Lumbar Disc Herniation
Conditions
Keywords
Lumbar Disc Herniation, Press quickly, Point-press method, Pressure-sensitive acupoints, Infrared thermal imaging
Brief summary
Utilizing the responsive acupoint palpation technique and infrared thermography, we investigated the distribution patterns of pressure-sensitive acupoints across different lumbar spinal segments in patients with lumbar disc herniation (LDH). Methodology: The Finger TPS tactile pressure measurement system was employed to conduct sensitivity examinations on the acupoints of the L1\ L5 lumbar spine in 80 LDH patients (Group 1) and 80 healthy individuals (Group 2), applying a standardized force of 60N. When a sensation of comfort was elicited, the points were marked on a human cutaneous nerve segment map. We then utilized infrared thermography to collect and compare the temperature differences of the top 10 most frequently responsive acupoint areas in the experimental group against those in the control group.
Interventions
DIAGNOSTIC_TESTInfrared thermal imaging
A well-trained physician donned the Finger TPS tactile pressure measurement system (Finger TPS II, BTLETG03, USA), methodically applying a consistent 60N force with a single thumb vertically downward on the acupoints of the L1 to L5 spinal segments, in accordance with the human cutaneous nerve segment map. Additionally, environmental conditions were meticulously controlled-temperature maintained between 20°C to 25°C, relative humidity at 50% to 60%, with gentle indoor lighting, quiet, and stable airflow. The MESH T-1000 Smart medical infrared thermograph, produced by Wuhan Gewu Optoelectronics Technology Co., Ltd., was utilized to assess the surface temperature of the patient's pressure-sensitive acupoint areas.
Sponsors
Zhou Xingchen
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Age range of 18 to 65 years, regardless of gender. * Radiological confirmation of central type L4\ L5 intervertebral disc herniation. * Meeting the diagnostic criteria for lumbar disc herniation, primarily manifesting as lower back pain, radicular pain, and numbness or weakness in the lower limbs, with imaging findings consistent with neurological localization. * Patients in the non-acute phase of mild to moderate pain and functional impairment (onset more than 2 weeks ago), with a visual analog scale (VAS) score greater than 4 points and a Japanese Orthopaedic Association (JOA) score less than 15 points. * No consumption of analgesics, neurotrophic drugs, or sedatives, and no systemic treatment in the past week. * Willing participants in the study who have signed an informed consent form.
Exclusion criteria
* Concomitant internist and gynecological diseases that can cause lower back pain, such as nephritis, urinary tract stones, gynecological inflammations, and uterine pathologies. * Individuals with severe primary diseases of the cardiovascular, cerebrovascular, liver, kidney, etc. * Patients with neurosis or psychiatric disorders, or those with a history of cranial trauma or coma. * Patients with primary or ankylosing sciatica. * Individuals with concomitant lumbar spondylolisthesis. * Patients with lumbar spine tumors or tuberculosis. * Individuals with consciousness disorders, severe impairments in vision, hearing, or speech, or any other condition that prevents the completion of a health assessment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| skin temperature | up to one month | The medical infrared thermographic camera captures thermal images of the human cutaneous nerve segment map on the back of the subjects, focusing on the L1 to L5 spinal segment areas. |
Countries
China
Outcome results
None listed