| ObjectiveIn this study,the clinical efficacy of cervical spondylotic radiculopathy was observed and compared with conventional tuina manipulation,and the safety and efficacy of supine rotation of cervical spine technique in the treatment of radiculopathy were analyzed.MethodsIn this trial,72 patients who met the diagnostic criteria for cervical spondylotic radiculopathy were randomly enrolled into 36 cases in the control group and 36 cases in the treatment group,and "conventional tuina therapy" and "supine rotation of cervical spine" were administered respectively,and the two groups of patients had equal treatment time,20 minutes each time,1 treatment per day,a total of 5 times a week,and a total of two weeks of treatment was required.After the end of one course of treatment,the pain degree(PD),cervical range of motion(ROM)and Cervical radiculopathy 20-point evaluation scale(JOA20 points)were compared before and after treatment,and the clinical efficacy of the treatment was evaluated by statistical analysis.Result1.comparison of pain degree(PD): before treatment,the pain degree of the two groups was compared,P=0.932>0.05.After the treatment,the pain degree of two groups were improved(P<0.05),and the pain degree(PD)of the treated group was remarkably lower than that of the control group(Z=-3.767,P=<0.001).2.Comparison of cervical range of motion(ROM): comparing the mobility of cervical joints in the two groups before treatment,with anterior flexion(t=0.039,P=0.969),posterior extension(t=1.509,P=0.136),left flexion(t=-1.699,P=0.094),right flexion(t=-0.154,P=0.878),left rotate(t=-1.418,P=0.164),right rotation(t=-0.959,P=0.341),all P>0.05.At the end of treatment,The movement of the cervical joints was improved in both groups posttreatment(P < 0.05).Following treatment,anterior flexion(t=-5.408,P=0.000),posterior extension(t=-2.650,P=0.010),left rotate(t=-3.624,P=0.002),right rotation(t=-2.606,P=0.011),were comparable in both groups(P<0.05).and the left flexion(t=-1.386,P=0.170),right flexion(t=-1.658,P=0.102),were compared the two groups(P>0.05).3.Cervical radiculopathy 20-point evaluation scale(JOA20 points): symptom score(Z=-0.790,P=0.430),work and life ability score(Z=-0.204,P=0.838),hand function score(Z=-1.350,P=0.177),sign score(Z=-0.684,P=0.494),total scale score(Z=-1.071,P=0.284)P>0.05.The individual scores and total scores on the post-treatment scale were increased compared with the pre-treatment scale in both groups(P<0.05).After treatment,the symptom score(Z=-2.391,P=0.017),work-life capability ratings(Z=-3.238,P=0.001),functional hand signals(Z=-2.529,P=0.011),symptom scores(Z=-3.154,P=0.002),and the overall scale scores(Z=-5.016,P=0.000),P<0.05.4.Comparison of clinical efficacy: after the end of treatment,the control group cured 2(6.1%),improved 6(18.2%),effective 17(51.5%),ineffective 8(24.2%),total effective75.80%;In the treatment group,5 people(14.3%)were cured,12(34.3%)improved,14(40.0%)were effectively treated,and 4(11.4%)were not effective in the treatment group,with a total The total efficiency was 88.60%.The clinical efficacy of the two groups after treatment was compared(Z=-2.164,P=0.030),and P<0.05.Conclusion1.Both cervical spine spinning manoeuvre and conventional massage manoeuvre have clinical efficacy for cervical spondylotic radiculopathy,but the cervical spine recumbent spinning manoeuvre is significantly better than conventional massage manoeuvre;2.In this trial,the treatment group was better than the control group in alleviating pain symptoms,improving the range of motion of the four directions of cervical spine forward flexion,posterior extension,left rotation and right rotation,and improving the score(symptoms,working life ability,hand function,signs)on the cervical radiculopathy scale,indicating that the cervical spine remedial rotation manoeuvre is more effective than the conventional massage manipulation.3.The cervical spine spine spinning technique is safe and effective,and is worthy of clinical promotion. |
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