The Clinical Effects And Quantitative Evaluation Through The MCU System Via Simplified-Yi Jinjing Training Combine With Tuina Therapy On Neck Type Of Cervical Spondylosis

Objective: To observe the clinical effects and the improvements of cervical motions and muscle strength via simplified Yi Jinjing training combine with Tuina therapy on neck type of cervical spondylosis,and to provide the evidences for the application of the traditional Chinese exercises in clinical practice,and to provide ideas and methods for the prevention and treatment of the neck type of cervical spondylosis.Methods: The collected cases in this study were all from the Tuina Department of Shuguang hospital,the affiliated hospital of the SHUTCM,from June 2018 to January 2019.74 patients were included after screening and obtaining informed consent.Using the IBM SPSS Statistics 21.0 statistical software to generate 74 Random Numbers to divide the samples into the the traditional Chinese exercises group and the health education group.All patients were give the Tuina treatment for one week,twice in total.All patients’ muscle strength and activities of the neck are evaluated by the MCU system before the treatment and using the NDI and SF-MPQ to evaluate the function of the neck at the same time.After the Tuina treatment,the patients in the health education group receive health education based on the Tuina treatment.But the patients in the group of the traditional Chinese exercises practice the third form called "Palm-supporting Tianmen" and the seventh form called "Nine Ghosts Drawing Swords" in Yi Jinjing.Each form are practiced twice per day and continued for 3 minutes per time.Muscle strength and activity of the neck are evaluated by MCU system and functions are evaluated again according to the NDI and SF-MPQ before and after the intervention.All scale datas and MCU datas of all patients were analyzed and processed with IBM SPSS Statistics 21.0 statistical software to comprehensively evaluate the clinical efficacy of simplified-Yi Jinjing combine with Tuina therapy on the neck type of cervical spondylosis.Results : 1.Cervical vertebra activity: after the Tuina treatment,the two groups showed improvement in the activity of the two groups.The improvement of cervical vertebra activities in the traditional Chinese exercises group are significantly different from those in the health education group(P < 0.05).2.Neck muscle strength: neck muscle strength of the two groups improved after Tuina treatment.And after the intervention there was no difference in the changes of neck extension muscle strength of the two groups(P > 0.05),but the improvements of other directions of muscle strength in the traditional Chinese exercises group were better than those in the health education group(P < 0.05).3.Cervical function: the NDI score of cervical function in the Traditional Chinese exercises group and the health education group after Tuina treatment was statistically significant,and the improvement of the practicing simplified-Yi Jinjing on the basis of Tuina treatment in the traditional Chinese exercises group was better than that in the health education group(P < 0.05).4.Pain relief: in the SF-MPQ score table of pain,PRI,VAS and PPI were improved in the traditional Chinese exercises group and the health education group after Tuina,and there were statistically significant differences between these two groups(P < 0.05).The improvements of PRI,VAS and PPI score of the Traditional Chinese exercises group was better than those in the health education group(P < 0.05)after intervention.Conclusion: The conclusion can be drawn according to the results of this research is that the clinical effects of Tuina therapy combine with simplified-Yi Jinjing is better than Tuina combine with health education in treatment of neck type of cervical spondylosis,Tuina combine with simplified-Yi Jinjing can help to improve cervical motion,muscle strength,reducing the neck pain and improve cervical function better for the patients with neck type cervical spondylosis.