The effect of intervertebral differential dynamic system combined with the spinal assessment training sys-tem on the pain and function in patients with lumbar disc herniation
10.3969/j.issn.1001-1242.2025.09.009
- VernacularTitle:椎间微分动力系统联合脊柱评估训练对腰椎间盘突出症疼痛及功能的影响
- Author:
Chen FAN
1
;
Xiuxiu SHI
;
Ying XU
Author Information
1. 中国人民解放军总医院第四医学中心骨科医学部康复医学科,北京市,100048;国家骨科与运动康复临床医学研究中心
- Publication Type:Journal Article
- Keywords:
intervertebral differential dynamic system;
lumbar disc herniation;
spinal assessment training system
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(9):1344-1350
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of Intervertebral Differential Dynamics(IDD)combined with spinal assessment training system on the patients with lumbar disc herniation.Method:Sixty patients with L4—L5 or L5—S1 paramedian Lumbar Disc Herniation(LDH)were selected and randomly divided into a test group and a control group with 30 patients in each group through the random number table method.Both groups received health education.The control group was given IDD therapy once a day,5 times a week for a total of 4 weeks.The test group was given additional spinal assessment training sys-tem training on the basis of the control group;Spinal assessment training system training was conducted 3 times a week for a total of 4 weeks,12 units.The visual analog scale(VAS)was used to evaluate the severity of low back pain and leg pain.The ODI(Oswestry Disability Index)and the Japanese Orthopaedic Association(JOA)Low Back Pain Rating Scale were used to evaluate the lumbar dysfunction.Spinal assessment training system was used to measure the maximum angle and maximum muscle strength of lumbar flexion and dorsi-flexion.At the same time,the cross-sectional area of the lumbar multifidus muscle was measured by a color Doppler ultrasound diagnostic system before and after treatment.Result:Before treatment,there were no significant differences between the two groups in terms of VAS scores for low back pain and leg pain,ODI scores,JOA scores,maximum lumbar flexion and dorsiflexion,maximum muscle strength values,and cross-sectional area of multifidus muscle(P>0.05).After treatment,VAS scores for low back pain and leg pain,ODI,JOA,lumbar flexion and dorsiflexion range of motion,as well as the maximum muscle strength values for flexion and extension in the experimental group were better than those before treatment,and all indicators in the experimental group were better than those in the control group,with significant differences(P<0.05).Conclusion:IDD combined with spinal assessment training system can effectively relieve back and leg pain in patients with L4—L5 or L5—S1 paracenteral lumbar disc herniation,improve the degree of physical activity limitation,increase lumbar motion and muscle strength,and improve lumbar function.
