基于步态分析观察针刺联合冲击波对腰椎间盘突出症的影响OA

Objective:To observe the effect of acupuncture plus shock wave therapy on pain and dysfunction in patients with lumbar disc herniation(LDH),and to explore the feasibility of gait analysis for evaluating LDH symptoms based on the gait real-time analysis interactive lab(GRAIL). Methods:A total of 67 patients with LDH were divided into two groups by the random number table method.Thirty-three cases in the observation group received acupuncture plus shock wave therapy,and 34 cases in the control group were treated with shock wave therapy alone.The step length and walk velocity based on GRAIL,and the scores of visual analog scale(VAS),Osweatry disability index(ODI),and Japanese Orthopaedie Association(JOA)were observed before and after treatment.The data differences between before and after treatment and their correlation were analyzed. Results:After treatment,the step length,walk velocity,and the scores of VAS,ODI,and JOA in both groups were statistically different from those before treatment(P<0.01).The step length,walk velocity,and JOA score in the observation group were higher than those in the control group,while the VAS and ODI scores were lower than those in the control group;the differences between the two groups were all statistically significant(P<0.05).The step length was negatively correlated with the VAS and ODI scores,and positively correlated with the JOA score(P<0.05).The improvement of step length was positively correlated with the improvement of VAS,ODI,and JOA scores(P<0.05). Conclusion:Compared with shock wave therapy alone,acupuncture combined with shock wave therapy has more advantages in improving the step length and walk velocity,and reducing pain and dysfunction in LDH patients.The results of GRAIL-based gait analysis can be used as a potential indicator for evaluating the therapeutic effect in the treatment of LDH.