A CLINICAL OBSERVATION ON THE THERAPEUTIC EFFECT OF CERVICAL SPONDYLOPATHY OF NERVE ROOT TYPE TREATED BY COMBINED CERVICAL TRACTION AND ELECTROACUPUNCTURE

Objective: To observe the therapeutic effect of combined cervical traction and electroacupuncture (EA) on Cervical Spondylopathy of Nerve Root Type (CSNRT). Methods: 145 patients diagnosed as CSNRT were randomized into 3 groups: combined treatment group, EA group, and cervical traction (CT) group. The combined group was treated with traction followed by EA of Dazhui (大椎 GV 14), Fengchi (风池 GB 20), cervical Jiaji (夹脊 EX-B 2), etc.. Patients of two control groups were only treated by either CT or EA. Results: The markedly-effective rate and total effective rate were 76.0% and 94.0% respectively in the combined treatment group, 62.5% and 81.25% respectively in CT group, and 63.82% and 82.97% respectively in EA group. The therapeutic effect of the combined treatment group was significantly superior to that of two control groups (P<0.05). At 6-month follow-up, the above two markedly-effective and total effective rates in the combined treatment group remained 74.0% and 92.0%, still significantly higher than that in two control groups. Conclusion: Combining cervicle traction with EA treatment can effectively eliminate or relieve the symptoms and signs in patients with nerve root type cervical spondylopathy.

The Effect of Traction Position in Cervical Traction Therapy Based on Dynamic Simulation Models

This study describes the development of a cervical traction therapy simulation model that evaluates two types of the traction positions, namely the sitting position and the inclined position. An anatomically correct human skeleton model and two mechanical traction device models were constructed in simulations using a physics engine. The anterior and posterior intervertebral separations were measured at both positions with a series of traction forces (60N to 200N) and traction angles (10&deg;? to 40&deg;?). The result suggested that the sitting position caused the subject to lean forward and as a result led to excessive anterior compression when traction angle is over 20 degrees. The inclined position creates greater intervertebral separations on both the anterior and posterior sides than the sitting position. This suggests that the inclined position may be more effective in increasing intervertebral separation than the sitting position.

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 OBSERVATION ON TREATMENT OF 68 CASES OF CERVICAL SPONDYLOSIS WITH ACUPUNCTURE SUPPLEMENTED BY TRACTION OF NECK

The 68 patients of cervlcal spondylosis were treated with acupuneture at Fengchi（GB 20）,Fengfu（GV 16）and Ashi point supplemented by traction of neck,once a day or every 2days,10 times of treatment for one course.After atreatment of 2 courses,31 cases（45.5％）werecured;13 cases（19.1％）markedly improved;18 cases （26.4％）improved and 6 cases（8.8％）notimproved.The total effective rate was 91.1％.In this article the classification,etiology and principlesof treatment of this dseases were discussed。

Low Friction Traction for Cervical Spine Dislocation

In order to reduce the magnitude of the force applied to skull for treatment of acute cervical spine dislocation, we developed a method of skeletal traction based on reduction of friction forces under the patient’s head. Traction force was applied to sculls of five patients with cervical fracture-dislocations. A difference in friction interface between the patient’s head and shoulder girdle was created. The traction weight required for the reduction of the vertebral dislocation was significantly lower than an expected minimal traction weight in the commonly used techniques (p = 0.013). The presented method permits an effective and safe reduction of dislocated cervical vertebra by a relatively low traction force.

Experiment and Dynamic Simulation of Cervical Tractions in Inclined and Sitting Positions

This study aims to validate the accuracy of a cervical traction therapy simulation model by comparing the intervertebral separations of six asymptomatic male adults when traction was applied to their cervical spines. The subjects were tested on two mechanical traction devices, representing the inclined and sitting positions. A total of 55 radiographic images of their cervical spines were taken before and during traction. The result showed statistically significant intervertebral space changes in the inclined position but the changes in the sitting position were not statistically significant. The observed changes of the cervical spine were used to adjust parameters of the traction therapy model, which contains a human model with cervical spine built with springs and dampers and two traction devices in inclined and sitting positions. A series of traction forces and traction angles were applied to the model to simulate the actual parameters used in the experiment and the new model was used to evaluate the two traction positions. The result suggested that inclined position creates greater intervertebral separations on the posterior sides. Differences in separations due to age were not observed in both positions. The result also suggested that the inclined position provides better control in positioning the separations at different spinal segments than the sitting position.

