Effect Of Lifting Manipulation Therapy In Treatment Of Cervical Spondylosis Of Vertebral Artery Type

Background: Manipulation therapy plays an important role in treating cervical spondylosis of vertebral artery type (CSA) with quite good clinical results. After using relaxing manipulation, we can use mainly rotating or pulling manipulation in order to release the neck muscle spasm and to correct the displacement of vertebras. This will release the spasm and the entrapment of vertebral artery so as to increase the blood circulation in the brain. The rotating manipulation for treating vertebra dislocation has a positive effect; however, it is also noted that it could cause neurological and blood vessel injuries. So, it is necessary to find a therapy which has similar effectiveness with less negative effect. In our study, we adopted lifting manipulation therapy to treat CSA, and observed the therapeutic effect and the change of hemodynamic.Objective: To observe the clinical effect of lifting manipulation therapy in treating CSA patients in symptoms and signs, and cerebral-blood flow parameters. The possible therapeutic mechanism was also explored.Method: Eighty cases of the CSA were divided randomly into two groups: treatment group (40 cases) and control group (40 cases). The treatment group was treated by lifting manipulation therapy and the control group was treated by acupuncture. The therapeutic effect and the change of hemodynamic between two groups were analysed and compared.Results: 1). The significant effective rate of the treatment group and the control group was 90% and 72.5%, respectively. The rate has significant statistical difference between two groups (P<0.05).2). The evaluation results of both groups, before and after treatment, have significant differences in symptoms and functions. The after treatment index shows that the cumulative data of vertigo, pain in shoulders and neck, headaches, daily life and symptoms have statistical significance between the two groups (P<0.01).3). The blood flow velocity of vertebral and basilar artery (VBA) was improved in both groups (PO.01). Compared with the control group, the treatment group has more obvious improvement (P<0.05).Conclusions: Lifting manipulation therapy is effective in treating CSA. Lifting manipulation therapy can improve clinical symptoms and signs of patients with CSA and regulate blood supply of VBA.