| I.Purpose of the study Through clinical observation,the clinical effect of skin trans tendon massage and myofascial relaxation in the treatment of paralytic palsy,and its therapeutic effect on paralytic palsy（Cervical Spondylotic Radicuopathy）was discussed.II.Research methodsFrom November 2019 to December 2021,60 patients diagnosed with paralytic palsy（Cervical Spondylotic Radicuopathy）were diagnosed in the Chinese Medicine Hall of Hubei University of Traditional Chinese Medicine from November 2019 to December 2021,and 60 patients who met the admission standards of this study.Randomly grouped,30 cases were each in the observation group and30 cases in the control group.The observation group used muscle fascia gun massage + manipulation（i.e.massage combined with skin trans tendon massage and muscle fascia relaxation surgery）;the control group used massage therapy（i.e.refer to Fang Min and the nerve root type in the tenth edition of the textbook of "Massage" edited by Song Berlin）.Massage treatment for cervical spondylosis),the treatment time is 20-30 minutes/time,3 times a week,and one course of treatment for two weeks,a total of two courses of treatment.The basic data data,VAS score and NDI score of the two groups of patients were compared for statistical analysis to exclude the differences between the two groups.After the two courses of treatment,the observation index scores and the overall clinical efficacy of the two groups of patients before and after treatment were compared,and then studied and discussed.III.Research results（1）The basic data such as gender,age and course of the two groups of patients before treatment were compared after statistical analysis,and the results were not different（P>0.05）and comparable.（II）Comparison of visual simulation score（VAS）: the VAS score of the two groups of patients before treatment is not different after statistical analysis（P>0.05）,which is comparable.After two weeks of treatment,the VAS pain score in the two groups was compared.After statistical analysis,it was found that P<0.01 was obtained,indicating that the two groups benefit.The VAS score after treatment was lower than before;the VAS score in the post-treatment observation group was compared with the VAS score in the control group.After independent sample t-test analysis,it was found that P<0.05,indicating that the pain improvement of the two groups was different after treatment,and the curative effect of the observation group was more accurate.（3）Comparison of NDI scores: there was no difference between the two groups of patients before treatment（P>0.05）;the NDI score results of the two groups after treatment were compared with P<0.01,indicating that the pain symptoms of both groups were improved compared with the previous ones;the NDI score of the observation group after treatment was compared with that of the control group,and independently sampled.The analysis of P<0.05 by this t-test shows that the scores of the two groups after treatment are different,and the neck function improvement of the observation group is better than that of the control group.（4）Comparison of the clinical efficacy evaluation of traditional Chinese medicine: the clinical efficacy of TCM in both groups of patients after treatment of nerve root cervical spondylosis was lower than before,and the difference in the group was statistically significant（P<0.01）;the clinical efficacy evaluation group of traditional Chinese medicine in the two groups of patients after treatment was lower than that of the control group,and the comparison between the groups After the t test of two independent samples,the difference was statistically significant,indicating that the efficacy of the observation group was stronger than that of the control group.（5）The relationship between the theory of skin meridians and muscle fascia chain: the two have similarities and connections in three aspects: theoretical essence,circulation characteristics,pain points and tendon knots,tenderness points,Ashi acupoints,acupoints,etc.（6）The diagnosis and treatment of Xiang paralysis should start with identifying the disease location-selecting prevention and treatment methods-prevention and care,which is particularly important in the daily life of patients in the later stage.（7）General principles for the prevention and treatment of paralysis: mainly massage and tendons,combined with traditional Chinese medicine,supplemented by acupuncture and physiotherapy,and exercise and maintenance.IV.Conclusions of the study:（I）The massage and routine massage treatment combined with skin trans tendon massage and muscle fascia relaxation can improve the patient’s neck back pain and dysfunction,so as to improve the patient’s quality of life.The overall effect is better,but massage combined with skin trans tendon massage and muscle fascia relaxation.The effect of the treatment of this disease is more significant.In the process of treatment,no adverse reactions have been found,and the safety is good.It has a good clinical effect and application prospect for patients with conservative treatment,which is worth clinical promotion and further in-depth exploration.（2）This study not only provides some guiding significance for the diagnosis and treatment of Xiang paralysis,but also provides new ideas and insights for the diagnosis and treatment of this series of chronic degenerative bone injury diseases such as scapulohumeral periarthritis,lumbar intervertebral disc herniation,osteoarthritis,etc.（3）The theory of skin meridians and the theory of muscle fascia chain have important guiding significance for the identification of the diseased position of facial paralysis,as well as manipulation,physiotherapy,traditional Chinese medicine application and other treatment operations.（4）The empirical Xiang paralysis disease is mainly operated by manipulation to treat tendons;while treating deficiency syndromes,Xiang paralysis disease should also be treated in conjunction with traditional Chinese medicine. |
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