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Clinical study on tuina for acute cervical radiculopathy

推拿治疗急性期神经根型颈椎病临床研究

  • Clinical Study
  • Published:
Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective: To observe the clinical efficacy of Ba-pulling and Qian-traction manipulation with neck suspension and movement for acute cervical radiculopathy.

Methods: A total of 85 patients who met the inclusion criteria were randomized into an observation group and a control group by random numbers, with 43 cases in the observation group and 42 cases in the control group. The observation group was treated with Ba-pulling and Qian-traction manipulation with neck suspension and movement; while the control group was treated with Bashen-pulling and stretching manipulation in a supine position. The treatment was performed once a day, 10 times as a treatment course. The therapeutic efficacy was evaluated after 1 treatment course, and the changes in the scores of visual analog scale (VAS) and neck disability index (NDI) were observed.

Results: The total effective rate was 97.7% in the observation group, and 83.3% in the control group, and the difference between the two groups was statistically significant (P<0.05). After treatment, the VAS and NDI scores of both groups were significantly decreased (both P<0.01), and the differences in the VAS and NDI scores between the two groups were statistically significant (both P<0.01).

Conclusion: Both Ba-pulling and Qian-traction manipulation with neck suspension and movement and Bashen-pulling and stretching manipulation in a supine position can relieve pain and improve cervical function in patients with acute cervical radiculopathy, and Ba-pulling and Qian-traction manipulation with neck suspension and movement can produce more significant efficacy than Bashen-pulling and stretching manipulation in a supine position.

摘要

目的: 观察“悬动拔牵”手法治疗急性期神经根型颈椎病的临床疗效。

方法: 将符合纳入标准的85例患 者按随机数字分为两组, 观察组43例采用“悬动拔牵”手法治疗, 对照组42例采用仰卧拔伸手法治疗。每日治疗 1次, 10次1疗程。治疗1个疗程后进行疗效评定, 并观察视觉模拟量表(VAS)评分和颈椎功能障碍指数(NDI)评分的 变化情况。

结果: 观察组总有效率为97.7%, 对照组总有效率为83.3%, 两组总有效率差异有统计学意义(P<0.05)。 治疗后, 两组VAS及NDI评分均较治疗前显著下降(均P<0.01); 观察组VAS及NDI评分与对照组有统计学 (均P<0.01)。

结论: “悬动拔牵”手法和仰卧拔伸法均能改善急性期神经根型颈椎病患者的疼痛和颈椎功能, “悬 动拔牵”手法的疗效优于仰卧拔伸法。

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Acknowledgments

This work was supported by Social Development Project of Changzhou Science and Technology Bureau (常州市科 技局社会发展项目, No. CE20175034); Science and Technology Project of Jiangsu Bureau of Traditional Chinese Medicine (江苏省中医药局科技课题, No. YB201832).

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Authors and Affiliations

  1. Cervical-lumbar Pain Centre, Changzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Jiangsu, 213003, China

    Han Zheng  (郑涵), Zhi-gang Lü  (吕志刚), Wei-cheng Hu  (胡卫成), Wei Jing  (荆玮), Han Li  (李晗) & Wei-lin Hou

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  1. Han Zheng  (郑涵)
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  2. Zhi-gang Lü  (吕志刚)
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  3. Wei-cheng Hu  (胡卫成)
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  4. Wei Jing  (荆玮)
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  5. Han Li  (李晗)
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  6. Wei-lin Hou
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Correspondence to Zhi-gang Lü  (吕志刚).

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The authors declared that there was no potential conflict of interest in this article.

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Zheng, H., Lü, Zg., Hu, Wc. et al. Clinical study on tuina for acute cervical radiculopathy. J. Acupunct. Tuina. Sci. 17, 438–444 (2019). https://doi.org/10.1007/s11726-019-1147-2

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  • DOI: https://doi.org/10.1007/s11726-019-1147-2

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