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. 2022 Jul 15;14(7):4628-4637.
eCollection 2022.

Efficacy comparison of acupuncture and balanced acupuncture combined with TongduZhengji manipulation in the treatment of acute lumbar sprain

Affiliations

Efficacy comparison of acupuncture and balanced acupuncture combined with TongduZhengji manipulation in the treatment of acute lumbar sprain

Guan Fu et al. Am J Transl Res. .

Abstract

Objective: To compare the curative effect of balanced acupuncture combined with TongduZhengji manipulation vs acupuncture in the treatment of acute lumbar sprain.

Methods: Clinical data of 71 patients with acute lumbar sprains in our hospital from January 2020 to December 2020 were retrospectively analyzed. Patients were divided into single group (n=35) and combined group (n=36) based on treatment methods. The single group received only acupuncture treatment, while the combined group received balanced acupuncture combined with TongduZhengji manipulation. The treatment efficacy, pain level, lumbar function and motion of the lumbar spine were compared between the two groups.

Results: The Visual Analogue Scale (VAS) scores of the combined group were lower than those of the single group after 3, 4, and 5 days of treatment (P<0.05). There was no significant difference in VAS scores between the two groups after 1 and 2 days of treatment (P>0.05). The Roland-Morris Disability Questionnaire (RMDQ) score of the combined group showed no significant difference compared with that of the single group after 1 and 2 days of treatment (P>0.05), and were lower than those of the single group after 3, 4, and 5 days of treatment (P<0.05). The Japanese Orthopedic Association (JOA) score of the combined group after 1, 2, and 3 days of treatment showed no significant difference compared with the single group (P>0.05), and was higher than that of the single group after 4 and 5 days of treatment (P<0.05). The Range of Motion (ROM) score of the combined group showed no significant difference compared with the single group after 1 and 2 days of treatment (P>0.05), and was lower than that of the single group after 3, 4, and 5 days of treatment (P<0.05). The total effective rate of treatment in the combined group was significantly higher than that in the single group (91.67% vs. 71.43%) (P<0.05).

Conclusion: Compared with acupuncture alone, balanced acupuncture combined with TongduZhengji manipulation can significantly reduce the pain level and improve lumbar spine mobility as well as lumbar spine function, exhibiting better curative effect than acupuncture only.

Keywords: Balanced acupuncture; TongduZhengji manipulation; acute lumbar sprain; curative effect; treatment.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Diagram of Yaotong acupoints in both groups. (A) acupuncture needles, (B) the location of Yaotong acupoints in the single group, (C) the location of Yaotong acupoints in the combined group.
Figure 2
Figure 2
Comparison of pain level between the two groups. Repeated measure analysis of variance was performed, and post hoc comparison was performed by SNK test. *P<0.05 compared with the single group.
Figure 3
Figure 3
Comparison of RMDQ score between the two groups. Repeated measure analysis of variance was performed, and post hoc comparison was performed by SNK test. *P<0.05 compared with the single group. RMDQ, Roland-Morris Disability Questionnaire.
Figure 4
Figure 4
Comparison of JOA score between the two groups. Repeated measure analysis of variance was performed, and post hoc comparison was performed by SNK test. *P<0.05 compared with the single group. JOA, Japanese Orthopedic Association.
Figure 5
Figure 5
Comparison of ROM score. Repeated measure analysis of variance was performed, and post hoc comparison was performed by SNK test. *P<0.05 compared with the single group. ROM, Range of Motion.
Figure 6
Figure 6
CT images before and after treatment. Compared with before treatment (A, B), lumbar curvature was slightly increased, and L3/4 disc herniation was slightly improved after treatment (C, D).

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