A Prospective Cohort Study of Lever Positioning Manipulation for L4/5 Different Types of Lumbar Disc Herniation Based on Propensity Scoring
10.16466/j.issn1005-5509.2024.10.015
- VernacularTitle:基于倾向性评分法探讨杠杆定位手法治疗L4/5不同类型腰椎间盘突出症的前瞻性队列研究
- Author:
Shuang WU
1
,
2
;
Zhizhen LYU
;
Xingchen ZHOU
Author Information
1. 浙江中医药大学附属第三医院(浙江省中山医院) 杭州 310005
2. 浙江中医药大学第三临床医学院
- Keywords:
lumbar disc herniation;
lever positioning manipulation;
propensity score;
cohort study;
clinical efficacy;
bonesetting technique;
tuina therapy;
LYU Lijiang
- From:
Journal of Zhejiang Chinese Medical University
2024;48(10):1289-1294
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]Based on the propensity score matching method to explore the therapeutic effect of lever positioning manipulation in the treatment of L4/5 different types of lumbar disc herniation.[Methods]A prospective cohort design was used to select 122 patients with L4/5 lumbar disc herniation and divide them into unilateral group,bilateral group and central group.Samples with balanced covariates were obtained after matching,including 36 patients in unilateral group,35 patients in bilateral group and 35 patients in central group.All patients in the three groups were treated with leverage positioning technique,and all patients in the three groups were treated 3 times a week,once every other day,for a total of 2 weeks.Pain Visual Analogue Scale(VAS)score and Japanese Orthopaedic Association(JOA)score were observed before and after treatment to evaluate the differences in the postoperative effects of the three groups.[Results]The covariates of age,sex,course of disease,VAS score and JOA score were all balanced after matching(P>0.05).The results of following-up after 2 weeks and 6 months of treatment showed that the VAS score and JOA score were statistically significant(P<0.05),the distant and near term curative effect of lever positioning manipulation in the treatment of unilateral lumbar disc herniation was better than bilateral and central disc herniation(P<0.05).[Conclusion]The clinical efficacy of unilateral lumbar disc herniation is superior to bilateral and central disc herniation in the treatment of the same segment of lumbar disc herniation with leverage positioning manipulation.
