ĐÁNH GIÁ TÁC DỤNG ĐIỀU TRỊ HỘI CHỨNG THẮT LƯNG HÔNG DO THOÁI HÓA CỘT SỐNG BẰNG ĐIỆN XUNG TẠI HUYỆT KẾT HỢP XOA BÓP BẤM HUYỆT

Abstract

Objectives: To evaluate the therapeutic effect of transcutaneous electrical acupoint stimulation (TEAS) combined with massage and acupressure for lumbosacral syndrome (LSS) due to spinal degeneration and to describe factors related to treatment outcomes. Subjects and Methods: A randomized controlled clinical trial was conducted on 70 patients diagnosed with LSS due to spinal degeneration, classified under the Traditional Chinese Medicine pattern of "Wind-Cold-Damp Bi syndrome with Liver-Kidney deficiency". Patients were randomly allocated into two groups: the Study Group (n=35) received treatment with a needleless TEAS device (Pointron 801) combined with Massage and Acupressure, while the Control Group (n=35) received conventional electroacupuncture (EA) combined with Massage and Acupressure. The treatment course lasted for 15 days. Efficacy was assessed by changes in the Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Schöber's test, finger-to-floor distance, and Lasègue's test at baseline (D0) and after treatment (D5, D10, D15). Results: Both protocols demonstrated significant improvements across all measured parameters (p < 0.05). However, the study group showed faster and superior improvements compared to the control group. At D15, the mean VAS score in the study group decreased to 0.97 ± 0.45, which was significantly lower than the control group's score of 1.54 ± 0.51 (p < 0.05). The improvement rates for the ODI score, Schöber's test, and Lasègue's test were also statistically significantly higher in the study group (p < 0.05). The overall "Good" and "Fair" treatment outcome rate was significantly higher in the study group (88.5%) compared to the control group (74.3%) (p < 0.05). Both interventions were safe with minimal adverse effects. Conclusion: Needleless TEAS (using the Pointron 801 device) combined with massage and acupressure is an effective, safe, and superior therapy compared to conventional electroacupuncture for pain relief and functional restoration in patients with lumbosacral syndrome due to spinal degeneration.