Effect of sling exercise with Tuina therapy on kinesiophobia in old patients with lumbar disc herniation:a ran-domized controlled trial based on concept of brain-bone axis
10.3969/j.issn.1006-9771.2024.07.016
- VernacularTitle:悬吊推拿运动技术对老年腰椎间盘突出症患者恐动症效果的随机对照试验:基于脑-骨轴理论
- Author:
Yuqin DAN
1
;
Jianing SU
;
Yi DING
;
Xueyan WANG
;
Danghan XU
;
Jinghua WANG
;
Yujing WU
;
Mengyuan ZHANG
;
Meng YIN
;
Haifeng LU
;
Gongchang YU
;
Li LI
Author Information
1. 山东中医药大学康复医学院,山东济南市 250355
- Keywords:
aged;
lumbar disc herniation;
kinesiophobia;
sling exercise with Tuina therapy;
brain-bone axis;
randomized controlled trial
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(7):861-868
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of sling exercise with Tuina therapy on kinesiophobia in old patients with lumbar disc herniation,and analyze the mechanism based on brain-bone axis. Methods A total of 56 old patients with chronic lumbar disc herniation and kinesiophobia were selected from the Reha-bilitation Hospital of the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine from September,2022 to December,2023;and randomly divided into control group(n=28)and experimental group(n=28).The control group accepted conventional exercise therapy,while the experimental group accepted sling exercise with Tuina therapy,for four weeks.They were assessed with simplified Chinese version of Tampa Scale of Kinesiophobia(TSK),Japanese Orthopaedic Association score(JOA)and Visual Analogue Scale for pain(VAS)before and after treatment,while the bone mineral density(BMD)was tested,the levels of osteoprote-gerin(OPG),norepinephrine(NE)and corticosteroids(Cor)in serum were measured,and the median frequency(MF)of weak-link erector spinae was detected with surface electromyography. Results Two cases dropped off in the control group,and one in the experimental group.The scores of all the assessment improved in both groups after treatment(|t|>14.168,P<0.001),as well as the serum levels of OPG,NE and Cor(|t|>2.103,P<0.05),BMD(|t|>2.726,P<0.05),and MF of erector spinae(|t|>14.736,P<0.001);all of them were better in the experimental group than in the control group(|t|>2.154,P<0.05). Conclusion Sling exercise with Tuina therapy can improve the pain and kinesiophobia of lumbar disc herniation in the old adults,which may promote the recovery of physical and mental function through regulating the levels of hor-mones and neurotransmitters related to the brain-bone axis.
