Short-term effect of manipulation therapy for lumbar disc herniation quantitatively evaluated by three-dimensional scoliosis angle

doi:10.12307/2025.813

Abstract

Abstract: BACKGROUND: Patients with lumbar disc herniation have different physical deformities due to nucleus pulposus compression and mechanical imbalance. On this basis, Professor Feng Tianyou proposed the “four-step waist type.” Professor Feng Wei proposed the objective quantification of three-dimensional scoliosis angle “four-step waist type.”
OBJECTIVE: To explore the application value of three-dimensional scoliosis angle in evaluating the efficacy of Feng’s spinal manipulation in the treatment of patients with lumbar disc herniation.
METHODS: A total of 149 hospitalized patients with lumbar disc herniation were enrolled sequentially, including 96 cases of type-I/II and 55 cases of type-III/IV. The patients were treated with manual therapy for 2 weeks, and 10 healthy volunteers were included as healthy controls. The three-dimensional scoliosis angle was measured using surface topography technology. The difference of three scoliosis angles between patients with type-I/II and type-III/IV was compared before and after treatment. The difference between patients after treatment and healthy subjects was compered. The difference of three-dimensional scoliosis angles between type-I / II and type-III / IV after treatment was compared. The intrinsic correlation of each projection plane of three-dimensional scoliosis angle and its correlation with commonly used clinical efficacy scores were explored.
RESULTS AND CONCLUSION: (1) The three-dimensional scoliosis angle was significantly different in patients with type-I/II and type-III/IV before and after treatment (P < 0.05). (2) There were significant differences in coronal curve angle and transverse curve angle between patients with type-I/II, type-III/IV and healthy subjects (P < 0.05), but there was no significant difference in sagittal curve angle (P > 0.05). (3) There was a correlation between the angles of each section of the three-dimensional angle, and there was a correlation between the three-dimensional angle and the subjective scale. (4) It is indicated that the three-dimensional scoliosis angle can quantitatively evaluate the changes of body deformity before and after treatment. Quantitative indicators can reveal the changes in the patient’s condition before and after treatment. The three-dimensional scoliosis angle can reflect the severity of the impact on the patient’s living conditions, but the evaluation of scoliosis by a single plane parameter has certain limitations.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: lumbar disc herniation, scoliolosis, lumbar types, surface topography, Feng’s spinal manipulation, manipulative therapy, efficacy

CLC Number:

R459.9|R318|R681.5

Gu Jiangpeng, Chen Xujing, Liu Yikang, Guo Wei, Liu Xiaomin, Wang Fei, Feng Wei. Short-term effect of manipulation therapy for lumbar disc herniation quantitatively evaluated by three-dimensional scoliosis angle[J]. Chinese Journal of Tissue Engineering Research, 2025, 29(21): 4552-4559.

Figures/Tables 7

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