Clinical observation on the treatment of sympathetic cervical spondylosis with meridian acupoint massage combined with curvature traction

Objective:To evaluate the clinical effect of meridian acupoint massage combined with curvature traction on sympathetic cervical spondylosis its influence on heart rate variability and norepinephrine concentration.Methods:80 patients with sympathetic cervical spondylosis were divided into the treatment group and control group randomly,with 40 patients in each group.Patients in the two groups were treated with massage on the basis of curvature traction.Among them,the treatment group was treated with meridian acupoint massage,while the control group was treated with routine massage.Each subject was treated once a day for 2 weeks.Before and after treatment,VAS,NRS,"20 score method",NDI,JOA,and Borden's method were used to evaluate the pain,sympathetic symptoms and cervical function of the two groups.At the same time,the changes of RR interval standard deviation and urine noradrenaline concentration were also observed.Finally the clinical efficacy of the two groups were evaluated.Results:The cure rate of the treatment group was 62.50%,while it was 40.00%in the control group,and the effective rate of the treatment group was 95.00%,the total effective rate of the control group was 80.00%,the treatment group was superior to the control group in both cure rate and total effective rate(P<0.05).During post-therapy,VAS score,NRS score,sympathetic symptom score,cervical physiological curvature,NDI score,and noradrenaline concentration in urine in both groups were lower than those of pre-treatment(P<0.01),JOA score and heart rate variability SDNN value were significantly higher(P<0.01),and the treatment group was superior to the control group(P<0.01).Conclusion:Meridian acupoint massage combined with curvature traction has a significant clinical effect on sympathetic cervical spondylosis,which is worth further promotion and application.

100 Cases of Cervical Spondylopathy Treated by Chen's Massage

１００ＣａｓｅｓｏｆＣｅｒｖｉｃａｌＳｐｏｎｄｙｌｏｐａｔｈｙＴｒｅａｔｅｄｂｙＣｈｅｎ＇ｓＭａｓｓａｇｅ￥ＣｈｅｎＭｅｉｊｉａｎｇ（ＨｅａｌｔｈｓｔａｔｉｏｎｏｆｔｈｅＣｈｉｎｅｓｅＰｅｏｐｌｅ＇ｓｌｉｂｅｒａｔｉｏｎＡｒｍｙ２６０１ｔｈＦａｃｔｏ...

MULTI-CENTER RANDOMIZED CONTROLLED TRIALS OF COMBINED TREATMENT OF VERTEBRAL ARTERY TYPE CERVICAL SPONDYLOSIS WITH ACUPUNCTURE AND MASSAGE

Objective.To evaluate the clinical value of synthetical therapy of acupuncture and massage for treating vertebral artery type cervical spondylosis （VACS）. Methods： In the present study, triple-center, single-blind, randomized and control methods were adopted. Qualified subjects were randomly assigned to three groups： acupuncture-massage （acu-mas） group, acupuncture group, and massage group （60 subjects in each group）. Bilateral Fengchi （风池 GB 20）, Jiaji （夹脊 EX-B 2, C4-7） and Baihui （百会 GV 20） ware punctured in combination with massage at the neck-shoulder and back region. The treatment was conducted once daily, 14 times altogether. Results. After treatment, of the 60 cases in each of acu-mas, acupuncture and massage groups, 28, 11 and 13 were cured, 13, 20 and 17 markedly effective, 12, 14 and 16 effective, and 7, 15 and 14 ineffective, with the total effective rates being 88.3%, 75.0% and 76.7% respectively. The therapeutic effect of acu-mas group was significantly superior to that of simple acupuncture and massage groups （P〈 0.05）. The scores of clinical symptoms and signs in 3 groups all declined significantly after treatment （ P〈 0.01 ）, and the score of symptoms of acu-mas was markedly lower than those of acupuncture and massage groups （P〈 0.05）. No significant differences were found among 3 groups in the score of clinical signs and between acupuncture and massage groups in the score of clinical symptoms （P〉0.05）. The time for producing therapeutic effects in acu-mas group was significantly shorter than those of acupuncture and massage groups （P〈0.01, 0.05）, meanng a faster of aou-mas group in producing clinical effect. No adverse events ware found in all the 3 groups. Conclusion： Acupuncture and massage are effective and safe in the treatment of VACS, and the therapeutic effect of acupuncture combined with massage is superior to that of simple acupuncture and simple massage therapy.

