Multi-center Clinical Evaluation On The Pulling Manipulation In Supine Position Therapy To Cervical-Spondylotic Radiculopathy And Experimental Studies On Effects Of Chinese Massage On Biomechanics Of Degenerative Cervical Disc In Rabbit

Adjective To observe the effect and security of pulling manipulation in supine position to cervicalspondylotic radiculopathy. And to characterize the changes of cervical intervretebral disc biomechanics associated with disc degeneration ,and to evaluate the effect of Chinese massage on disc degeneration.Methods Clinic part 118 patients of cervicalspondylotic radiculopathy from four clinical center were randomly divided into test group with therapy and control group with mechanical traction. The amelioration of symptoms and signs after treating was observed. And Sixty Japanese white rabbit were randomly divided into control, model, massage prevention(mp), massage treatment(mt) groups.Rabbits in the latter three groups were kept at 45-degree flexion for 5 hours once every day. Respectively, rabbits in the mp were given massage at the initial stage,rabbits in the mt were treated two months later.After sacrificed, C3-4 function spinal unit was chosen to do the regular biomechanic test. All the results were compaired among the groups above.Results Total clinical efficiency ratio in the test group was 93.7%, while that was 94.9% in the control group; Symptoms and signs of the patients in the two group were evidently ameliorated before and after treatment (P<0.01).They didn't differ greatly between test and control group. However, the amelioration of neck aching pain in the test group was evidently better than that in the control one (P<0.05). No patients did suffer from facture, dearticulatio, faintness and other sever ill effects during the treatment. It wad observed that Rabbits in the control group showed no biomechanical changes on cervical disc, Rabbits in the model group showed biomechanical change on cervical, and rapidly decline with time passing, According to biomechanical change on cervical, the rabbit in the mp and mt prior to the rabbit in the model group (P<0.05),and the rabbit in the mp were preceding those in the mt.Conclusion Pulling manipulation in supine position is an effective and secure therapy to cervicalspondylotic radiculopathy, which had the same curative effect as by mechanical traction, but the patients were readily receptive to the manipulation. Abnormal stress can induced discal degeneration; Manipulation intervention can retard the degenerative changes of biomechanical in the different degree; Manipulation may prevent the injurement of skeletonmuscle behind the cervical vertebra in the degenerative disc model in rabbit, which means that restoring dynamic equilibrium of cervical spine by the good effects of manipulation on soft tissue may be one of channels which manipulation retard cervical disc degeneration. The effect of manipulation lie on the time which manipulation were given.