中国骨伤2025，Vol.38Issue(8)：769-778,10.DOI:10.12200/j.issn.1003-0034.20240592
整腰三步九法结合理疗治疗退行性腰椎滑脱症的随机对照研究
A prospective controlled study on degenerative lumbar spondylolisthesis treated with three steps and nine methods combined with physiotherapy
摘要
Abstract
Objective To explore the clinical efficacy and safety of the"Three-Step Nine-Method Lumbar Correction"combined with physical therapy in the treatment of patients with degenerative lumbar spondylolisthesis(DLS).Methods From January 2021 to December 2021,72 patients diagnosed with DLS were enrolled and divided into the Three-Step Nine-Method Lumbar Correction group and the pelvic traction group,with 36 cases in each group.In the Three-Step Nine-Method Lumbar Correction group,there were 15 males and 21 females;aged 54 to 66 years old,with an average of(59.07±5.69)years old;the course of disease was 14 to 26 years old,with an average of(20.35±5.66)years old.They were treated with the Three-Step Nine-Method Lumbar Correction combined with low-frequency physical therapy,3 times a week,for a 4-week course.In the pelvic traction group,there were 12 males and 24 females;aged 54 to 66 years old,with an average of(59.69±5.59)years old;the course of disease was 13 to 26 years old,with an average of(19.74±5.80)years old.They were treated with pelvic traction combined with low-frequency physical therapy.Efficacy evaluation was conducted using the vi-sual analogue scale(VAS),Oswestry disability index(ODI),Japanese Orthopaedic Association(JOA)score,and Short Form 36 Health Survey(SF-36)before treatment,after 2 and 4 weeks of treatment,and at the 8-week follow-up after the end of treatment.In addition,imaging parameters of paravertebral muscles were evaluated before treatment and at the completion of treatment.Results All 72 patients completed the follow-up for 8 weeks.At the 8-week follow-up after the end of treatment,in the Three-Step Nine-Method Lumbar Correction group,the VAS score for low back pain decreased from(6.25±1.23)points before treatment to(1.25±0.65)points,with a statistically significant difference(P＜0.05);the ODI decreased from(57.17±7.13)％before treatment to(19.89±5.66)％,with a statistically significant difference(P＜0.05);the JOA score and SF-36 score increased from(15.46±3.20)points and(35.25±9.28)points before treatment to(23.75±2.10)points and(62.31±13.03)points,respectively,with statistically significant differences(P＜0.05).The improvement of each index in the Three-Step Nine-Method Lumbar Correction group was better than that in the pelvic traction group(P＜0.05),but the change in imaging parameters was not significant(P＞0.05).There was no statistically significant difference in the incidence of ad-verse reactions between the two groups(P＞0.05),and no serious adverse events occurred.Conclusion The Three-Step Nine-Method Lumbar Correction combined with physical therapy has a definite efficacy in the treatment of DLS.It can signifi-cantly relieve pain symptoms,improve physical function and patients' quality of life.Its effect is better than that of pelvic traction combined with physical therapy,and it has high safety.However,its improvement on paravertebral muscles is not obvious.关键词
腰椎/退行性腰椎滑脱症/正骨手法/随机对照试验Key words
Lumbar vertebrae/Lumbar degenerative spondylolisthesis/Bone setting manipulation/Randomized controlled trial分类
医药卫生引用本文复制引用
张书铭,郑佳乐,顾欢欢,许金海,莫文..整腰三步九法结合理疗治疗退行性腰椎滑脱症的随机对照研究[J].中国骨伤,2025,38(8):769-778,10.基金项目
上海市浦东新区中医药传承创新发展示范试点项目建设(编号:YC-2023-0901) （编号:YC-2023-0901）
国家中医药管理局高水平中医药重点学科建设(编号:ZYYZDXK-2023059)Construction of Demonstration and pilot project of TCM Inheritance and Innovation Development in Pudong New Area of Shang-hai(No.YC-2023-0901) （编号:ZYYZDXK-2023059）
