The Observation Of Effect Of Massage Which Be Used To Reduce Pain For The Patients With Atlantoaxial Instability Who Were Operated On Posteriorly

Objective:Verify the effect of massage which be used to treat pain for the patients with atlantoaxial instability who were operated on posteriorly。To Provide the clinical evidence for the use of massage in the patients with atlantoaxial instability who were operated on posteriorly。Learn about the safety and success rate of the new method of pedicle screws。Methods:24 patients with atlantoaxial instability who hospitalized in our hospital during April 2009 to January 2010。All the patients were operated on posteriorly with the new method of pedicle screws。The next day we cheek X-ray and CT examination o understand the success rate of pedicle screws after surgery。The patients were divided into 3 groups at random with chronological order:1. massage group:we use the massage under the protection of neck collar with the patients in an armchair。Massage the shoulder and backside for two weeks after surgery。Massag trapezius, latissimus dorsi, supraspinatus, infraspinatus muscle, teres major, teres minor with the methods of point, press, plucked, kneading, rolling。After two weeks we can massage without the protection of neck collar。Increase the massage to release techniques neck muscle and massage the folder muscle, levator scapulae, interspinous ligament, supraspinous ligament with point, press, plucked。Spot is the important part when you massage, twice a day,20 minutes one time。2. Control group:Observed the with shoulder and neck pain, we should give the patients analgesic drugs when they can not endure the pain (In this study, we use ibuprofen and codeine phosphate)。If the pain impede sleep we should give the patients sedation (In this study,we use estazolam tablets)。We can use the NRS to get pain score。Measure the cervical vertebra for range of motion after massage。Then we should analyze the data use the SPSS 13.0。This shows a significant difference when p<0.05。Results:There are significant difference between massage group and control group in NRS。There are significant difference between massage group control group in anteflexion,rotation,flexor。In the part of extension showed no significant difference between two groups。Conclusions:The effect of massage which be used to treat pain for the patients with atlantoaxial instability who were operated on posteriorly has a affirmative curative effect。It has the worthy if used in clinical。Massage can promote the features of the cervical a quick recovery。we can get better treatment if use the traditional Chinese medicine and Western medicine。...