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《The Journal of Traditional Chinese Orthopedics and Traumatology》 2016-01
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Clinical study on iontophoresis of traditional Chinese medicine combined with lower back functional exercise for treatment of non-specific low back pain

JIN Likun;QI Yuefeng;TANG Ke;LIU Yang;WANG Chenxi;ZHANG Liqiang;Fengsheng TCM Orthopedic-Traumatological special Hospital;  
Objective: To observe the clinical curative effects of iontophoresis of traditional Chinese medicine( TCM) combined with lower back functional exercise in the treatment of non-specific low back pain( NLBP). Methods: Sixty patients with NLBP were randomly divided into 2 groups,30 cases in each group. The patients were treated with combination therapy of iontophoresis of TCM and lower back functional exercise( combination therapy group) and monotherapy of iontophoresis of TCM( monotherapy group) respectively. The lower back pain visual analogue scale( VAS) scores and Oswestry disability index( ODI) were recorded and compared between the 2 groups before treatment and after 1- and 7-course treatment respectively. Results: There was statistical difference in lower back pain VAS scores between different timepoints,in other words,there was time effect( F = 8. 025,P = 0. 001). There was statistical difference in lower back pain VAS scores between the 2 groups,in other words,there was group effect( F = 5. 201,P = 0. 023). Further comparison indicated that there was no statistical difference in the lower back pain VAS scores between the 2 groups before treatment and after 1- course treatment( 6. 27 + /- 1. 06 vs 6. 00 + /- 1. 03 points,t = 0. 969,P = 0. 753; 2. 50 + /- 1. 02 vs 2. 53 + /- 0. 81 points,t =- 1. 38,P = 0. 186). The lower back pain VAS scores were lower in combination therapy group compared to monotherapy group after 7- course treatment( 1. 20 + /- 0. 75 vs 2. 13 + /- 0. 50 points,t =- 5. 588,P = 0. 021). There was interaction between time factor and grouping factor( F = 9. 816,P = 0. 001). There was statistical difference in ODI between different timepoints,in other words,there was time effect( F = 15. 299,P = 0. 000). There was statistical difference in ODI between the 2 groups,in other words,there was group effect( F =- 4. 321,P = 0. 001). Further comparison indicated that there was no statistical difference in ODI between the 2 groups before the treatment( 47. 40 + /- 9. 70 vs 46. 17 + /- 8. 80%,t = 0. 508,P =0. 614),and ODI were lower in combination therapy group compared to monotherapy group after 1- and 7- course treatment( 22. 07 + /-3. 24 vs 27. 40 + /- 4. 77%,t =- 4. 982,P = 0. 000; 11. 94 + /- 3. 44 vs 20. 07 + /- 3. 81%,t =- 8. 256,P = 0. 000). There was interaction between time factor and grouping factor( F = 9. 835,P = 0. 001). Conclusion: The combination therapy of iontophoresis of TCM and lower back functional exercise can effectively relieve or eliminate the NLBP and improve the lower back function,moreover,it surpasses the monotherapy of iontophoresis of TCM in clinical curative effects,so it is worthy of popularizing in clinic.
【CateGory Index】: R274.9
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