Effects of Chiropractic and Traditional Chinese Medicine in Treating Patients with Acute Postpartum Pubis Symphysis Pelvic Girdle Pain

[Objectives]To analyze and study the effects of chiropractic and traditional Chinese medicine on pain score and functional ambyiation category scale rating in patients with cervical spondylosis.[Methods]41 postpartum patients with acute pubic symphysis pelvic girdle pain were treated by Xiao Huoluodan Granules(orally taking one bag of Xiao Huoluodan Granules 20 g three times daily with 120-150 mL warm water after each meal),and combined with sacroiliac joint manipulation,muscle posture relaxation and muscle energy technique.[Results]After treatment,the pain score(VAS)was decreased and Holden walking function rating was improved(all P<0.001).[Conclusions]Chiropractic and traditional Chinese medicine therapy has a significant effect on the treatment of postpartum acute pubic symphysis pelvic girdle pain,and it can effectively relieve pain,improve postpartum quality of life and prevent postpartum complications.Due to its benefits,it is worthy of clinical promotion and application.

Safety and Efficacy of a Proprietary Undenatured Beta-Glucan on Different Human Populations

After proving safety in animal and human models, a series of clinical trials were conducted to examine the administration of 1 mg/mL bid of an undenatured beta-glucan on the immune system;and on self-perceived effects on subjects’ quality of life (QoL) using a Visual Analogue Scale (VAS). In one study, a subject population that was self-perceived to be fatigued was administered an undetaured beta-glucan, to determine if this supplementation affected their quality-of-life as a result of an increased immune system response. 44 subjects were administered 1 mg/mL bid of the undenatured beta-glucan (Lentinex®) for four weeks. Prior to the beginning of the administration, and following the four-week administration period, the subjects were asked to fill out a quality-of-life VAS questionnaire. The changes in the two questionnaires revealed differences that occurred as a result of the beta-glucan administration. More than 75% of the subjects scored “better” (more than 1 cm on the VAS) with regard to feeling in a good mood, and feeling rested. More than 60% increased their energy and reduced their tiredness and exhaustion, and 70% felt less stressed. In a second study, subjects aged 40 years and older, believed to be in good general health, seeking therapy for tiredness/exhaustion/fatigue or similar conditions (neurasthenia) which were administered 1 mg/mL bid Lentinex®. The overall results indicated that the subjects felt significantly better (mean VAS = 5.91) after the last week of the study compared to how they felt initially (VAS = 4.73) (p < 0.0001). A statistically significant (p < 0.0001) change in distribution favoring a better situation after 4 weeks intake of supplement, with a remarkable fall in number of subjects scoring below normal (from 61.4% to 18.2%) accompanied by a significant shift in subjects feeling above normal, from 9.2% to 50.0%. These clinical studies, and others, showed that Lentinex® administration improved the perceived quality-of-life of subjects whose immune system was probably not functioning at optimal levels.

The Effects of Anma (Traditional Japanese Massage)—Randomised Trial

Background and Objective: Anma is a traditional Japanese bodywork therapy that has not been widely known and used in the West. There have been only a few Anma studies published in English journals. To study the effect of Anma (traditional Japanese massage) among participants who have neck and shoulder stiffness symptoms (so-called Katakori, in Japanese). Methods: The study participants consisted of seventy-seven (Study 1), thirteen (Study 2), and twenty (Study 3) adults with “Katakori” symptoms. The research design is as follows: (Study1) Randomized, Parallel-Group, Controlled Trial. (Study 2) Crossover Clinical Trial. (Study 3) Randomized, Parallel-Group, Controlled Trial. And we conducted Anma treatment for 45 minutes (Treatment) or rest in lying position for 45 minutes (Control). Results: In study 1, the symptom of “Katakori” was relieved after Anma treatment in Anma group (p d: 2.2). There was a significant interaction between the Anma group and the control group (p < 0.001). In study 2, MBV significantly increased following Anma treatment. There was a significant interaction between the Anma group and the control group (p = 0.022). In study 3, the symptom of “Katakori” was relieved after Anma treatment in the treatment group. There were no significant interactions between the groups in VAS and MBV values. Discussion and Conclusions: The study demonstrated that Anma therapy decreases “Katakori” symptoms while increasing MBV in the shoulder region.

