肌肉能量技术联合体外冲击波对慢性非特异性下腰痛的疗效观察OACSTPCD

Objective:To observe the efficacy of muscle energy technology combined with extracorporeal shock wave in chronic nonspecific low back pain.Methods:Forty-five patients with chronic non-specific lower back pain were enrolled and randomly divided into 22 cases in the observa-tion group and 23 cases in the control group.The control group was treated with conventional treatments included drugs and massage,while the ob-servation group was treated with muscle energy technology combined with extracorporeal shock wave therapy on top of the conventional treatments,and the two groups were compared in terms of the pain scores(VAS),the root-mean-square(RMS)values of surface electromyography at the 3-week and 12-week follow-up visits in order to assess the activation level of the abdominal transversus abdominalis muscle,the multifidus muscle in the pa-tients from the seated position to the standing position,as well as the Oswestry Dysfunction Index(ODI).Results:After 3 weeks of treatment,the VAS and ODI scores of the control group were significantly decreased(P<0.05),and the differences in the RMS values of transversus abdominis muscle and multifidus muscle were not statistically significant compared with the pre-treatment values(P>0.05),while all the indexes of the observa-tion group improved significantly(P<0.05);at the follow-up visit after 12 weeks,the indexes of the observation group were significantly better than those of the control group(P<0.05).Conclusion:Muscle energy technology combined with extracorporeal shock wave can significantly relieve pain,improve lumbar and abdominal strength,and improve lumbar function in patients with chronic nonspecific lower back pain,and the efficacy is more durable.