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACPUNCTURE COMBINED WITH MASSAGE FOR CERVICAL SPONDYLOSIS OF VERTEBRAL ARTERIAL TYPE BY USING TRANCRANIAL DOPPLYER ULTRASONOGRAPHY

To observe the effect of acupuncture combined with massage on blood flow velocity of the vertebro-basilar artery in cervical spondylosis of vertebral arterial type （CSVAT） patients. Methods： In the present study, methods of evidence-based medicine, triple-centers, single-blindness, randomization and control were used. A total of 100 cases of CSVAT patients were randomized into acupuncture plus massage （acu-massage） group （n = 38）, acupuncture group （n = 32） and massage group （n = 30）. Acupoints used were Fengchi （风池, GB 20）, cervical Jiaji （颈夹脊 EX-B 2）, Baihui （百会 GV 20）, and the methods of massage used were kneading-rolling, adhesion-separating and acupoint-digital pressing, topical digital pressing and rubbing, traction-extending and mild palm-rubbing. The treatment was conducted once daily, with 7 sessions being a therapeutic course and continuously for 2 courses. Changes of peak velocity （Vp）, end-diastolic velocity （Vd）, mean velocity （Vm） of blood flow of the vertebral artery （VA） and basilar artery （BA）, etc were detected before and after the treatment by using transcranial Doppler （TCD） ultrasonography. Resuits： After the treatment, the abnormally low Vp of both VA and BA in acu-massage, acupuncture and massage groups, Vm of VA in acu-massage and acupuncture groups, Vm of BA in acu-massage and massage groups, and Vd of VA and BA in the 3 groups all increased significantly in comparison with their own pretreatment（ P 〈 0.05, 0.01）, and the therapeutic effects of acu-massage group in the 3 indexes were significantly superior to those of acupuncture group and/or massage group （P 〈0.05, 0.01 ）. The abnormally increased Vp of VA in acu-massage and acupuncture groups, Vm of VA in the 3 groups, and Vd of VA in acu-massage and massage groups decreased obviously after the treatment in comparison with their own pretreatment （P 〈 0.05, 0.01）, and the therapeutic effects of acu-massage group were significantly superior to those of acupuncture and/or massage group in the 3 indexes of VA （P〈0.05, 0.01）. In addition, the abnormally increased Vp, Vm and Vd of BA in the 3 groups showed a similar tendency. No significant differences between acupuncture and massage groups in 3 indexes （ P 〉0.05）. Conclusion： The therapeutic effects of acupuncture plus massage is significantly superior to those of simple acupuncture and simple massage therapies in improving abnormal blood dynamics of vertebral and basilar arteries in CSVAT patients.

OBSERVATIONS ON THE CLINICAL EFFECT AND NAIL-FOLD MICROCIRCULATION IN THE TREATMENT OF 42 CASES OF CERVICAL SPONDYLOPATHY BY ACUPUNCTURE AND MASSAGE

Forty-two cases of cervical spondylopathy were divided into acupuncture andmassage groups. The therapeutic effects were observed comparatively, and the changes of nail-foldmicrocirculation of patients before and after treatment were observed at the same time. The resultsshowed that the effective rates of two groups were all 100%, no difference between them. The nailfold microcirculation of two groups was markedly ameliorated after treatment, and no significant dif-ference between them either.

Treatment by Electro-Acupuncture and Massage in 172 Cases of Cervical Spondylopathy

The authors have treated 172 cases of cervical spondylopathy by electro-acupuncture and massage in recent 6 years. The results were satisfactory as reported in the following.

