[Effects of small needle-knife comprehensive therapy on pain and lumbar flexion range in the chronic nonspecific low back pain patient].

OBJECTIVE: To observe therapeutic effect of small needle-knife comprehensive therapy on pain and lumbar flexion range in the chronic nonspecific low back pain patient. METHODS: Three hundred and five cases were randomly divided into a needle-knife group of 153 cases and a physiotherapy group of 152 cases. The needle-knife group were treated with small needle-knife releasing therapy, blocking and functional training. The physiotherapy group were treated with ultra-short wave, modulated medium frequency current, massage and functional training. Pain was assessed by visual analogue scale (VAS) and the lumbar flexion range was determined before and after treatment. RESULTS: After treatment, the pain and the lumbar flexion range were significantly improved in the two groups; and after treatment, the VAS score and the lumbar flexion range were (1.60 +/- 0.38) points and (65.76 +/- 15.11) cm in the needle-knife group and (4.59 +/- 1.09) points and (53.74 +/- 15.13) cm in the physiotherapy group, respectively, the needle-knife group being significantly better than the physiotherapy group (P < 0.01). Follow-up survey of 6-36 months showed that the VAS score and the lumbar flexion range in the needle-knife group were superior to those in the physiotherapy group. CONCLUSION: Small needle-knife comprehensive therapy can significantly improve pain and lumbar flexion range in the chronic nonspecific low back pain patient, with a stable long-term therapeutic effect.

[Therapeutic effect of compositive rehabilitation on lumber disc herniation].

OBJECTIVE: To observe the curative effect of different physical rehabilitation techniques on patients with lumbar disc herniation. METHODS: Eighty-four patients were randomly divided into Group A, Group B and Group C. Group A were treated with the computerized pelvis traction and ultrashort wave, Group B were treated with the computerized pelvis traction only, while Groups C were treated with the computerized pelvis traction, the ultrashort wave and the traditional Chinese medicine iontophoresis. The outcome was measured with the Japanese Orthopaedics Association Score (JOA score) about lower back pain (LBP). RESULTS: Compared with before the treatment, the JOA score of all the 3 groups increase markedly after the treatment (P<0.001). Compared with group B, the JOA score of Groups A and Group C significantly increased (P<0.05). Compared with Group A, the JOA score in Group C significantly increased (P<0.05). CONCLUSION: The curative effect of comprehensive rehabilitation on lumbar disc herniation is better than that of the single rehabilitation.