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

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Treatment of Cervical Spondylopathy with a Combined Therapy

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The Experimental Study:Effect of Traction and Rotationon Pressure of Cervical Nucleus Pulposus

研究不同拔伸和旋转作用时，颈椎髓核内压力的变化，为临床提供依据．方法：１２例颈椎固定在ＭＴＳ上，设置不同牵引旋转（旋转３０°，牵引５０，１００，１５０和２００Ｎ）．应用传感器测量Ｃ３～４，Ｃ４～５，Ｃ５～６节段．结果：随牵引增加，其压力不断下降，牵引２００Ｎ时，压力明显下降，差异显著（Ｐ＜０．０１）．旋转时稍升高，但不及正常水平．旋转后复位中所有标本的压力均有一过性降低．先拔伸后旋转时，其压力下降最明显．结论：颈椎髓核内压力随牵引力的增加而不断下降；较小牵引力对其压力无太大影响；牵引力２００Ｎ时，压力下降明显．临床牵引的重量可能偏小．较大重量的拔伸作用下旋转颈椎，不易使颈髓核突出．目的：研究不同拔伸和旋转作用时，颈椎髓核内压力的变化，为临床提供依据．方法：１２例颈椎固定在ＭＴＳ上，设置不同牵引旋转（旋转３０°，牵引５０，１００，１５０和２００Ｎ）．应用传感器测量Ｃ３～４，Ｃ４～５，Ｃ５～６节段．结果：随牵引增加，其压力不断下降，牵引２００Ｎ时，压力明显下降，差异显著（Ｐ＜０．０１）．旋转时稍升高，但不及正常水平．旋转后复位中所有标本的压力均有一过性降低．先拔伸后旋转时，其压力下降最明显．结论：颈椎髓核内压力?

CLINICAL OBSERVATION ON TREATMENT OF NERVE-ROOT TYPE CERVICAL SPONDYLOSIS WITH ACUPUNCTURE, TRACTION PLUS SELF-EXERCISE OF QIGONG

Purpose: To observe the therapeutic effect of acupuncture combined with traction and Qigong exercise for treatment of nerve root type cervical spondylosis. Methods: A total of 130 nerve root type cervical spondylosis patients were randomly divided into acupuncture + traction + Qigong exercise (ATQE) group (n=59), acupuncture + Qigong exercise (AQE) group (n=40) and traction + Qigong exercise (TQE) group (n=31). Main acupoints used were Fengchi (GB 20) and cervical Jiaji (EX B 2) on the affected side. Results: After one month’s treatment, in ATQE, AQE and TQE groups, 43 (72.88%), 18 (45.00%) and 12 (45.16%) had remarkable amelioration, 14 (23.72%), 14 (35.00%) and 10 (32.26%) were effective, and 2 (3.39%), 8 (20.00%) and 7 (22.58%) had no apparent changes with the total effective rates being 96.61%, 80.00% and 77.41% respectively. The therapeutic effect of ATQE group was significantly superior to that of AQE and TQE groups (P<0.01).

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%.

STUDY ON THE SOMESTHETIC EVOKED POTENTIAL IN ELECTRO-ACUPUNCTURE TREATMENT OF CERVICAL SPONDYLOPATHY

In order to study the significance of somesthetic evoked potentials (SEP) in diagnosis of cervical spondylopathy (CS) and judgement of its therapeutic effect, a total of 60 cases of CS patients were randomly divided into electroacupuncture (EA) group (n=30) and control (traction) group (n=30). Amplitudes of N 9, N 11 , N 13 , N 20 and intervals of N 9-N 13 , N 13 -N 20 and N 9-N 20 of SEP were used as indexes. After 3 courses of treatment, the clinical therapeutic effect of EA group was significantly superior to that of control group (P<0.01); the amplitudes of the aforementioned components of SEP in both groups increased apparently while the interpeak latency shortened in different degrees. In EA group, the increased values of various components of SEP amplitude, except for N 9, were all larger than those of control group (P<0.05 for N 11 , P<0.01 for N 13 and N 20 ); the values of shortened latency of different components, except for N 13 -N 20 , were all larger than those of control group (P<0.01 for N 9-N 13 and N 9-N 20 ). It suggests that SEP possess a certain significance in diagnosis and evaluation of CS and can be used as one of the objective indexes for evaluation of the therapeutic effect.

