Efficacy of core stabilization training combined with acupoint sensitization acupuncture on discogenic sciatica
Objective It is to observe the clinical efficacy of core stabilization training combined with acupoint sensiti-zation acupuncture in the treatment of discogenic sciatica.Methods Ninety-three patients with discogenic sciatica diagnosed and treated in the Department of Rehabilitation Medicine of the Second Affiliated Hospital of Chengdu Medical College-Nu-clear Industry 416 Hospital from October 2021 to January 2023 were selected and divided into control group,observation I group and observation Ⅱ group by random number table method,with 31 cases in each group.The control group was trea-ted with conventional intervention,the observation Ⅰ group was treated with core stabilization training on the basis of the treatment of the control group,and observation group Ⅱ was treated with acupoint sensitization acupuncture on the basis of the treatment of the observation group Ⅰ.All the three groups were treated for 4 weeks.The pain visual analog scores(VAS)and Oswestry dysfunction index(ODI)of patients in the three groups before treatment,after treatment for 4 weeks,and at 2 and 4 weeks after the end of treatment were compared,and the levels of serum substance P(SP),chemokine lig-and 10(CXCL10),calcitonin gene related peptide(CGRP),fractional anisotropy(FA)and apparent diffusion coefficient(ADC)in DTI and parameters of 3D gait analysis of patients in the three groups before treatment and after treatment for 4 weeks were compared.Results The VAS scores and ODI scores of the patients in the three groups after treatment for 4 weeks,and at 2 and 4 weeks after the end of treatment except for the ODI scores of the control group at 4 weeks after the end of treatment were significantly lower than those before treatment(all P＜0.05);the VAS scores after treatment for 4 weeks,and at 2 and 4 weeks after the end of treatment and the ODI scores after treatment for 4 weeks,and at 2 weeks after the end of treatment of the observation Ⅱ group were significantly lower than those of the other two groups(all P＜0.05).After 4 weeks of treatment,the serum levels of SP,CXCL10,CGRP and ADC of patients in the three groups were signifi-cantly lower than those before treatment(all P＜0.05),and FA in the observation Ⅰ group and observation Ⅱ were sig-nificantly higher than those before treatment(all P＜0.05);the serum levels of CXCL10,CGRP and ADC of observationⅡ were significantly lower than those of the other two groups(all P＜0.05),with the serum level of SP was significantly lower than that of the control group(P＜0.05),FA was significantly higher than those of the other two groups(both P＜0.05).After 4 weeks of treatment,the walking cycle and single support time of the three groups were significantly shorter than those before treatment(all P＜0.05),the step speed of the three groups and the step length of the observation Ⅰgroup and observation Ⅱ group were significantly higher than those before treatment(all P＜0.05);the step speed of the observation Ⅱ group was significantly higher,while the single-support time was significantly shorter than those of the other two groups(all P＜0.05),and the walking cycle was only shorter,the step length was only higher than those of the control group(both P＜0.05).Conclusion Core stabilization training combined with acupoint sensitization acupuncture can sig-nificantly regulate the levels of pain-related factors,alleviate pain and dyskinesia in patients with discogenic sciatica,re-duce the pressure of intervertebral discs on the sciatic nerve,and improve their gait.
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