Effect of Intervertebral Differential Dynamic System Combined with Tergumed on Lumbar Disc Herniation
Objective To observe and compare the efficacy of intervertebral differential dynamics(IDD)combined with proxomed tergumed(Tergumed)and IDD combined exercise therapy in the treatment of patients with lumbar disc herniation.Methods 64 lumbar disc herniation(LDH)patients who met the inclusion and exclusion criteria at the Fourth Medical Center of the General Hospital of the Chinese People's Liberation Army from March 2022 to March 2023 were randomly divided into a experiment group and a control group using a random number table method.There were 32 cases in the experimental group,including 18 males and 14 females,aged from 26 to 60 years old,with an average age of(50.21±5.53)years old.There were 32 cases in the control group,including 19 males and 13 females,aged from 29 to 59 years old,with an average age of(50.65±6.12)years old.Both groups were given health education,and the control group was treated with IDD combined with exercise therapy once a day,5 times a week for 4 weeks.The experimental group was treated with IDD combined with Tergumed,and the IDD treatment was the same as the control group.The patients had Tergumed training three times a week for a total of 12 units for 4 weeks.The visual analogue scale(VAS)was used to evaluate the degree of lumbar pain,and the Oswestry disability index(ODI)was used to evaluate the change in the degree of dysfunction.Tergumed was used to evaluate lumbar biomechanical data-changes in lumbar flexion,dorsiflexion range of motion,and maximum muscle strength-in both groups.They were evaluated before treatment,at 4 weeks,and at 16 weeks.Results Before treatment,there were no significant differences in VAS score,ODI score,lumbar anterior flexion,dorsiflexion motion and maximum muscle strength between two groups(P＞0.05).After 4 weeks and 16 weeks of treatment,VAS,ODI and biomechanical data of 2 groups were better than before treatment,the difference was statistically significant(P＜0.05).After 16 weeks of treatment,there was no statistically significant difference in pain VAS score between the two groups(P＞0.05),and the lower limit of 95％confidence interval 0.19(-0.07～1.03)was greater than the preset-1,meeting the non-inferiority test standard.After 4 weeks of treatment,there was no significant difference in the changes of ODI and biomechanical data between the two groups(P＞0.05).At 16 weeks,the changes in the maximum muscular strength values of flexion and extension in the experimental group were better than those in the control group before treatment(P＜0.05).Conclusion The clinical efficacy of IDD combined with Tergumed in the treatment of LDH patients is not inferior to that of IDD combined with conventional exercise therapy,which can significantly relieve pain,increase lumbar muscle strength and improve lumbar function under the premise of labor saving,and is safe and reliable,worthy of clinical promotion.
intervertebral differential dynamic systemlumbar disc herniationspinal assessment training systemnon-inferiority
万方数据
维普
