脊柱整体正骨理筋手法治疗腰椎间盘突出症的临床研究OA

Objective:To observe the clinical efficacy of integral bone-setting and tendon-regulating technique in the treat-ment of lumbar disc herniation(LDH).Methods:Patients with LDH were enrolled between June 2023 and June 2025.This study use its control method,using the integral bone-setting and tendon-regulating technique.One course of treatment contains 5 sessions.Patients' VAS scores,lumbar flexion and extension angles,Cobb angles,the distance from the posteri-or midline to the thoracolumbar spinous processes,JOA scores,and straight-leg raise heights were collected before and af-ter treatment,and analyzed using appropriate statistical methods.Results:In terms of efficacy evaluation,the changes were observed in the VAS score,lumbar flexion and extension activity angle,distance from the posterior median line to the tho-racolumbar spinous process,straight leg elevation height,Cobb angle,and JOA score(P＜0.05).Before treatment,VAS score was negatively correlated with JOA score and pre-treatment lumbar anterior flexion angle,and pre-treatment JOA score was positively correlated with lumbar anterior flexion angle and straight leg elevation height,the distance from the posterior median line between the 1st lumbar spinous process was negatively correlated with the posterior lumbar exten-sion angle.After treatment,JO A score was negatively correlated with the VAS scores,while thoracolumbar vertebral off-set demonstrated no significant correlation with any of the indicators.Conclusion:Spine integral bone-setting and tendon-regulating technique for the treatment of lumbar disc herniation can improve the mechanical balance of thoracolumbar spine and lumbar spine,thus relieving the pain,improving the forward flexion activities of the lumbar spine,and restoring the normal daily activities of patients,with remark-able clinical effects.