Comparing the Effectiveness of Motor Control Exercises versus Mckenzie Exercises for Work Related Back Pain

Background: Work related low back pain has been identified as a one of the most costly disorders among the worldwide working population. This condition was highly prevalent that approximately 85% patients having back pain were brought on by prolonged sitting. With the rapid development of modern technology, sitting has now become the most common posture in today’s work- place. Idea of using motor control learning approach provides the optimal control and coordination of the spine. The McKenzie evaluation was received using repeated movements and sustained positions. Therefore high quality randomized clinical trial was required to compare the effectiveness of these treatments for work related low back pain. Objectives: To compare the effectiveness of motor control exercises and McKenzie exercises in reducing pain and disability in work related low back pain. Method: The study included 40 subjects with work related low back pain due to prolonged sitting. They were randomly allocated into two groups (Group A and Group B). Group A was treated with motor control exercises and group B was treated with McKenzie exercises for 4 weeks. Results: Both the groups have shown statically significant improvement in vas with p < 0.0001 and ODI with p < 0.0001. When the comparison was done after the 4 weeks, the percentage of improvement in group A was much higher than Group B. Conclusion: The study concluded that motor control exercises have shown statically and clinically significant improvement in reducing pain and disability when compared to McKenzie exercises among work related low back pain subjects.

Early Clinical Improvement of the Axial Pain after Sagittal Curve Restoration in Patients Who Underwent a Multiple Level Microdiscectomy with Fusion of the Cervical Spine Using Zero Profile Cages

A common pathology that causes axial and/or radicular pain is cervical degenerative spine. It has the potential to cause myelopathy. The majority of cases necessitate surgical decompression and sagittal balance correction;surgery may be performed at multiple levels of the cervical spine. Typically, during decompression, the degenerated discs are replaced and the spine is fused, and it has been recommended to restore the lordotic curve during the procedure to avoid any axial pain post-operatively. We followed our patients who had multiple level cervical spine decompression with fusion and monitored their axial pain after correction or in the absence of correction of the normal lordosis in the early post-operative period. When various levels of degenerative cervical spine are treated, it appears that axial pain does not improve in the immediate or early postoperative term.

揿针治疗老年膝关节骨性关节炎疗效观察:随机对照试验

Objective:To observe the effects of the thumb-tack needling therapy on knee joint pain and joint function in the elderly patients with knee osteoarthritis(KOA)and compared with medication.Methods:A total of 60 patients were randomized into a thumb-tack needling group and a medication group,30 cases in each one.In the thumb-tack needling group,the therapy with the thumb-tack needle retaining and waiting for qi was adopted.The acupoints were Hèdǐng(EX-LE2鹤顶),Nèixīyǎn(内膝眼EX-LE4),Dúbí(犊鼻ST35),Xuèhái(血海SP10),Liángqiū(梁丘ST34)and Ashi points on the affected side.The needles were retained for 24 h.This therapy was given once every two days,3 times a week.The treatment for 2 weeks was as one course and consecutive 2 courses of treatment were required.In the medication group,diclofenac sodium sustained release tablets were taken orally,75 mg each time,once daily,consecutively for 4 weeks.Successively,the score of visual analogue scale(VAS)at the affected knee before treatment,after treatment and 3 months after treatment as well as Lequesne indicator before and after treatment were evaluated.The clinical therapeutic effect was observed in the patients of the two groups after treatment.Results:(1)After treatment,VAS scores were reduced as compared with those before treatment in the patients of the two groups(both P<0.05).After treatment,VAS score in the thumb-tack needling group was lower than that in the medication group(P<0.05).(2)After treatment,the scores of all the items of Lequesne indices reduced as compared with those before treatment in the patients of the both groups,indicating significance differences(all P<0.05).After treatment,compared with the medication group,the score of pain,morning stiffness and walking ability as well as the total score were all lower in the thumb-tack needling group,indicating significant differences(all P<0.05).(3)The curative and remarkably effective rate and the total effective rate were 66.7%and 93.3%in the thumb-tack needling group,higher than 56.7%and 86.7%in the medication group respectively(both P<0.05).Conclusion:The thumb-tack needling therapy effectively relieves knee joint pain and improves joint function in the patients and the therapeutic effect is better than medication group.Hence,this therapy deserves to be promoted in clinical practice.