Combined Application Of Acupotomy And Cervical Pillow In Treating Cervical Spondylotic Radiculopathy

Objective:To observe the clinical efficacy of acupotomy combined with cervical pillow in treating cervical spondylotic radiculopathy.Methods:Select from November 2014 to December 2015 Department of Orthopedics and Rehabilitation treatment of cervical spondylotic radiculopathy 50 cases in Fuzhou General Hospital of Nanjing Military Region, in chronological order according to treatment were randomly divided into two groups, the experimental group (acupotomy+cervical pillow) and control group (cervical traction) 25 cases each. Acupotomy therapy once a week, each course twice, a total of 2 courses of treatment; treatment of cervical pillow,cervical pillow pillow to rest just below the neck,not less than six hours a day,two weeks for a course,a total of 2 courses of treatment.Cervical traction, cervical traction machine traction,three times a week, six times per course of treatment, a total of 2 courses of treatment.Recorded before and after treatment of cervical spine dysfunction index (neck disability index, NDI), NDI after treatment were compared; two groups of patients before and after treatment of cervical radiographs taken before two groups of patients measured after cervical curvature; two groups of patients before treatment, underwent median nerve, ulnar nerve F wave conduction velocity contrast; compare the clinical efficacy of the two groups. All data were analyzed in SPSS 18.0 statistical software.Results:1.Compared to the baseline:There was no significant difference in age, gender, disease duration,lesions and additional amount of painkillers between 2 groups of patients (P> 0.05).2.Neck disability index (NDI):NDI scores before experimental group and control group were (8.00±1.96), (7.38±2.39), respectively, after treatment (2.88±1.33), (4.33±2.30) points. NDI scores before and after treatment difference was statistically significant (P<0.05). Compared with the control group, the experimental group of NDI score lowered more significantly, the difference was statistically significant (P<0.05).3.Cervical curvature:Before treatment of cervical curvature experimental group and control group were (5.17±1.05), (5.29±0.91), respectively, after treatment (7.08±0.88), (6.21±0.78). Before and after treatment of cervical curvature difference was statistically significant (P<0.05). Compared with the control group, the experimental group cervical curvature after treatment significantly improved, the difference was statistically significant (P<0.05).4.Median nerve, ulnar nerve F wave conduction velocity:Before treatment, the median nerve F wave conduction velocity experimental group and control group were (46.96±3.71), (46.58±2.62), respectively, after treatment (48.92±2.22), (47.54±3.18). Before treatment, the ulnar nerve F wave conduction velocity experimental group and control group were (46.71 ±2.99), (47.33±4.23), respectively, after treatment (49.50±1.72), (48.00±3.74). Median nerve, ulnar nerve F wave velocity difference was statistically significant before and after treatment (P<0.05). Compared with the control group, the experimental group median nerve, the ulnar nerve F wave conduction velocity significantly increased, the difference was statistically significant (P<0.05).5.Clinical efficacy:The total effective rate was 87.5% in the experimental group, the total effective rate was 66.7%, compared with the control group, the experimental group was better, there was a significant difference, the difference was statistically significant (P<0.05).Conclusion:Acupotomy combined with cervical pillow therapy can effectively reduce joint pain caused by cervical spondylotic radiculopathy,reduce nerve root compression, improving cervical curvature, treatment satisfaction, worthy of promotion.