针灸推拿医学（英文版）2026，Vol.24Issue(2)：158-165,8.DOI:10.1007/s11726-026-1563-z
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
Observation of the effects of acupuncture plus shock wave therapy on lumbar disc herniation based on gait analysis
摘要
Abstract
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.关键词
针刺疗法/超声波疗法/步态分析/疼痛测评/视觉模拟量表/椎间盘移位/腰痛Key words
Acupuncture Therapy/Ultrasonic Therapy/Gait Analysis/Pain Measurement/Visual Analog Scale/Intervertebral Disc Displacement/Low Back Pain分类
医药卫生引用本文复制引用
徐江涵,王秋根,葛志超,吕凯,张日林,刘学诚,林亚莹,付阳阳,张馥晴..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[J].针灸推拿医学（英文版）,2026,24(2):158-165,8.基金项目
This study was supported by Shanghai Sports Science and Technology Project(上海市体育科技项目,No.25J008) （上海市体育科技项目,No.25J008）
Shanghai Sailing Program(上海市"科技创新行动计划"启明星培育扬帆专项,No.24YF2747100) （上海市"科技创新行动计划"启明星培育扬帆专项,No.24YF2747100）
the Translational Medicine Research Project of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine(上海中医药大学附属岳阳中西医结合医院转化医学研究项目,No.2024yyzh06). （上海中医药大学附属岳阳中西医结合医院转化医学研究项目,No.2024yyzh06）
