{"title":"瓦氏拉法增强核心力量治疗骶髂关节疼痛综合征疗效的实证研究","authors":"Jianfeng Shu, Jianke Yang, Binghua Fan, Dong Li, Weijing Tao, Shu Chen","doi":"10.1155/ijcp/6538085","DOIUrl":null,"url":null,"abstract":"<p><b>Introduction:</b> Optimal management of sacroiliac joint pain syndrome necessitates timely and effective therapeutic interventions to achieve favorable clinical outcomes. This study was designed to investigate the efficacy of a combined treatment approach, integrating Wa-shi pulling (WP) with core muscle strengthening exercises (CMSE), in patients with sacroiliac joint pain syndrome.</p><p><b>Methods:</b> A prospective study was conducted on patients diagnosed with sacroiliac joint pain syndrome between October 1, 2019, and June 30, 2022. Participants were carefully selected and randomly allocated into two groups: the WP group and the WP + CMSE group.</p><p><b>Results:</b> A total of 123 patients with sacroiliac joint pain syndrome were enrolled in the study. Following the intervention, significant reductions were observed in both McGill Pain Questionnaire scores and lumbosacral angles compared to baseline values (all <i>p</i> < 0.05). The WP + CMSE group demonstrated more pronounced reductions in McGill Pain Questionnaire scores (<i>p</i> = 0.029) and greater improvements in lumbosacral angles postintervention. Additionally, JOA scores increased significantly for both groups after treatment (all <i>p</i> < 0.05), with the WP + CMSE group exhibiting a more substantial improvement compared to the WP group (<i>p</i> = 0.039). These findings suggest a more robust therapeutic effect in the combined treatment group.</p><p><b>Conclusion:</b> The integration of WP and CMSE showed therapeutic effects in sacroiliac joint pain syndrome, though with variability in statistical robustness across outcomes after Bonferroni correction. Evidence for a synergistic effect remains strongest for pain relief, with conclusions regarding lumbosacral biomechanics and functional status requiring cautious interpretation pending further validation. This study provides preliminary support for the therapeutic potential of combining these modalities, with the pain-specific findings meriting consideration in clinical practice.</p><p><b>Trial Registration:</b> Chinese Registry of Clinical Trials: MR-33-20-001928</p>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/6538085","citationCount":"0","resultStr":"{\"title\":\"Efficacy of Wa-Shi Pulling in Enhancing Core Strength for Sacroiliac Joint Pain Syndrome: Empirical Evidence of Its Effectiveness\",\"authors\":\"Jianfeng Shu, Jianke Yang, Binghua Fan, Dong Li, Weijing Tao, Shu Chen\",\"doi\":\"10.1155/ijcp/6538085\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><b>Introduction:</b> Optimal management of sacroiliac joint pain syndrome necessitates timely and effective therapeutic interventions to achieve favorable clinical outcomes. This study was designed to investigate the efficacy of a combined treatment approach, integrating Wa-shi pulling (WP) with core muscle strengthening exercises (CMSE), in patients with sacroiliac joint pain syndrome.</p><p><b>Methods:</b> A prospective study was conducted on patients diagnosed with sacroiliac joint pain syndrome between October 1, 2019, and June 30, 2022. Participants were carefully selected and randomly allocated into two groups: the WP group and the WP + CMSE group.</p><p><b>Results:</b> A total of 123 patients with sacroiliac joint pain syndrome were enrolled in the study. Following the intervention, significant reductions were observed in both McGill Pain Questionnaire scores and lumbosacral angles compared to baseline values (all <i>p</i> < 0.05). The WP + CMSE group demonstrated more pronounced reductions in McGill Pain Questionnaire scores (<i>p</i> = 0.029) and greater improvements in lumbosacral angles postintervention. Additionally, JOA scores increased significantly for both groups after treatment (all <i>p</i> < 0.05), with the WP + CMSE group exhibiting a more substantial improvement compared to the WP group (<i>p</i> = 0.039). These findings suggest a more robust therapeutic effect in the combined treatment group.</p><p><b>Conclusion:</b> The integration of WP and CMSE showed therapeutic effects in sacroiliac joint pain syndrome, though with variability in statistical robustness across outcomes after Bonferroni correction. Evidence for a synergistic effect remains strongest for pain relief, with conclusions regarding lumbosacral biomechanics and functional status requiring cautious interpretation pending further validation. This study provides preliminary support for the therapeutic potential of combining these modalities, with the pain-specific findings meriting consideration in clinical practice.</p><p><b>Trial Registration:</b> Chinese Registry of Clinical Trials: MR-33-20-001928</p>\",\"PeriodicalId\":13782,\"journal\":{\"name\":\"International Journal of Clinical Practice\",\"volume\":\"2025 1\",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-09-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/6538085\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Clinical Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1155/ijcp/6538085\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Clinical Practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/ijcp/6538085","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Efficacy of Wa-Shi Pulling in Enhancing Core Strength for Sacroiliac Joint Pain Syndrome: Empirical Evidence of Its Effectiveness
Introduction: Optimal management of sacroiliac joint pain syndrome necessitates timely and effective therapeutic interventions to achieve favorable clinical outcomes. This study was designed to investigate the efficacy of a combined treatment approach, integrating Wa-shi pulling (WP) with core muscle strengthening exercises (CMSE), in patients with sacroiliac joint pain syndrome.
Methods: A prospective study was conducted on patients diagnosed with sacroiliac joint pain syndrome between October 1, 2019, and June 30, 2022. Participants were carefully selected and randomly allocated into two groups: the WP group and the WP + CMSE group.
Results: A total of 123 patients with sacroiliac joint pain syndrome were enrolled in the study. Following the intervention, significant reductions were observed in both McGill Pain Questionnaire scores and lumbosacral angles compared to baseline values (all p < 0.05). The WP + CMSE group demonstrated more pronounced reductions in McGill Pain Questionnaire scores (p = 0.029) and greater improvements in lumbosacral angles postintervention. Additionally, JOA scores increased significantly for both groups after treatment (all p < 0.05), with the WP + CMSE group exhibiting a more substantial improvement compared to the WP group (p = 0.039). These findings suggest a more robust therapeutic effect in the combined treatment group.
Conclusion: The integration of WP and CMSE showed therapeutic effects in sacroiliac joint pain syndrome, though with variability in statistical robustness across outcomes after Bonferroni correction. Evidence for a synergistic effect remains strongest for pain relief, with conclusions regarding lumbosacral biomechanics and functional status requiring cautious interpretation pending further validation. This study provides preliminary support for the therapeutic potential of combining these modalities, with the pain-specific findings meriting consideration in clinical practice.
Trial Registration: Chinese Registry of Clinical Trials: MR-33-20-001928
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