Clinical Study On The Treatment Of Cervical Vertigo Caused By Atlantoaxial Joint Dislocation By Thinning Of Tendons

ObjectivesBy recording and comparing traditional physical traction therapy and thin muscle after reconstructive technique in the treatment of atlanto-axial joints staggered joints in patients with vertigo degree,degree of pillow neck pain,from the perspective of clinical efficacy to demonstrate shu jin reconstructive technique in the treatment of atlanto-axial joint optimal effect of staggered joints caused by cervical vertigo,as the technique of traditional Chinese medicine treatment of atlanto-axial joints staggered joints caused by cervical vertigo with new ideas.MethodsFirst,60 patients were selected by the researchers through the outpatient clinic for inclusion in the trial.Then,60 random Numbers were generated by the network random system to determine the serial number of the patients,and the patients were divided into 30 patients in the experimental group and 30 patients in the control group.Group gives patients technique treatment,patients with the control group given traction treatment,observation time is 3 months,respectively,in the day,three days after treatment and 3 months records in the two groups after treatment main index(vertigo)secondary index(1,2,pillow neck pain,neck pain 3,cervical vertigo symptom and function assessment scale),all the data are the researchers detailed records,then using SPSS,23 software for all the data for statistical analysis.Results1 The two groups of basic data were comparedThe age and gender data of the two groups were analyzed by statistical software,and the results showed that there was no significant difference between the two groups(p>0.05),which could be compared.2 Vertigo intensityIntra-group comparison:In the manipulation group,VAS scores were significantly different between the two time points after treatment and before treatment(P<0.05).There was no significant difference between VAS scores 3 months after treatment and 3 days after treatment(p>0.05).The results of traction group were the same as those of manipulation group.Traction therapy and manipulation therapy can improve the intensity of vertigoComparison between groups:VAS scores before treatment showed no significant difference between the two groups(p>0.05).VAS scores at 3 days and 3 months after treatment showed significant differences(P<0.05).It shows that manipulation therapy can improve vertigo intensity more effectively than traction therapy.3 Occipital neck painIntra-group comparison:In the manipulation group,VAS scores were significantly different between the two time points after treatment and before treatment(P<0.05).There was no significant difference between VAS scores 3 months after treatment and 3 days after treatment(P<0.05).The results of traction group were the same as those of manipulation group.Traction treatment and manipulation treatment can improve the patient's occipital and neck pain.Comparison between groups:VAS scores before treatment showed no significant difference between the two groups(p>0.05).VAS scores at 3 days and 3 months after treatment showed significant difference(P<0.05).The results showed that manipulation therapy was more effective than traction therapy in improving occipital and neck pain.4 Evaluation and comparison of vertigo function4.1 total vertigo scoreIntra-group comparison:In manipulation group,there was a significant difference between the two time points after treatment and the total score of vertigo before treatment(P<0.05).There was no significant difference between the vertigo scores 3 months after treatment and 3 days after treatment(P<0.05).The results of traction group were the same as those of manipulation group.Both traction and manipulation therapy improved the vertigo score.Comparison between groups:there was no significant difference in the total score of vertigo before treatment between the two groups(p>0.05).There were significant differences in the total scores of vertigo 3 days after treatment and 3 months after treatment(P<0.05).The results showed that manipulation therapy could improve the total vertigo score more effectively than traction therapy.4.2 degree of vertigoIntra-group comparison:In the manipulation group,there was a significant difference in the degree of vertigo between the two time points after treatment and before treatment(P<0.05).There was a significant difference between the vertigo score 3 months after treatment and 3 days after treatment(P<0.05).In the traction group,there was a significant difference in the degree of vertigo before and after treatment(P<0.05).There was no significant difference in vertigo score between 3 months after treatment and 3 days after treatment(p>0.05).Traction therapy and manipulation therapy can improve the degree of vertigo.Comparison between groups:there was no significant difference(p>0.05)in the score of vertigo before treatment between the two groups.There were significant differences in the scores of vertigo 3 days and 3 months after treatment(P<0.05).It indicates that manipulation therapy can improve the vertigo degree more effectively than traction therapy.4.3 vertigo frequencyIntra-group comparison:In the manipulation group,there was a significant difference in vertigo frequency score between the two time points after treatment and before treatment(P<0.05).There was no significant difference in vertigo frequency score between 3 months after treatment and 3 days after treatment(p>0.05).In the traction group,there was a significant difference in vertigo frequency score between the two time points after treatment and before treatment(P<0.05).There was no significant difference in vertigo frequency score between 3 months after treatment and 3 days after treatment(P<0.05).Both traction therapy and manipulation therapy can improve vertigo frequency.Comparison between groups:there was no significant difference in vertigo frequency score before treatment between the two groups(p>0.05).There were significant differences in the vertigo frequency scores of 3 days