Effect of rehabilitation exercise exercises combined with traction on elderly patients with lumbar disc herniation and its effect on lumbar spine mobility

doi:10.3877/cma.j.issn.2096-0263.2020.05.007

Abstract

Abstract:

Objective

To explore the application effect of rehabilitation exercise combined with traction in the elderly patients with lumbar disc herniation and its influence on lumbar activity.

Methods

86 elderly patients with lumbar disc herniation from October 2018 to September 2019 were randomly divided into control group (n=43 cases) and observation group (n=43 cases). The control group was treated with conventional traction, and the observation group was treated with rehabilitation exercise on the basis of the control group. After 4 weeks of treatment, the effect of the patients was evaluated, and the visual analogue pain (VAS) score, inflammatory factor level, lumbar activity and satisfaction of the two groups were compared.

Results

The VAS score of the observation group was lower than that of the control group (P<0.05) at the first, second, third and fourth weeks after treatment; the IL-1 β, TNF-α and TXB2 levels of the observation group were lower than those of the control group (P<0.05) at the fourth week after treatment; the flexion, extension and lateral flexion of the observation group were higher than those of the control group (P<0.05) at the fourth week after treatment; patients in the observation group were satisfied with the treatment, rehabilitation exercise, regular reexamination, treatment effect and treatment form were higher than that of the control group (P<0.05).

Conclusion

Rehabilitation exercise combined with traction can reduce the pain of elderly patients with lumbar disc herniation, improve the activity of the patients, and the two methods of intervention can reduce the cascade reaction of body inflammation, improve the patients' treatment satisfaction, which is worth popularizing.

Key words: Rehabilitation exercise, Traction, Lumbar disc herniation, Lumbar mobility

Ying Zhang, Yuejiao Ji, Lin Zhu. Effect of rehabilitation exercise exercises combined with traction on elderly patients with lumbar disc herniation and its effect on lumbar spine mobility[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2020, 06(05): 285-290.

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References 18

1	郭中华,余红超,史栋梁,等.推拿配合针刺及牵引复位治疗腰椎间盘突出症疗效及对血清IL-1β、TNF-α的影响[J].现代中西医结合杂志, 2017, 26(19): 2064-2066, 2070.
2	刘理迪,刘艳,王丽丽.早期功能锻炼对腰椎间盘突出症术后疗效及对患者生存质量的影响[J].医学临床研究, 2018, 35(9): 1819-1821.
3	Chen BL, Guo JB, Zhang HW, et al. Surgical versus non-operative treatment for lumbar disc herniation: a systematic review and meta-analysis [J]. Clin Rehabil, 2018, 32(2): 146-160.
4	陈国方,薛露.腰部核心肌力训练对腰椎间盘突出症术后患者功能恢复的影响[J].中华物理医学与康复杂志, 2018, 40(10): 774-776.
5	张岚,田翠霞,张苏娟.综合性护理干预联合舒适性护理在经皮椎间孔镜治疗腰椎间盘突出症中的应用[J].检验医学与临床, 2017, 14(24): 3668-3670.
6	刘屹林,杨浩,张敏,等. Isobar动态稳定系统固定联合腰椎间盘切除术治疗腰椎间盘突出症患者的近期疗效[J].中华医学杂志, 2019, 99(3): 188-192.
7	黄松,陈敬有,高皓.臭氧消融术结合针灸治疗腰椎间盘突出症及对相关炎性因子的影响[J].湖南中医药大学学报, 2017, 37(10): 1136-1139.
8	Bozkurt S, Aktekin L, Uğurlu FG, et al. An unusual cause of myelopathy: ochronotic spondyloarthropathy with positive HLA B27 [J]. Am J Physical Medicine & Rehabil, 2017, 96(11): e206-e209.
9	刘俊良,镇万新,高国勇,等.经皮椎间孔入路内镜下治疗复发性腰椎椎间盘突出症的临床研究[J].中华骨科杂志, 2018, 38(8): 477-484.
10	史一欣,沈梅芬,陈珏,等.思维导图对腰椎间盘突出症患者术后康复遵医行为的影响[J].中国实用护理杂志, 2018, 34(34): 2668-2674.
11	Zhou Q, Teng D, Zhang T, et al. Association of facet tropism and orientation with lumbar disc herniation in young patients [J]. Neurol Sci, 2018, 39(5): 841-846.
12	徐睿,康新国,何玺,等.三维真稳态进动快速成像序列联合扩散张量神经纤维束示踪成像在腰椎间盘突出症中的应用[J].中国介入影像与治疗学, 2019, 16(8): 469-474.
13	何玉宝,任龙喜,王洁颖,等.防粘连膜在腰椎间盘突出症手术中应用的临床效果[J].中国综合临床, 2018, 34(1): 71-74.
14	齐玲,艾克热木江·木合热木,王成伟,等.高压氧联合针灸、推拿治疗对腰椎间盘突出症患者腰背部疼痛的影响[J].中华航海医学与高气压医学杂志, 2018, 25(6): 392-394.
15	Jeong JK, Kim YI, Kim E, et al. Effectiveness and safety of acupotomy for treating back and/or leg pain in patients with lumbar disc herniation: A study protocol for a multicenter, randomized, controlled, clinical trial [J]. Medicine, 2018, 97(34): e11951.
16	赵丽,王立奎,朱本藩.计算机断层扫描术引导下靶点低温等离子联合胶原酶治疗腰椎间盘突出症的疗效分析[J].国际麻醉学与复苏杂志, 2018, 39(9): 836-840.
17	许国萍,余群飞,马姚静.加速康复外科理念下腰椎间盘突出症患者延续性护理方案的改进与成效[J].中国实用护理杂志, 2018, 34(18): 1384-1388.
18	常伟,徐晨阳,顾强荣,等.加速康复外科理念在长寿老人髋部骨折围手术期治疗中的应用[J].实用老年医学, 2017 (12): 1110-1113.

