| Objective:1.In this study,we determine to evaluate the feasibility of Chinese version of MOS 36-item short form health survey(SF-36)in the assessment of quality of life in patients with cervical vertigo.2.Cervical vertigo is commonly encountered in the neurology clinic,and some patients show a long disease course with repeated attacks.Cervical vertigo is related to dysfunction of the upper cervical spine,causing proprioception disorders and vertebrobasilar artery hemodynamic changes.The efficacy of drug therapy for cervical spine cervical technique is poor,whereas acupotomy interventional therapy appears to be effective.Methods:(一).The assessment of Chinese version of SF-36 in patients with adult Cervical vertigo:1.A total of consecutive patients with adult Cervical vertigo were recruited from 1st Jan 2013 in the General Hospital of Guangzhou Military Command of PLA.The Chinese version of SF-36 was applied to evaluate the quality of life on cervical vertigo patients.2.To evaluate the internal consistent reliability,construct validity,responsibility,and acceptability of Chinese version of SF-36 when applied to patients with adult Cervical vertigo.(二)Effect of clinical and quality of life on cervical vertigo patients treated by acupotomy interventional therapy and cervical spine cervical technique:1.It was a randomized,single-blind,prospective study of patients(18-70 years;cervical vertigo for>2 months)from June 2014.2.Patients were allocated to a Cervical technique-Alone group(Long’s bone-setting cervical technique 5 times/week for 2 weeks)or Acupotomy+Cervical technique group(cervical technique 5 times/week for 2 weeks;then 2 sessions of acupotomy interventional therapy 2 weeks apart.3.Evaluation outcomes were vertigo symptom score and its components(dizziness severity,frequency and duration),neck/shoulder pain severity,headache severity,daily life and work capability,mental and social adaptation score,vertebral artery color Doppler ultrasound indexes and quality of life score with Chinese version of SF-36 scale.Adverse events were recorded.Results:(一).The assessment of Chinese version of SF-36 on patients with adult cervical vertigo:1.A total of 140 patients with cervical vertigo were enrolled in the study,and a total of 140 questionnaires were collected.2.Reliability:the Spearman-Brown coefficient of split-half reliability is 0.842.the Internal consistency reliability:the Cronbach’s a coefficient of six dimension(PF、RP、BP、GH、RE、MH)are bigger than 0.7,and two dimension(PE、RP)are bigger than 0.8,only two dimension(VT、SF)is less than 0.7,which is 0.666,another is 0.687.Each dimension has a good positive correlation.The correlation coefficient between the dimensions was lower than the internal consistency efficient of each dimension.3.Construct validity:the Bartlett test,χ2=442.85,P<0.001,the sample can be analyzed with factor analysis.KMO(Kaiser-Meyer-Olkin measure)=0.805,2 common factor were extracted by factor analysis,a“physical”factor and a“mental”factor,which could be used to explain 63.77%of the total variance.But these 2 common factor not in accordance with their theoretical structure perfectly.(二)Effect of clinical and quality of life in Cervical vertigo treated by cervical spine cervical technique and acupotomy interventional therapy.From June 2014 to June 2016,of 102 patients screened,18 met exclusion criteria and 4 were lost to follow-up.In the Acupotomy+ Technique group(n=40;18 males;48.13±10.12 years;disease course,11.06±8.12 months)40 had vertigo,36 cervicodynia,32 nausea and 18 tinnitus;lesion site was C1/C2 in 22,C2/C3 in 14 and C3/C4 in 8.In the Technique-Alone group(n=40;20 males;47.80±9.33 years;disease course,10.34±9.58 months),40 had vertigo,37 cervicodynia,30 nausea and 16 tinnitus;lesion site was C1/C2 in 24,C2/C3 in 14 and C3/C4 in 7.Baseline characteristics were similar between groups.In both groups,vertigo symptom score and scores for dizziness severity,frequency and duration had all improved after therapy(all P<0.05),but efficacy was superior in the Acupotomy+ Technique group(P<0.05).Improvements in vertebral artery diameter,blood velocity and blood flow after therapy were greater in the Acupotomy+Technique group(all P<0.05).Scores for Chinese version of SF-36 scale after therapy were higher in the Acupotomy+Cervical technique group(all P<0.05).Adverse events were similar between groups.Conclusion:Acupotomy interventional therapy combined with cervical technique is a safe and effective treatment for cervical vertigo. |
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