Mid-term outcomes of Bryan cervical disc arthroplasty versus anterior cervical discectomy and fusion for cervical spondylopathy

Objective To compare the clinical outcomes of Bryan disc replacement with anterior cervical discectomy and fusion (ACDF) in patients with cervical spondylopathy. Methods Sixteen patients underwent Bryan cervicaldisc replacement (A group) ,and

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.

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.

Analysis of efficacy of traction plus computer middle frequency on cervical vertigo

Objective We investigate the mechanism of comp rehensive management in the treatme nt of cervical vertigo through treat ing 15patients with cervical vertigo by ce rvical traction plus computer middl e frequency machine.Method Sedentary jaw-occiput traction ban d was used.Traction was regulated individually.Traction angle was determin ed according to patients’ force line.Multifunctional comput er machine K88-32I was used after traction.Result10cases were cured completely,4were improved,1showed no any improveme nt.Conclusion cervical traction can increase space between cervical spine and uncinate cervica l joint,relieve congestion and edem a,improved compressed vertebral ar tery and distorted artery.Based on traction,computer middle frequency rein forces therapeutic effects of traction and produces cooperated effects.

ACUPUNCTURE TREATMENT OF CERVICAL SPONDYLOPATHY:CLINICAL REPORT OF 172 CASES

The authors have treated 172 cases of cervical spondylopathy with acupuncture basedon the differentiation of symptoms and signs.Of 172 cases,58（33.2％）were cured,60（35.0％）were markedly improved,and 48（27.9％）were improved.The total effective rate was 96.1％.Acupuncture treatment is more effective for cervical spondylopathy with little change in bone sub-stance,but less effective in cases with severe bone proliferation.And its eminant effect is an algesia,no significant change is found in X-ray examination before and after treatment.

CLINICAL OBSERVATION ON TREATMENT OF 205 CASES OF CERVICAL SPONDYLOPATHY BY ACUPUNCTURE AND MOXIBUSTION ON THE GOVERNOR VESSEL OF THE NECK

This article involves 325 patients suffering from cervical spondylopathy,amongthem 205 cases were treated by acupuncture and moxibustion on the governor vessel of the neck（treatment group）,the other 120 cases were treated by common acupuncture（control group）.Itwas observed that the cure rate,the total effective rate was 91.2％,98.5％ in the treatmentgroup,and 55.8％,87.5％ in the control group.There were statistically significant differences（P【0.01）in the cure rate and total effective rate between the two groups.It is concluded thatacupuncture and moxibustion on the governor vessel of the neck may improve Yang Qi circulationwithin the Dumai and promote the micro-circulation in the diseased areas.Thus it evidently in-creases the therapeutic effects.

OBSERVATION ON CURATIVE EFFECTS OF BEATING-ACUPUNCTURE ON 100 CASES OF CERVICAL SPONDYLOPATHY

Beating-acupuncture therapy is developed by Li Xutang, Director of the Section of TCM in the Jingdezhen Municipal First Hospital. Amng the 100 cases in the beating-acupuncture group, 85 cases were cured and 11 cases improved, the cure rate was 85 %; Of the 50 cases in the filiform needle acupuncture group, 25 cases were cured and 23 improved, the cure rate was 50 %. There was a statis-tically significant difference(P<0.01 ) between the two grdrips. It is indicated that the curative effect of beating-acupuncture on cervical spondylopathy is obviously superior to that of fili form-needle acupuncture, which provides a new therapy without traumatic pain for clinical treatment of cervical spondylopathy,