组别	例数	性别（例，男/女）	年龄（岁， ±s）	椎间盘突出节段（例）			病程（年， ±s）	BMI（kg/cm²， ±s）
组别	例数	性别（例，男/女）	年龄（岁， ±s）	L_4～5	L₅～S₁	L_4～5～S₁	病程（年， ±s）	BMI（kg/cm²， ±s）
观察组	43	21/22	76.08±5.57	17	21	5	4.57±0.84	23.25±0.53
对照组	43	22/21	75.45±6.71	19	20	4	4.34±0.79	23.31±0.56
统计值	?	1.121	0.648	1.325	1.941	0.856	0.983	0.648
P值	?	0.593	0.315	0.771	0.952	0.312	0.663	0.745

组别	例数	性别（例，男/女）	年龄（岁， ±s）	椎间盘突出节段（例）			病程（年， ±s）	BMI（kg/cm²， ±s）
组别	例数	性别（例，男/女）	年龄（岁， ±s）	L_4～5	L₅～S₁	L_4～5～S₁	病程（年， ±s）	BMI（kg/cm²， ±s）
观察组	43	21/22	76.08±5.57	17	21	5	4.57±0.84	23.25±0.53
对照组	43	22/21	75.45±6.71	19	20	4	4.34±0.79	23.31±0.56
统计值	?	1.121	0.648	1.325	1.941	0.856	0.983	0.648
P值	?	0.593	0.315	0.771	0.952	0.312	0.663	0.745

组别	例数	治疗前	治疗后1 w	治疗后2 w	治疗后3 w	治疗后4 w	F值	P值
观察组	43	6.5±0.7	4.6±0.6^*	3.1±0.5^*#	2.5±0.4^*#&	1.7±0.6^*#&＊	6.392	0.000
对照组	43	6.5±0.6	5.8±0.6^*	4.6±0.6^*#	3.5±0.5^*#&	2.7±0.4^*#&＊	5.351	0.000
F值	?	1.593	7.461	6.034	7.315	7.635	?	?
P值	?	0.437	0.002	0.003	0.000	0.000	?	?

组别	例数	治疗前	治疗后1 w	治疗后2 w	治疗后3 w	治疗后4 w	F值	P值
观察组	43	6.5±0.7	4.6±0.6^*	3.1±0.5^*#	2.5±0.4^*#&	1.7±0.6^*#&＊	6.392	0.000
对照组	43	6.5±0.6	5.8±0.6^*	4.6±0.6^*#	3.5±0.5^*#&	2.7±0.4^*#&＊	5.351	0.000
F值	?	1.593	7.461	6.034	7.315	7.635	?	?
P值	?	0.437	0.002	0.003	0.000	0.000	?	?

组别	例数	IL-1β		TNF-α		TXB2
组别	例数	治疗前	治疗后4 w	治疗前	治疗后4 w	治疗前	治疗后4 w
观察组	43	0.45±0.08	0.12±0.05^*	1.74±0.35	1.02±0.17^*	40.74±5.48	23.16±3.61^*
对照组	43	0.46±0.09	0.28±0.06^*	1.75±0.36	1.58±0.24^*	40.75±5.51	34.69±4.37^*
t值	?	1.214	4.698	0.773	5.613	1.593	5.114
P值	?	0.598	0.000	0.436	0.000	0.328	0.000

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