| BackgroundWith the improvement of people’s living standard and the change of life and working habits,the incidence of adolescent neck pain is increasing year by year.The disease seriously affects the health of adolescents.If you do not treat it,it will probably develop into cervical spondylosis.The effect of TCM Manipulation in the Treatment of Adolescent Neck Pain is definite.TCM Manipulation combined with isometric contraction exercise of neck muscles not only can enhance the curative effect,but also can promote adolescent neck pain rehabilitation.These two methods are widely used in clinical practice and are accepted for the majority of patients.Object1 Observe the clinical effect of TCM Manipulation combined with isometric contraction exercise of neck muscles in the treatment of adolescent neck pain.2 Investigate the relativity between cervical curvature and neck stiffness and neck pain.3 Investigate The effect of TCM Manipulation combined with isometric contraction exercise of neck muscles on neck structure and function.Methods60 patients who met the criteria for diagnosis of adolescent neck pain were randomly divided into treatment group and control group,with 30 patients in each group and signed informed consent.The patients in the treatment group were treated with traditional Chinese medicine method combined with cervical muscle,and the control group was treated with traditional Chinese medicine.The frequency of TCM treatment was 3 times/week,and the treatment was stopped after the symptoms were eliminated,and the maximum period of treatment was 3 weeks.Exercise 5-10min each day for 3 months.Combined with Visual analog pain score(Visual Analogue Scale,referred to as "VAS"),cervical dysfunction index(NDI)questionnaire,cervical curvature(Borden’s method),the overall stiffness of the neck all the indexes were compared before and after treatment in patients with two groups of curative effect.Results1 According to the standard of evaluating the curative effect of neck pain,the experimental group:cured(10 cases),markedly effective(6 cases),effective(13 cases),invalid(one case),the total effective rate was 96.6%.The control group:cured(7 cases),markedly effective(5 cases),effective(15 cases),invalid(3 cases),the total effective rate was 90%.2 According to Visual Analogue Scale(VAS),the experimental group:before treatment(6.00 ± 1.20),3 weeks of treatment(3.17 ± 0.87),and 3 months of treatment(1.03 ±0.81).Control group:before treatment(5.70 ± 0.98),3 weeks of treatment(3.50 ± 0.97)and 3 months of treatment(1.93 ± 1.14).The experimental group and the control group were tested with t test before treatment and after treatment for 3 weeks,the difference was not statistically significant.(P=0.296>0.05 before treatment,P=0.168>0.05 the treatment of 3 weeks).After 3 months of treatment,the experimental group and the control group were tested,the difference was statistically significant(P=0.001<0.05).3 Experimental group was in comparison with control group aboat NDI.Experimental group:before treatment(29.70±6.93),3 weeks of treatment(20.57±4.24),3 months of treatment(15.53±2.11).control group:before treatment(28.73 ± 6.14),3 weeks of treatment(23±3.38),3 months of treatment(18.46±2.31).Before treatment and 3 weeks of treatment,the experimental group and the control group were tested with t test,the difference was not statistically significant(P=0.570>0.05 before treatment,and 3 weeks of treatment P=0.017>0.05).After 3 months of treatment,the experimental group and the control group were tested with t test,and the difference was statistically significant(P=0.000<0.05).4 The cervical curvature(Borden’s method)between the experimental group and the control group was compared.Experimental group:before treatment(6.93 ± 3.03),3 months of treatment(7.28 ± 3.22).The control group:before treatment(7.05±3.13),3 months of treatment(7.25±3.16).the experimental group and the control group were tested with t test,the difference was not statistically significant(P=0.881>0.05 before treatment,and the treatment for 3 months P=0.968>0.05).5 Neck stiffness between the experimental group and the control group was compared.Experimental group:before treatment(0.329 ± 0.059),3 weeks of treatment(0.289 ±0.057),3 months of treatment(0.239 ± 0.037).Control group:before treatment(0.327± 0.071),3 weeks of treatment(0.307 ± 0.066),3 months of treatment(0.291 ± 0.072).Before treatment and 3 weeks of treatment,the experimental group and the control group were tested with t test,the difference was not statistically significant(before treatment P=0.922>0.05,3 weeks of treatment P=0.255>0.05).After 3 months of treatment,the experimental group and the control group were tested with t test,and the difference was statistically significant(P=0.001<0.05).Conclusion1 TCM Manipulation can obviously lessen the symptoms of neck pain,adjust the neck stiffness,and change the curvature of the cervical spine little.2 Isometric contraction exercise of neck muscles can lessen the symptoms of neck pain,maintenance of curative effect,adjust neck stiffness,and change the curvature of the cervical spine little.3 Neck pain is positively correlated with the neck stiffness.The neck stiffness is an objective clinical indicator to evaluate curative effect to adolescents neck pain. |
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