Observation On The Curative Effect Of Baduanjin Combined With Massage In The Treatment Of Cervical Spondylopathy In Young People

Objective:to compare the clinical efficacy of routine massage and eight-stage Jingong exercise in the treatment of cervical spondylosis in young people,and to optimize the treatment scheme.Methods:60 young patients with cervical spondylosis were randomly divided into three groups:massage group（n=20）,function group（n=20）and combined group（n=20）.The massage group was given routine massage therapy,the function group was given eight-stage Jingong exercise,and the combined group was given routine massage therapy+eight-stage Jingong exercise.The intervention methods were used once a day,5 times/week/course,and rest for 2 days after 5 consecutive days of treatment for a total of 4 courses of treatment.The VAS score,soft tissue tension and cervical lateral flexion range of motion were recorded before treatment,1 week after treatment and 4weeks after treatment.Results:1.Comparison of VAS scores among the three groups:1 week and 4 weeks after treatment were compared with those before treatment and after treatment,the differences were statistically significant（P<0.05or<0.01）.It shows that massage and function alone and in combination can reduce the VAS score,and the effect is more obvious with the extension of treatment time.One week after treatment,there were significant differences among the combination group,the massage group and the function group,indicating that the effect of reducing the VAS score of the two groups was better than that of the function group after one week of treatment.Comparison after 4 weeks treatment:there were significant differences between the combination group and the massage group and the function group（P<0.05or<0.01）,indicating that the effect of reducing the VAS score in the combination group was better than that in the massage group and the function group after 4 weeks of treatment.2.Comparison of D_0.5kgvalues of trapezius muscle and sternocleidomastoid muscle among the three groups:there was no significant difference in tension of bilateral sternocleidomastoid muscle and right trapezius muscle before and after treatment in the function group,but there was significant difference in soft tissue tension in other groups before and after treatment.There was no significant difference in left trapezius muscle tension between massage group and function group（P>0.05）,but there was significant difference between massage group and combination group（P<0.05）.There was significant difference in left sternocleidomastoid muscle tension between function group,massage group and combination group（P<0.05）,but there was no significant difference between massage group and combination group（P>0.05）.There were significant differences in tension of right trapezius muscle and sternocleidomastoid muscle among the three groups after treatment（P<0.05）.It can be seen that the three treatments can effectively improve the local soft tissue tension,and the effect of the combined group is better than that of other groups.3.Cervical joint lateral flexion range of motion:after treatment,the left and right flexion range of motion of the three groups increased,compared with before treatment,the difference was statistically significant（P<0.05 or P<0.01）,indicating that the three methods can effectively improve the cervical joint lateral flexion range of motion.After treatment,there were significant differences between the combined group and the massage group and the functional method group（P<0.05 or P<0.01）.It shows that the curative effect of the combined group is better than that of the other two groups in improving the degree of lateral flexion of cervical joint.4.Clinical efficacy:the total effective rate was 84.2%in the massage group,72.2%in the functional method group and 94.7%in the combined group.There were significant differences in the total effective rate among the three groups（P<0.05）,indicating that the clinical curative effect of the three groups in the combined group was better than that in the massage group,and that in the massage group was better than that in the functional group.Conclusion:1.Massage therapy and functional exercise alone or in combination can effectively relieve the pain symptoms and improve the soft tissue tension and the range of lateral flexion of cervical vertebrae.2.The curative effect of the combination of massage therapy and functional exercise is better than that of single use.3.Baduanjin combined with massage in the treatment of young cervical spondylosis is a safe,effective,green and convenient method,which is worth popularizing and applying in clinic.