[Manipulative reduction for lumbar intervertebral disc herniation: a controlled clinical trial].
OBJECTIVE
To investigate the effects of manipulative reduction on pain and clinical curative effect in patients with lumbar intervertebral disc herniation.


METHODS
Eleven thousands one hundred and twenty-eight patients with lumbar intervertebral disc herniation from our hospital were enrolled from November 1986 to June 2007. They were randomly divided into control group and treatment group. Patients of the control group received lumbar traction and various physiotherapies. Patients of the treatment group received manipulative reduction, besides the treatment in the control group. The treatment was performed once a day,ten times as a course. Curative effects were assessed three courses later. Pain was evaluated by visual analogue scale before and after the treatment.


RESULTS
No significant difference in the score of visual analogue scale was found before the treatment in the two groups (P > 0.05). As compared with the score before treatment,it was decreased by 4.73 points after treatment in the control group, and decreased by 6.37 points in the treatment group. The decrease was more significant in the treatment group than the control group (P < 0.01). The healing rate was 47.28% and total effective rate was 96.37% in the control group; The healing rate was 73.44% and total effective rate was 98.61% in the treatment group (P < 0.01).


CONCLUSIONS
Manipulative reduction for lumbar intervertebral disc herniation can remarkably relieve lumbar pain and improve clinical curative effect.
Zhang
Wei-bin
WB
The Beifang Hospital of General Hospital of Shenyang Military Command, Shenyang 110032, Liaoning, China.
Cao
Yu
Y
Sun
Yong-an
YA
Wang
Chun-sheng
CS
Wang
Ying
Y
Dong
Shi-long
SL
Ren
Guo-zhong
GZ
Yang
Ying-xin
YX
Zhang
Jing-zhong
JZ
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000628:therapy*; D008159:Lumbar Vertebrae; D008297:Male; D020393:Manipulation, Spinal / Q000379:methods*; D008875:Middle Aged; D010147:Pain Measurement