Analysis of Pain Scores and Rehabilitation of Patients with Cervical Spondylotic Radiculopathy Receiving Massage Combined with Traction and Ultrashort Wave

OBJECTIVE: To evaluate the pain scores and rehabilitation of patientis with cervical spondylotic radiculopathy receiving massage therapy combined with traction and ultrashort wave therapy. METHODS: A total of 84 patients with cervical spondylotic radiculopathy treated in 105 Hospital of People's Liberation Army from June 2014 to June 2017 were included and divided into study group and control group according to different treatment regimens. A total of 42 patients in the study group was treated with cervical traction, ultrashort wave and massage therapy at the same time, whereas the other 42 patients in the control group were only treated with cervical traction and ultrashort wave. Comparison of the clinical efficacy and adverse reactions of the 2 groups was made and the Visual Analogue Scale (VAS) scores before and after treatment were observed to assess the patient's pain. Comparison of rehabilitation in the 2 groups was made by applying the Clinical Assessment Scale for Cervical Spondylosis (CASCS). RESULTS: After comparing the therapeutic effect between the study group and the control group, it showed that the total effective rate (90.48%) in the study group was significantly higher than that in the control group (73.81%), the difference was statistically significant (P < 0.05). By comparing the incidence of adverse reactions in the study group and the control group, results showed that the incidence of adverse reactions such as nausea, palpitations, vomiting, sweating, dizziness and colorless complexion in the study group (9.52%) was significantly lower than that in the control group (21.43%), the difference was statistically significant (P < 0.05). After the treatment, the VAS pain scores of the study group and the control group were both significantly improved (P < 0.05), but the improvement of the patients in the study group was more significantly (P < 0.05), and the difference was statistically significant. After treatment, the CASCS scores of the patients in the study group and the control group were significantly improved (P < 0.05), but the improvement of the study group was more (P < 0.05), and there was statistically significant difference. CONCLUSION: The combination of massage, traction and ultrashort wave therapy can significantly reduce the pain and reduce the incidence of adverse reactions in patients with cervical spondylotic radiculopathy, which is of great clinical significance to the rehabilitation of patients.

Clinical Efficacy of Acupuncture Combined with Massage on Cervical Spondylopathy of Vertebral Artery Type and Its Effect on Hemodynamics of Patients

Objective:To investigate the clinical efficacy of acupuncture combined with massage on cervical spondylopathy of vertebral artery type and its effect on hemodynamics of patients.Methods:Sixty patients with vertebral artery type cervical spondylosis treated in our hospital from July 2017 to October 2019 were selected as the research subjects and randomly divided into 2 groups of 30 cases each.The control group was treated with acupuncture,and the observation group was treated with acupuncture combined with massage,and the clinical efficacy and hemodynamic index of the two groups were compared after 1 month of treatment[peak systolic blood velocity(PSV),pulsatile index(PI),time mean flow velocity(TMFV)].Results:There was no statistical difference in the PSV,PI,and TMFV between the two groups before treatment(P>0.05).After treatment,the observation group had a higher treatment efficacy than the control group with PSV and TMFV increasing and PI decreasing in both groups,and the change in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture combined with massage on cervical spondylopathy of vertebral artery type can improve the clinical efficacy and improve the hemodynamic index of patients,which is worthy of clinical application.

Curative Effects of Warming Needle Moxibustion Combined with Manipulation Massage on Cervical Spondylotic Vertebral Arteriopathy and Its Influence on the Cerebral Blood Flow Parameters and Cervical Vertebral Function

