Efficacy of Tuina combined with core stability training on lumbar stability and clinical outcomes in patients with lumbar disc herniation: a randomized controlled trial protocol - Report - MDSpire

Efficacy of Tuina combined with core stability training on lumbar stability and clinical outcomes in patients with lumbar disc herniation: a randomized controlled trial protocol

  • By

  • Xiaoyu Liang

  • Limei Huang

  • Huanzhen Zhang

  • Hongye Huang

  • Lechun Chen

  • Shuijin Chen

  • Jingjing Jiang

  • Zhigang Lin

  • July 7, 2026

  • 0 min

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Effectiveness of Combining Tuina Therapy with Core Stability Exercises on Lumbar Stability

Overview

This study protocol outlines a randomized controlled trial to assess the effectiveness of Tuina therapy combined with core stability exercises in patients with lumbar disc herniation (LDH).

Background

Lumbar disc herniation (LDH) is a prevalent condition that leads to significant pain and functional impairment, affecting patients' quality of life. Current conservative treatments include manual therapy and exercise, but evidence on their combined effectiveness remains limited.

Data Highlights

This study will involve 96 patients randomly allocated to three groups: Tuina therapy, core stability training, or a combined intervention. Outcomes will be assessed using various measures, including muscle activation ratios and patient-reported outcomes.

Key Findings

  • The study will evaluate the muscle activation ratio of the transversus abdominis as the primary outcome.
  • Secondary outcomes include imaging parameters and patient-reported outcomes such as VAS, ODI, JOA, and SF-36.
  • Participants will undergo an 8-week intervention with three sessions per week, followed by a 1-month follow-up.
  • All assessments will be conducted by researchers blinded to group allocation.
  • This trial is registered with the International Traditional Medicine Clinical Trial Registry.

Clinical Implications

The findings from this trial may provide insights into the effectiveness of combining Tuina therapy with core stability exercises for managing LDH.

Conclusion

This randomized controlled trial aims to provide high-quality evidence on the combined efficacy of Tuina therapy and core stability exercises in improving outcomes for patients with lumbar disc herniation.

Related Resources & Content

  1. Frontiers in Neurology, 2026 -- Comparative effectiveness of moxibustion-based combination therapies for lumbar disc herniation
  2. Frontiers in Neurology, 2026 -- Combination of Yaobitong capsules and lumbar oblique pull manipulation for moderate pain in lumbar disc herniation with radiculopathy
  3. Frontiers in Medicine, 2026 -- Manual therapy combined with core muscle training for chronic non-specific low back pain
  4. Frontiers in Medicine, 2026 -- Clinical Study on the Therapeutic Effect of Large-Area Cupping Therapy for Lumbar Disc Herniation
  5. Spine.org -- Guidelines for Lumbar Disc Herniation
  6. Frontiers, 2025 -- Clinical efficacy of exercise therapy for lumbar disc herniation: a systematic review and meta-analysis
  7. Efficacy and safety evaluation of massage combined with traction for lumbar disc herniation: a meta-analysis
  8. https://www.spine.org/Portals/0/assets/downloads/ResearchClinicalCare/Guidelines/LumbarDiscHerniation.pdf
  9. Frontiers | Clinical efficacy of exercise therapy for lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials
  10. Efficacy and safety evaluation of massage combined with traction for lumbar disc herniation: a meta-analysis

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