EVALUATION OF THE THERAPEUTIC EFFECTS OF FU’S SUBCUTANEOUS NEEDLING COMBINED WITH TUINA AND ACUPRESSURE IN THE TREATMENT OF LOW BACK PAIN
Main Article Content
Abstract
Objective: To evaluate the effectiveness of Fu’s subcutaneous needling combined with acupressure massage therapy in treatment of low back pain.
Subjects and methods: A clinical trial study, comparing before and after treatment, with a control group. 60 patients were divided into 2 groups: the research group treated with Fu’s subcutaneous needling combined with acupressure massage and the control group treated with Electro-acupuncture combined with acupressure massage.
Results: Pain relief effect: average pain score according to the VAS scale decreased from 54,93 ± 0,74 points to 0,67 ± 0,71 points, statistically significant with p < 0.05 and better than the control group (p < 0.05). The degree of lumbar spine flexion measured by the Schober test improved significantly. In the study group, 63.3% of participants were classified as having mild limitation while 30% achieved a normal range of motion. The Schober score increased showing a statistically significant difference (p < 0.05) and a greater improvement compared with the control group (p < 0.05). Lumbar flexibility assessed by the fingertip-to-floor test also improved significantly (p < 0.05). Improvements in lumbar flexion, extension, and lateral bending were statistically significant (p < 0.05). Functional outcomes in daily activities, evaluated using the ODI, showed a more favorable trend in the study group compared to the control group, with the difference being statistically significant (p < 0.05). The mean ODI score decreased a statistically significant reduction (p < 0.01), and was comparable to that of the control group (p > 0.05).
Conclusion: The combined therapy of Fu needle acupuncture and acupressure massage proved to be effective in treating low back pain associated with cold-dampness and blood stasis syndromes. The treatment demonstrated superior outcomes compared with the control group in terms of pain reduction, increased lumbar spine flexibility, improved flexion, extension, and lateral bending of the lumbar region, as well as enhanced daily functional capacity.
Article Details
Keywords
Fu’s subcutaneous needling, acupressure massage, treatment of low back pain.
References
[2] GBD 2021 Low Back Pain Collaborators. Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol, 2023, 5 (6): e316-e329.
[3] Middleton K, Fish D.E. Lumbar spondylosis: Clinical presentation and treatment approaches. Curr Rev Musculoskelet Med, 2009, 2 (2): 94-104.
[4] Fu Z, Shepherd R. Fu’s subcutaneous needling, a modern style of ancient acupuncture? Acupuncture in Modern Medicine, Intech Open, Rijeka, 2013, Chapter 8. http://dx.doi.org/10.5772/53970
[5] Nguyễn Chí Hiệp. Đánh giá tác dụng điều trị của “Đai hộp ngải cứu Việt” kết hợp xoa bóp bấm huyệt trên bệnh nhân đau cột sống thắt lưng. Luận văn thạc sỹ y học, Học viện Y Dược học cổ truyền Việt Nam, 2017.
[6] Ching-Hsuan Huang et al. Rapid improvement in neck disability, mobility, and sleep quality with chronic neck pain treated by Fu’s subcutaneous needling: A randomized control study. Pain Research and Management, 2022, p. 7592873.
[7] Boguslaw L. Biological significance of piezoelectricity in relation to acupuncture, Hatha Yoga, osteopathic medicine and action of air ions. Medical Hypotheses, 1977, 3 (1): p. 9-12.
[8] Langevin H.M et al. Evidence of connective tissue involvement in acupuncture. Faseb J., 2002, 16 (8): 872-874.
[9] Bộ Y tế. Quyết định số 5013/QĐ-BYT ngày 01/12/2020 về việc ban hành tài liệu chuyên môn “Hướng dẫn chẩn đoán và điều trị bệnh theo y học cổ truyền, kết hợp y học cổ truyền với y học hiện đại”.