OBJECTIVE: To explore the curative effects of warming needle moxibustion combined with manipulation massage on cervical spondylotic vertebral arteriopathy and its influence on the cerebral blood flow and cervical vertebra function. METHODS: A total of 84 patients with cervical spondylotic vertebral arteriopathy admitted to our hospital from February 2016 to June 2017 were selected, and all patients were divided into an observation group (n=42) and a control group (n=42) according to the random number table method. The patients in the control group were given conventional western treatment, and the patients in the observation group were treated with warming needle moxibustion combined with manipulation massage on the basis of the control group. After 4 weeks of treatment, the changes of main clinical symptoms (vertigo, headache, neck and shoulder pain, tinnitus), cervical function (clinical symptoms, clinical examination, daily life action) and cerebral blood flow parameters (average blood flow velocity of left vertebral artery, right vertebral artery and basilar artery) of the 2 groups were observed, and the clinical efficacy of the 2 groups were statistically analyzed. RESULTS: The scores of vertigo, headache, neck and shoulder pain and tinnitus in the 2 groups were all significantly lower than before treatment (P < 0.05), and the clinical symptom scores in the observation group were significantly lower after treatment (P < 0.05);After treatment, the scores of clinical symptoms, clinical examination and daily life action in the 2 groups were significantly higher than those before treatment (P < 0.05), and the increase of cervical vertebral function score in the observation group was better than that in the control group (P < 0.05);The mean blood flow velocity of the left vertebral artery, right vertebral artery and the basilar artery in the 2 groups after treatment were significantly higher than before treatment (P < 0.05), and the increase of the above cerebral blood flow parameters in the observation group were higher than the control group (P < 0.05). The total effective rate was 92.9% in the observation group and 76.2% in the control group after treatment, and the difference between the 2 groups was statistically significant (P < 0.05). CONCLUSION: Warming needle moxibustion combined with manipulation massage can quickly relieve the clinical symptoms of patients with cervical spondylotic vertebral arteriopathy, improve the cervical function and cerebral blood flow parameters, increase the vertebrobasilar artery blood flow, and promote the recovery of the disease.

CLINICAL OBSERVATION ON THE TREATMENT OF CERVICAL SPONDYLOSIS, SCAPULOHUMERAL PERIARTHRITIS AND LUMBAR MUSCLE STRAIN BY A MODEL FZ-1 SIMULATED TUINA (MASSAGE) APPARATUS

We have treated 30 cases of cervical spondylosis, 30 cases of scapulohumeral periarthritis and 30 cases of lumbar muscle strain with a Model FZ - 1 Simulated Massage Apparatus, and gained satisfactory therapeutic effect for all cases treated. Moreover, this apparatus is applied conveniently,and has no adverse reaction.

Observation on 120 Cases of Cervical Spondylopathy Treated by Acupuncture and Massage

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Massage Treatment for Spinal cord of Cervical Spondylosis

ＭａｓｓａｇｅＴｒｅａｔｍｅｎｔｆｏｒＳｐｉｎａｌｃｏｒｄｏｆＣｅｒｖｉｃａｌＳｐｏｎｄｙｌｏｓｉｓ￥ＪｉｎＪｉａｈｕａ（ＩｎｓｔｉｔｕｔｅｏｆｏｒｔｈｏｐｅｄｉｃｓａｎｄＴｒａｕｍａｔｏｌｏｇｙ，ＣｈｉｎａＡｃａｄｅｍｙｏｆＴＣＭ．１００７００）Ｔ...

基于MCU探讨防风汤加减联合推拿治疗风寒湿痹型颈型颈椎病的临床研究

目的:基于颈椎多功能训练评估系统(MCU)探讨防风汤加减联合推拿治疗风寒湿痹型颈型颈椎病的临床疗效。方法:选取2022年1月~2023年6月期间就诊于福建中医药大学附属康复医院的风寒湿痹型颈型颈椎病患者共70例,根据随机数字表分为治疗组及对照组各35例。治疗组予口服防风汤加减联合推拿治疗,对照组予常规推拿治疗。比较观察两组患者治疗前后疼痛视觉模拟评分法(VAS评分)、颈椎功能障碍指数(NDI)量表、临床疗效及颈椎各方向活动度和肌力情况。结果:治疗后,两组患者VAS评分、NDI评分较治疗前增加,治疗组VAS评分和NDI评分高于对照组(P<0.05);治疗后,两组患者颈椎各方向活动度和颈肌最大肌力较治疗前均有不同程度增加(P<0.05),治疗组颈椎各方向活动度及颈椎前屈、后伸、右侧屈方向的最大肌力均优于对照组(P<0.05);治疗组总有效率高于对照组(P<0.05)。结论:防风汤加减联合推拿可显著改善风寒湿痹型颈型颈椎病患者的疼痛、颈椎活动功能,增强颈椎周围肌群的肌力,从而增强颈椎的稳定性,缓解临床症状,其疗效优于单纯推拿治疗。

