振荡调整手法对青少年运动员腰椎小关节紊乱的疗效观察

目的：观察振荡调整手法对青少年运动员腰椎小关节紊乱的影响。方法：96例诊断为“腰椎小关节紊乱”的青少年运动员随机分为手法组49例、对照组47例。手法组以松解手法配合振荡调整手法治疗,对照组以超短波电疗治疗,手法组每次10 min,对照组每次30 min,两组均每周治疗5次,测定全部受试者在治疗前、治疗2次、治疗3次、治疗5次,4个时间点的视觉模拟量表（VAS评分）、腰腹部肌张力值变化。结果：手法组治疗3次后VAS评分优于对照组,手法组治疗5次后,双侧竖脊肌及患侧腋中线/髂嵴与肋弓连线中点的肌张力值改善程度优于对照组;对侧腋中线/髂嵴与肋弓连线中点肌张力的改善程度无显著差异。结论：振荡调整手法能有效缓解青少年运动员腰椎小关节紊乱症状。

Curative Effect Observation of Oscillatory Adjustment on Lumbar Facet Disorder of Juvenile Athletes

To observe the curative effect of oscillatory adjustment on lumbar facet joint disorder of juvenile athletes. Method: 96 juvenile athletes diagnosed as "lumbar facet joint disorder" were randomly divided into a manipulation group of 49 athletes and a control group of 47. Manipulation group was treated with soft tissue loosening manipulation and oscillatory adjustment. The control group was treated with ultrashort wave electrotherapy. Manipulation group was given a 10-minute therapy each time, and the control group received a 30-minute therapy each time. Both groups were treated 5 times per week. All the subjects were measured with VAS scores and waist and abdominal muscle tension changes at the four time points: before the treatment and after the second, third and fifth treatment. Result: VAS scores of the manipulation group were better than those of the control group after receiving the treatment for three times. After 5 times, the muscle tension value improvement of the bilateral erector spinae and the injured side middle axillary line/iliac crest and rib arch connecting point of the manipulation group was better than that of the control group. And there was no significant difference between the muscle tension value improvement of the contralateral middle axillary line /iliac crest and rib arch connecting point of the both groups. Conclusion: Oscillatory adjustment can effectively relieve the symptoms of lumbar facet joint disorders of juvenile athletes.