RESUMO
Objective: To observe the application of micro-implant anchorage (MIA) combined with Proxomed Tergumed (PT) system in patients with malocclusion combined with lumbar disc herniation (LDH). Methods: 60 patients with malocclusion combined with LDH from February 2021 to December 2022 were randomly divided into two groups. 30 cases in Group A were treated with MIA combined with conventional training, while 30 cases in Group B were treated with MIA combined with rehabilitation training of the PT system. All patients in the two groups received intervention for 30 days. The clinical efficacy, waist, and back function [Oswestry Disability Index (ODI)], low back pain [visual analogue scale (VAS)], and waist and back muscle-related indicators [Range of motion (ROM) and isometric strength (IMS)] of the two groups were compared. Results: Group B had better overall treatment efficacy and a higher overall response rate compared to Group A (P < .05). There was no significant difference in ODI, VAS scores of lumbago, ROM, and IMS between the two groups before the treatment (P > .05). On the second week of treatment and at the end of treatment, the ODI and VAS scores of Group B were significantly lower than those of Group A (P < .05). At the end of treatment, the ROM and IMS of Group B were significantly higher than that of Group A (P < .05). Conclusion: PT system rehabilitation training combined with MIA can improve the clinical efficacy of patients with malocclusion combined with LDH, which is conducive to improving the patients' lumbar back muscle function and relieving low back pain. It is recommended to be used in patients with clinically related complications.
