Clinical observation on cervical chiropractic for cervical spondylosis of vertebral artery type

Objective：To observe the curative effect of cervical chiropractic for cervical spondylosis of vertebral artery type （CSA） and to explore its possible mechanism.Methods：Sixty CSA patients were randomly divided into two groups.Thirty patients in the treatment group were treated with chiropractic manipulation for cervical vertebrae,once every other day,7 treatments in total.The other 30 patients in the control group received oral administration of flunarizine hydrochloride,10 mg per night,for 14 d.Cervical vertigo and functional assessment scale and transcranial cerebral Doppler （TCD） were measured before treatment and 7 days after treatment.Results：The total effective rate was 96.7% in the treatment group and 83.3% in the control group.The curative rate was 66.7% in the treatment group and 20% in the control group.The differences between the two groups in the total effective rate and the curative rate were statistically significant （both P〈0.05）.The scores of cervical vertigo symptom and functional assessment after treatment in both groups were significantly higher than those before treatment （both P〈0.01）;the difference between the two groups was statistically significant （P〈0.05）.After treatment,the maximum systolic velocity （Vs）,the maximum diastolic velocity （Vd）,the mean velocity （Vm）,the pulsatility index （PI） and the vascular resistance index （RI） in both groups were significantly improved compared with those before the treatment （all P〈0.01）;there were significant differences between the two groups （all P〈0.05）.Conclusion：Cervical chiropractic is an effective method for CSA,and its curative effect is better than that of flunarizine hydrochloride alone.Its mechanism may relate to correcting cervical instability.

Effect of acupuncture on improving the quality of life in children with cerebral palsy and their parents

Objective： To observe the spleen-strengthening and mind-regulating acupuncture method on the quality of life of children with cerebral palsy （CP） and their parents. Methods： A total of 76 CP children were randomly allocated into a treatment group （n=38） and a control group （n=38） according to their vJsJt sequence. The CP chJJdren and theJr parents Jn both groups receJved the same psychologJcaJ counselling. The CP children in the treatment group were intervened with spleen-strengthening and mind-regulating acupuncture method, versus routine acupuncture method in the control group. The parents of CP children in the treatment group were intervened with three mind-regulating points, versus placebo in the control group. The developmental quotients were evaluated using the Gesell scale before and after treatment. The anxieties of parents were assessed using the self-rating anxiety scale （SAS） before and after treatment. The efficacies were evaluated using the comprehensive functional assessment of CP children. Results： After 6 months of treatment, the Gesell scores of CP children and SAS scores of the parents were significantly improved in both groups, and there were intra-group and inter-group statistical differences （both P〈0.05）. In addition, the scores of comprehensive functional assessment of CP children in the treatment group were significantly higher than those in the control group （P〈0.05）. Conclusion： The spleen-strengthening and mind-regulating acupuncture method can effectively improve the comprehensive ability of CP children, alleviate the anxiety in parents of CP children, improve the quality of life of CP children and their parents, and play an active role in rehabilitative care of CP children.