and 3 months after treatment(P<0.05).The results show that manipulation therapy can improve vertigo frequency more effectively than traction therapy.4.4 duration of vertigoIntra-group comparison:In the manipulation group,there was a significant difference between the duration score of vertigo after treatment and before treatment(P<0.05).There was no significant difference in duration of vertigo between 3 months after treatment and 3 days after treatment(p>0.05).The results of traction group were the same as those of manipulation group.Both traction and manipulation therapy improved the duration of vertigo.Comparison between groups:there was no significant difference in the duration of vertigo before treatment between the two groups(p>0.05).There were significant differences in the duration scores of vertigo 3 days and 3 months after treatment(P<0.05).It indicates that manipulation therapy can improve the duration of vertigo more effectively than traction therapy.4.5 neck and shoulder painIntra-group comparison:Manipulation group:there was a significant difference in the score of anterior neck and shoulder pain after treatment at two time points(P<0.05).There was a significant difference in neck and shoulder pain scores between 3 months after treatment and 3 days after treatment(P<0.05).In traction group,there was a significant difference between the two time points after treatment and the score of anterior neck and shoulder pain(P<0.05).There was no significant difference in neck and shoulder pain scores between 3 months after treatment and 3 days after treatment(p>0.05).Traction therapy and manipulation therapy can improve the symptoms of neck and shoulder pain.Comparison between groups:there was no significant difference in the score of anterior neck and shoulder pain between the two groups(p>0.05).There were significant differences in neck and shoulder pain scores at 3 days and 3 months after treatment(P<0.05).It indicates that manipulation therapy can improve the symptoms of neck and shoulder pain more effectively than traction therapy.4.6 have a headacheIntra-group comparison:In the manipulation group,there was a significant difference in headache scores between the two time points after treatment and before treatment(P<0.05).There was no significant difference in headache score between 3 months after treatment and 3 days after treatment(p>0.05).The results of traction group were the same as those of manipulation group.Both traction therapy and manipulation therapy improved headache symptoms.Comparison between groups:there was no significant difference in headache scores before treatment between the two groups(p>0.05).There were significant differences in headache scores(P<0.05)3 days after treatment and 3 months after treatment.It indicates that manipulation therapy can improve the headache symptoms more effectively than traction therapy4.7 daily life and work conditionsIntra-group comparison:In the manipulation group,there was a significant difference in daily life and work scores between the two days after treatment and before treatment(P<0.05).There was no significant difference in daily life and work scores between 3 months after treatment and 3 days after treatment(p>0.05).The results of traction group were the same as those of manipulation group.Traction therapy and manipulation therapy can improve patients' daily life and work.Comparison between groups:there was no significant difference in daily life and work scores before treatment(p>0.05),and there was significant difference in daily life and work scores 3 days after treatment and 3 months after treatment(p<0.05).It indicates that manipulation therapy can improve patients' daily life and work more effectively than traction therapy.4.8 psychological and social adaptabilityIntra-group comparison:In the manipulation group,there were significant differences in psychological and social adaptability scores between the two time points after treatment and before treatment(P<0.05).There was no significant difference in scores of psychological and social adaptability 3 months after treatment and 3 days after treatment(p>0.05).In the traction group,there were significant differences between the scores of psychological and social adaptability after treatment and before treatment(P<0.05).There was a significant difference between the scores of psychological and social adaptability 3 months after treatment and 3 days after treatment(P<0.05).Traction therapy and manipulation therapy can improve the psychological and social adaptability of patients.Comparison between groups:there was no significant difference in scores of psychological and social adaptability before treatment between the two groups(p>0.05).There were significant differences in scores of psychological and social adaptability 3 days and 3 months after treatment(P<0.05).It indicates that manipulation therapy can improve the psychological and social adaptability of patients more effectively than traction therapy.5 Observation and analysis of adverse eventsVital signs,including blood pressure,pulse,respiration and body temperature,were recorded at week 0,2 and 14.During the treatment,2 patients had dizziness,nausea,chest tightness and other symptoms,which were caused by excessive stimulation of the cervical sympathetic nerve by manipulation and traction.At this point,stop manipulation or traction immediately,ask the patient to close his eyes,lie flat on a hard bed for rest,fix the patient's head occipital with his thumb and palm with both hands,give appropriate horizontal traction of cervical vertebra,at the same time,press the middle finger of both hands to rub the fengchi acupoint on both sides for several minutes and the symptoms will be relieved.ConclusionIt has a good clinical effect on the symptoms of cervical vertigo caused by atlas joint dislocation and occipital neck pain,and on this basis can basically restore the patients'daily life and work conditions and psychological and social adaptability to the health level.Therefore,this technique is worthy of further study and clinical use.