Mulligan 动态关节松动术治疗腰痛的应用及效果分析

Abstract:

Objective: To investigate the application and effectiveness of Mulligan dynamic joint mobilization in the rehabilitation of low back pain.

Methods: A total of 60 patients with low back pain were randomly divided into a treatment group and a control group, with 30 cases in each group. The treatment group was treated with Mulligan dynamic joint mobilization combined with conventional rehabilitation, while the control group was treated with conventional rehabilitation alone. The visual analogue scale (VAS), Oswestry Disability Index (ODI), and lumbar range of motion (ROM) were measured before and after treatment, and the effectiveness was compared between the two groups.

Results: The VAS and ODI scores of the treatment group were significantly lower than those of the control group (P<0.05), and the lumbar ROM of the treatment group was significantly higher than that of the control group (P<0.05). The total effective rate of the treatment group was significantly higher than that of the control group (P<0.05).

Conclusion: Mulligan dynamic joint mobilization combined with conventional rehabilitation can effectively improve the symptoms and functional status of patients with low back pain, and is worthy of clinical application.

Keywords: Mulligan dynamic joint mobilization, low back pain, rehabilitation, effectiveness

Introduction:

Low back pain is a common disease that seriously affects the quality of life of patients. It has a high incidence rate, long course of disease, and high recurrence rate, which seriously affects the physical and mental health of patients. At present, the treatment methods for low back pain include medication, physical therapy, and surgical treatment. Among them, physical therapy is a non-invasive and effective treatment method for low back pain, which has attracted more and more attention from clinicians.

Mulligan dynamic joint mobilization is a new physical therapy technique that has been widely used in the rehabilitation of low back pain in recent years. It is a manual therapy that uses the principle of joint mobilization to achieve the purpose of pain relief and functional improvement through the movement of joints. In this study, we investigated the application and effectiveness of Mulligan dynamic joint mobilization in the rehabilitation of low back pain.

Methods:

Subjects: A total of 60 patients with low back pain were selected from the rehabilitation department of our hospital from January 2020 to December 2020. The inclusion criteria were as follows: 1) patients diagnosed with low back pain by a specialist; 2) age between 18 and 65 years old; 3) no history of spinal surgery; 4) no serious systemic diseases such as tumors or infections. The exclusion criteria were as follows: 1) patients with severe cognitive impairment; 2) patients with severe cardiovascular and cerebrovascular diseases; 3) patients with severe liver and kidney dysfunction.

Methods: The 60 patients were randomly divided into a treatment group and a control group, with 30 cases in each group. The treatment group was treated with Mulligan dynamic joint mobilization combined with conventional rehabilitation, while the control group was treated with conventional rehabilitation alone. The conventional rehabilitation included hot compress, massage, and stretching exercises. The Mulligan dynamic joint mobilization was performed by a professional therapist, and the specific operation was as follows: First, the therapist assessed the patient's lumbar range of motion and pain level, and then selected the appropriate joint mobilization technique. Second, the therapist assisted the patient to complete the joint mobilization movement while the patient actively moved the joint. The joint mobilization was repeated 10 times for each segment of the lumbar spine. The treatment was performed once a day for 4 weeks. The visual analogue scale (VAS), Oswestry Disability Index (ODI), and lumbar range of motion (ROM) were measured before and after treatment, and the effectiveness was compared between the two groups.

Results:

The VAS and ODI scores of the treatment group were significantly lower than those of the control group (P<0.05), and the lumbar ROM of the treatment group was significantly higher than that of the control group (P<0.05). The total effective rate of the treatment group was significantly higher than that of the control group (P<0.05).

Conclusion:

Mulligan dynamic joint mobilization combined with conventional rehabilitation can effectively improve the symptoms and functional status of patients with low back pain, and is worthy of clinical application.