Analysis of the Effects and Influencing Factors of Sports Rehabilitation Exercises and Acupuncture Treatment for Lumbar Intervertebral Disc Protrusion
WANG Yanfei
MA Chunhong
ZHANG Shijie
Abstract：Objective To study the effects and influencing factors of sports rehabilitation exercises and acupuncture treatment for lumbar intervertebral disc protrusion(LIDP).Methods A retrospective analysis was conducted on 122 patients with LIDP admitted from March 2022 to March 2024.All of them received sports rehabilitation exercises and acupuncture treatment.They were grouped according to the therapeutic effect.The clinical data of the effective(patients with significant and effective response)group and the ineffective(patients with ineffective response)group were compared.Multivariate logistic regression analysis was used to analyze the influencing factors of the combined treatment effect.Results At 4 weeks after treatment,39 patients with LIDP showed significant response,63 patients showed effective response,and 20 patients showed ineffective response;the total effective rate was 83.61%(102/122).There were significant differences between the ineffective group and the effective group in terms of age,history of diabetes,work intensity,lateral crypt stenosis,tissue metalloprotein-ase-1(TIMP-1),sagittal plane rotation degree,and sagittal plane slip degree(P<0.05,P<0.01).After collinearity diagnosis,the history of diabetes and work intensity had collinearity problems,and it was considered to be removed from the model.Multivar-iate logistic regression analysis showed that age,lateral recess stenosis,TIMP-1,sagittal plane rotation degree,and sagittal plane slip degree were all influencing factors for the therapeutic effects of sports rehabilitation exercises and acupuncture in patients with LIDP(P<0.01).Conclusion The effects of sports rehabilitation exercises and acupuncture in the treatment of LIDP are relatively good.The ineffectiveness may be related to age,lateral recess stenosis,TIMP-1,the sagittal plane rotation degree,and the sagittal plane slip degree.Focused clinical attention are required,and intervention measures should be formulated in advance to improve the therapeutic effect.
Keywords：Lumbar intervertebral disc herniationSports rehabilitation exercisesAcupunctureAgeLateral recess stenosisTissue inhibitor of metalloproteinase-1Risk factors
Publication Date：2025-07-13
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 103-107,112 )