ABSTRACT
Objective:To investigate the effects of anxiety and depressive symptoms in mediation of pain catastrophizing on disability in patients with low back pain.Methods:A cross-sectional survey was conducted among 97 patients with low back pain in the Changjiang Subdistrict community health center from July to October 2021. Oswestry Disability Index, pain catastrophic subscale in Coping Strategies Questionnaire-24, Generalized Anxiety Disorder Scale-short version, Patient Health Depression Questionnaire-short version were used to evaluate the activity dysfunction, pain catastrophic cognition and anxiety and depression levels of patients,respectively. Path analysis was implemented to test the mediation model, and the indirect effects were assessed using the bootstrap procedure with bias-corrected 95 %CI. Results:Results suggested significant positive correlations among pain catastrophizing, anxiety, depressive symptoms and disability of patients. In addition, both anxiety and depressive symptoms significantly mediated the impact of pain catastrophizing on disability (standardized indirect effects were 0.183 and 0.197, P<0.05). Patients with higher levels of pain catastrophic cognition showed higher levels of anxiety and depressive symptoms (β=0.757, 0.720; P<0.01), and reported more severe motor dysfunction (β=0.241, 0.274; P<0.05). Conclusions:Our findings suggest that anxiety and depression may be the psychological pathways through which pain catastrophizing predicts disability in patients with low back pain. Effective psychological interventions, such as emotion regulation and stress reduction strategies should be considered in treatment and supportive care for patients with low back pain.
ABSTRACT
Objective: To observe the effect of electroacupuncture (EA) combined with traction and modified oblique Ban-pulling manipulation on lumber intervertebral disc herniation (LIDH). Methods:A total of 90 eligible cases were randomly allocated into three groups, 30 in each group. Cases in group A were treated with EA, traction and tuina of modified oblique Ban-pulling manipulation; cases in group B were treated with traction and tuina (same as group A);and cases in group C were treated with traction alone (same as the other two groups). Then the therapeutic efficacies in the three groups were evaluated using the Japanese Orthopedic Association (JOA) score rating system. Results:The results after treatment and 1-month follow up showed that JOA scores in all three groups were improved (P Conclusion: EA combined with traction and modified oblique Ban-pulling manipulation can obtain better effect than traction alone and traction combined with modified oblique Ban-pulling manipulation for LIDH.
ABSTRACT
ObjectiveTo investigate the clinical efficacy of acupuncture kinesitherapy plus conventional acupuncture in treating cervical spondylosis.MethodSixty-eight patients with cervical spondylosis were randomly allocated to treatment and control groups, 34 cases each. The treatment group received acupuncture kinesitherapy plus conventional acupuncture and the control group, conventional acupuncture alone. Both groupswere treated three times a week for a total of two weeks. The VAS score was recorded in the two groups of patients before and after treatment. The clinical therapeutic effects were evaluated after treatment.Result There was a statistically significant pre-/post-treatment difference in the VAS score in the two groups of patients (P<0.01). There was a statistically significant post-treatment difference in the VAS score between the treatment and control groups (P<0.01). The total efficacy rate and the recovery rate were 100.0% and 73.5%, respectively, in the treatment group and 91.2%and 52.9%, respectively, in the control group. There were statistically significant differences in the total efficacy rate and the recovery rate between the two groups (P<0.05).ConclusionAcupuncture kinesitherapy plus conventional acupuncture has a goodtherapeutic effect on pain symptoms in cervical spondylosis patients. Its therapeutic effect is better than that of conventional acupuncture alone.