[Changes of segmental motion after spinal manipulation in patients with lumbar intervertebral disc protrusion]

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2001 Mar;21(3):186-9.
[Article in Chinese]

Abstract

Objective: To explore the effect of manipulation on segmental motion of lumbar vertebra and the clinical significance before and after treatment, and evaluation with charge couple device (CCD) measurement system.

Methods: CCD and dynamic radiography were conducted in 30 patients before and after treated by manipulation or other conservative therapy, analysis and comparisons in segmental motion ranges of flexion-extension and lateral bending, correlation between data of CCD system and radiography as well as characteristics of lumbar vertebral function recovery after manipulation were performed.

Results: Certain correlation between data of CCD and radiography was shown by linear correlation test (r = 0.42-0.72, P < 0.05-0.01). Paired t test showed that the lower lumbar segmental flexion-extension function was significantly recovered (t = 2.26-2.61, P < 0.05-0.01) after manipulation, but the recovery on other segments was insignificant.

Conclusion: The special designed CCD system is of important clinical significance in assessing segmental lumbar vertebral function. Lower lumbar vertebral flexion-extention functional state is a crucial criterium for evaluation of manipulative therapy in lumbar intervertebral disc protrusion.

MeSH terms

  • Adult
  • Female
  • Humans
  • Intervertebral Disc Displacement / diagnostic imaging
  • Intervertebral Disc Displacement / therapy*
  • Lumbar Vertebrae* / diagnostic imaging
  • Lumbar Vertebrae* / physiopathology
  • Male
  • Manipulation, Orthopedic*
  • Middle Aged
  • Movement
  • Radiography