title: [The observe of clinical effect of treating lumbar intervertebral disc herniation by bone setting manipulation of different directions].
abstract: OBJECTIVE
  To compare the effect between lumbar backwards flexion manipulation and rotating manipulation for treating lumbar intervertebral disc herniation.
  
  
  METHODS
  Two hundred and nine patients of lumbar intervertebral disc herniation, male 131, female 78, the age from 20 to 79 years old, 58 cases of all these patients age above 50. According to diagnosis the ladder of the 92 cases bulging type, 69 hernia type, 48 cases free type. The patients were randomly divided into treatment group (107 cases) and control group (102 cases). All the patients were treated with the three-dimensional computer-controlled traction therapeutic apparatus, with continued traction for 30 minutes. After traction, lumbar backwards flexion manipulation and rotating manipulation were respectively adopted in treatment group and control group (on alternate days one time, 3 times as a course of treatment). The symptoms and signs (including back pain and discomfort, lower limb pain and numbness, powerless urination and defecation, numbness in perineum, straight-leg raising degree, ability of lower extremity walking, work and live) of patients were observed after treatment.
  
  
  RESULTS
  All the patients were followed up from 1 to 6 months with an average of 3.2 months. After treatment, the symptoms and signs of patients have markedly improved (P < 0.01), but the lower back pain and discomfort, lower limb walking ability in treatment group were better than control group (P < 0.05). According therapeutic criteria, the effect of treatment group was better than of control group (P < 0.01). In cases with bulging type, 47 in treatment group and 45 in control group, the effect of treatment group was better than of control group (P < 0.05); in cases with hernia type, 35 in treatment group and 34 in control group, there was no significantly difference in effect between two groups (P > 0.05); in cases of free type, 25 in treatment group and 23 in control group, there was no significantly difference in effect between two groups (P > 0.05).
  
  
  CONCLUSIONS
  The global effect of lumbar backwards flexion manipulation was satisfactory than rotating manipulation for treating lumbar intervertebral disc herniation. But rotating manipulation suited to free type.
authors.affiliation: The Third Clinical Medical College ofZhejiang TCM University, Hangzhou 310053, Zhejiang, China. lvlj0288@sina.com
authors.forename: Li-jiang
authors.initials: LJ
authors.lastname: Lü
authors.forename: Ye-dao
authors.initials: YD
authors.lastname: Jin
authors.forename: Ru-yun
authors.initials: RY
authors.lastname: Zheng
authors.forename: Bing-hua
authors.initials: BH
authors.lastname: Fan
authors.forename: Mi-xiong
authors.initials: MX
authors.lastname: Yang
authors.forename: Xiao-ming
authors.initials: XM
authors.lastname: Ying
authors.forename: Qi-Kai
authors.initials: QK
authors.lastname: Wang
authors.forename: Wen-bo
authors.initials: WB
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery* / Q000628:therapy*; D008159:Lumbar Vertebrae / Q000473:pathology*; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D008875:Middle Aged; D016896:Treatment Outcome