COMBINED TREATMENT OF 43 CASES OF CERVICAL SPONDYLOPATHY

From February of 1994 to February of 1996, the author of the present paper adopted combined therapies of potent traction, massage, acupuncture and Chinese medicinal herbs to treat 43 cases of cervical spondylopathy. Results showed that after 1-3 months’ treatment, of the 43 cases, 30 (69.8%) were cured, 10 (23.3%) had marked improvement, 2 (4.6%) had improvement and 1 (2.3%) failed, with an effective rate of 97.7%.

Dr.Zhang's Experience in Massotherapy for Treatment of Vertebral-Artery-Type Cervical Spondylopathy

Thirty cases of vertebral-artery-type cervical spondylopathy were treated by Dr. Zhang Tao's technique. The cure rate was 50%, and the total effective rate was 100%.

THE NERVE-ROOT-TYPE CERVICAL SPONDYLOPATHY TREATED BY MASSOTHERAPY WITH AN OBSERVATION OF MICROCIRCULATION IN THE AFFECTED LIMB

In recent years, great attention has beenpaid to basic theories of microcirculation andits clinical applications both at home andabroad. It has been applied in hematopathy,angiocardiopathy and many other diseases,

TREATMENT OF SPINAL-CORD-TYPE CERVICAL SPONDYLOSIS BY CHINESE MASSOTHERAPY

Spinal-cord-type cervical spondylosis is aserious disorder of nervous system.The authorhas treated 40 cases of spinal-cord-typecervical spondylosis by Chinese massotherapyin combination with orally taking andexternally applying Chinese herbal drugs,withsatisfactory results as reported in thefollowing.Clinical DataAmong the 40 cases,22 were male and18 female,ranging in age from 23 to 60 years,averaging 44 years.The shortest duration

Evaluation of Therapeutic Effect of Maneuver-Dominated Method in 30 Cases of Cervical Spondylotic Myelopathy

Thirty cases of cervical spondylotic myelopathy (CSM) were treated by a maneuver-dominated non-surgical therapy. Eighteen cases were recovered to grade E according to the criteria set by the American Spinal Injury Association. The effect was definite. Indications and contraindications of the maneuver were proposed on the basis of the pathogenesis of CSM and the principles of this manual method.

推拿结合针灸治疗神经根型颈椎病患者的疗效观察

目的探讨CSR的治疗方法。方法回顾性收集80例CSR患者的临床资料,根据治疗方法的不同将其分为两组,各40例。对照组予以中医针灸治疗,观察组加用中医推拿治疗。比较两组疗效以及主要症状积分、疼痛程度、颈椎功能的改善情况。结果观察组有效率为95%,高于对照组的77.5%(χ^(2)=5.17,P=0.023);观察组治疗后主要症状积分、疼痛程度、颈椎功能改善程度均优于对照组(t=8.45~18.55,P<0.05)。结论中医推拿结合针灸治疗CSR患者疗效更优。

针灸推拿配合颈椎功能康复训练对神经根型颈椎病患者颈椎活动能力的影响

目的分析神经根型颈椎病(CR)患者在颈椎功能康复训练的基础上联合针灸推拿的效果。方法从2022年7月-2023年7月的CR患者中随机抽取62例,电脑随机法分为A组(31例,颈椎功能康复训练)和B组(31例,颈椎功能康复训练+针灸推拿),对比两组效果。结果干预后B组颈椎活动度、临床症状积分、SF-36评分优于A组(P<0.05)。结论CR患者在颈椎功能康复训练的基础上联合针灸推拿,能有效改善颈椎活动功能和临床症状,提高生活质量。