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Clinical efficacy observation of spine subtle adjusting manipulation for postpartum low back pain

Zhen Li,Xilin Zhang, Shufu Zhang,Wuquan Sun, Xuewen Ye, Wanqiao Huang,Kexin Wu, Zhijun Zhao,Yuxia Chen

Journal of Acupuncture and Tuina Science(2022)

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Abstract
Objective To explore the clinical efficacy of spine subtle adjusting manipulation for postpartum low back pain (PLBP). Methods A total of 76 patients with PLBP were randomized into a control group and a treatment group, with 38 cases in each group. The control group was treated with core muscle strengthening exercises, and the treatment group was treated with spine subtle adjusting manipulation. After 3 weeks of treatment, the clinical efficacy was observed, and the visual analog scale (VAS) score and Oswestry disability index (ODI), and the changes of lumbar Cobb angle and pelvic rotation were compared between the two groups. Results The total effective rate of the treatment group was 92.1%, and that of the control group was 78.9%. The difference between the two groups was statistically significant ( P <0.05). After treatment, the VAS score and ODI in both groups decreased, and the intra-group differences were all statistically significant ( P <0.05). There were no intra-group statistical differences in the lumbar Cobb angle or pelvic rotation in the two groups ( P >0.05). After treatment, there were no statistical differences in the lumbar Cobb angle or pelvic rotation between the two groups ( P >0.05); the VAS score and ODI in the treatment group were significantly lower than those in the control group ( P <0.05). Conclusion Spine subtle adjusting manipulation can effectively relieve the pain for patients with PLBP, and improve their daily activity function.
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Key words
Tuina, Massage, Manual Therapies, Chiropractic, Exercise Therapy, Postpartum Period, Low Back Pain, Visual Analog Scale, 推拿, 按摩, 手法治疗, 整脊疗法, 运动疗法, 产后期, 腰痛, 视觉模拟量表, R244.1, A
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