comparison between groups:JOA scores which is incorpora teing under treatment and without treatment(P<0.05),it has obviously significance.It indicats that exist difference as foe the treatment effe ct which between the two experiment groups,the greater the JOA score,t he better the JOA observation group(24.03 ± 1.22)was larger than the control group(22.77 ± 1.38),so the observation group was significantl y better than the control group.Conclusion:Both lateral muscle pulling and routine manipulation mas sage therapy have a certain effect on the treatment of the TLTPS.After treatment,patients who has the pain degree and lumbar activity dysfuncti are improved evidently.But from the recent effect,the immediate analge sic effect of lateral dial tendon massage,improve the limitation of lum bar activity,and the quality of living standards and other aspects of th e effect is better than the conventional massage therapy.And the operati on is safe,flexible,simple,green pollution-free,worthy of clinical f urther promotion and application.