现代中医临床2025，Vol.32Issue(2)：31-36,6.DOI:10.3969/j.issn.2095-6606.2025.02.007
推拿手法结合盆底生物反馈治疗骶髂关节错位临床研究
Clinical study on the combined therapy of Tuina manipulation and pelvic floor biofeedback for sacroiliac joint dysfunction
摘要
Abstract
Objective Under the guidance of the holistic concept of Traditional Chinese Medicine(TCM),this study aims to optimize the TCM external treatment of sacroiliac joint dislocation(SJD)and reduce the recurrence rate.Methods Seventy subjects were randomized into the control group and the experimental group,with 35 in each.The control group was treated with conventional Tuina massage in the standard textbook,while the treatment group received the same tuina therapy combined with pelvic floor biofeedback therapy.Both groups were treated once every 2 days,with a total of 10 sessions per treatment course,and two courses of treatment completed.Pre-and post-treatment assessments included within-group and between-group comparisons using the DIERS Spine 4D Posture and Motion Analysis System+Gait Treadmill System,Modified Oswestry Disability Index(ODI)Questionnaire,Pelvic Floor Muscle Electromyography,and Clinical Efficacy Evaluation.Results After treatment,the thoracic kyphosis,lumbar lordosis and pelvic tilt distance of the two groups were significantly lower than those before treatment(P<0.05).Additionally,the treatment group exhibited significant improvements in gait:a decrease in step frequency,an increase in step time,greater left single-leg support,larger right stride length,and reduced gait asymmetry compared to the control group(P<0.05).Both groups showed a decrease in ODI scores,and the ODI score of the treatment group was lower than that of the control group(P<0.05).The control group had no significant change in the pelvic floor muscle typeⅠmuscle EMG,while the treatment group had a significantly higher pelvic floor muscle typeⅠmuscle EMG than the control group before treatment(P<0.05).The total effective rate of the control group was 71.4%,and the total effective rate of the treatment group was 88.60%.The total effective rate of the treatment group was higher than that of the control group(P<0.05).Conclusion Conventional manipulation combined with pelvic floor biofeedback therapy provides a more effective treatment for the treatment of postpartum SJD.关键词
整体观念/骶髂关节错位/中医外治/优化研究Key words
holistic view/sacroiliac joint dislocation/TCM external treatment/optimization research分类
中医学引用本文复制引用
钟灼琴,廖林,李智荣,许晓英,缪雪钦,张坤木..推拿手法结合盆底生物反馈治疗骶髂关节错位临床研究[J].现代中医临床,2025,32(2):31-36,6.基金项目
国家自然科学基金项目(No.81904316) （No.81904316）
福建省科技厅引导性项目(No.2024Y0017) （No.2024Y0017）
福建省卫生健康中青年骨干人才培养项目(No.2023GGA073) （No.2023GGA073）
福建中医药大学校管课题临床专项项目(No.XB2023022) （No.XB2023022）
