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Objective <p>To investigate the clinical efficacy of spinal subtle adjustment manipulation combined with acupuncture in the treatment of lumbar disc herniation (LDH).</p> Methods <p>A total of 94 patients with LDH were enrolled and randomly divided into a control group and an observation group using a random number table method, with 47 cases in each group. The control group received acupuncture treatment; the observation group was treated with spinal subtle adjustment manipulation in addition to the intervention of the control group. The treatment lasted for 4 consecutive weeks. The Oswestry disability index (ODI) and visual analog scale (VAS) scores were compared before and after treatment; isokinetic testing was used to evaluate the biomechanical properties of lower back extensor muscle groups before and after treatment, measuring the peak torque (PT), average power (AP), and lower back flexion/extension ratio (F/E) at 60 (°)/s isokinetic movements; after treatment, the comprehensive efficacy was assessed using the MacNab criteria, and the incidence of adverse reactions was compared between the two groups.</p> Results <p>After treatment, the ODI and VAS scores in the observation group were significantly lower than those in the control group (<i>P</i>&lt;0.05), while the AP and PT were significantly higher than those in the control group (<i>P</i>&lt;0.05), and the F/E was significantly lower than that in the control group (<i>P</i>&lt;0.05). The effective rate in the observation group was significantly higher than that in the control group (<i>P</i>&lt;0.05). During the treatment period, the incidence of adverse reactions in both groups was 4.3%, and there was no statistically significant difference between the groups (<i>P</i>&gt;0.05).</p> Conclusion <p>Spinal subtle adjustment manipulation combined with acupuncture in the treatment of LDH can reduce the patients’ pain and dysfunction, improve the biomechanical properties of lower back muscles, enhance the effectiveness of conservative treatment, and has a relatively high safety.</p>

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Efficacy observation of spinal subtle adjustment manipulation combined with acupuncture in the treatment of lumbar disc herniation

  • 期刊论文

  • 发表日期：

    2025年8月19日

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  • Li Niu,
  • Hui Ma,
  • Huali Wang

摘要

Objective

To investigate the clinical efficacy of spinal subtle adjustment manipulation combined with acupuncture in the treatment of lumbar disc herniation (LDH).

Methods

A total of 94 patients with LDH were enrolled and randomly divided into a control group and an observation group using a random number table method, with 47 cases in each group. The control group received acupuncture treatment; the observation group was treated with spinal subtle adjustment manipulation in addition to the intervention of the control group. The treatment lasted for 4 consecutive weeks. The Oswestry disability index (ODI) and visual analog scale (VAS) scores were compared before and after treatment; isokinetic testing was used to evaluate the biomechanical properties of lower back extensor muscle groups before and after treatment, measuring the peak torque (PT), average power (AP), and lower back flexion/extension ratio (F/E) at 60 (°)/s isokinetic movements; after treatment, the comprehensive efficacy was assessed using the MacNab criteria, and the incidence of adverse reactions was compared between the two groups.

Results

After treatment, the ODI and VAS scores in the observation group were significantly lower than those in the control group (P<0.05), while the AP and PT were significantly higher than those in the control group (P<0.05), and the F/E was significantly lower than that in the control group (P<0.05). The effective rate in the observation group was significantly higher than that in the control group (P<0.05). During the treatment period, the incidence of adverse reactions in both groups was 4.3%, and there was no statistically significant difference between the groups (P>0.05).

Conclusion

Spinal subtle adjustment manipulation combined with acupuncture in the treatment of LDH can reduce the patients’ pain and dysfunction, improve the biomechanical properties of lower back muscles, enhance the effectiveness of conservative treatment, and has a relatively high safety.