Abstract
In this prospective study, we used the random number table method to equally divide 141 patients with chronic nonspecific low back pain (CNLBP) who met the inclusion criteria into 3 groups. One group who received massage manipulation therapy was recorded as the manipulation group (n = 47), one other group who received core strength training therapy was recorded as the training group (n = 47), and the other group who received massage manipulation combined with core strength training was recorded as the combination group (n = 47). All the patients were treated for 1w as the course of treatment, with the treatment conducted for 5 d/w for 4 w and 12 w of follow-up. The efficacies of the 3 groups were evaluated after treatment, and the visual analog scale (VAS) scores, Oswestry disability index (ODI) scores, and waist dynamic and static muscle endurance before and after treatment of the 3 groups were compared, and the long-term efficacies of the 3 groups were evaluated combined with the VAS scores at 6 w and 12 w after treatment. Our result was that, after treatment, the total effective rate of the combination group (95.74%) is significantly better than that of the manipulation group (80.85%) and the training group (78.72%) (P < 0.05). After treatment, the VAS and ODI scores of the 3 groups significantly decreased, and the waist dynamic endurance and static muscle endurance significantly increased, and the condition of the combination group was significantly improved compared with that of the manipulation group and the training group (P < 0.05). At 6w and 12w after treatment, the VAS scores of the manipulation group and training group were increased compared with those at the end of treatment (P < 0.05), there was no significant change in the combination group (P < 0.05), and the VAS scores of the combination group at 6 w and 12 w after treatment were lower than those of the manipulation group and training group at the same time point (P < 0.05). This suggests that the synergistic effect of massage manipulation combined with core strength training in the treatment of CNLBP can effectively alleviate patients' pain and waist dysfunction, enhance dynamic and static muscle endurance, and have significant short-term and long-term effects, which are worthy of promotion.
Highlights
Chronic nonspecific low back pain (CNLBP) is one of the more common types of low back pain (LBP), accounting for more than 85% of all LBP patients
One group who received massage manipulation therapy was recorded as the manipulation group (n 47), one group who received core strength training therapy was recorded as the training group (n 47), and the other group who received massage manipulation combined with core strength training was recorded as the combination group (n 47). e general data in Table 1 of the 3 groups were not statistically different and were comparable (P > 0.05)
The Oswestry disability index (ODI) scores of the three groups decreased significantly, and those of the combination group was significantly improved compared with the manipulation group and training group (P < 0.05). ere was no significant difference between the manipulation group and the training group (P > 0.05), (Figure 2)
Summary
Chronic nonspecific low back pain (CNLBP) is one of the more common types of low back pain (LBP), accounting for more than 85% of all LBP patients It refers to the general term for a kind of low back pain in which imaging and laboratory examinations exclude known pathological or disease factors, and the patient’s lumbar, lumbosacral, or buttocks have pain and discomfort for more than 3 months, with or without lumbar dysfunction [1, 2]. Drugs, physical therapy, manipulation, and behavioral cognitive therapy are commonly used for the treatment of CNLBP. It can improve the function and mobility of the patient’s lumbar spine to a certain extent and reduce pain and disability. It is urgent to explore a more optimized treatment plan in clinical practice
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