The Clinical Study On Treatment Of Upper Crossed Syndrome With Three Different Therapies

ObjectivePatients with UCS were treated with Tai Chi Tuina,METs and KT respectively.Changes in static posture of the sagittal plane,neck pain and functional activity of cervical spine and scapular were compared to identify the advantages of different therapies and to provide a scientific basis for the selection of therapy(and therapies)of UCS.Methods75 patients with UCS who met the diagnostic criteria and inclusion criteria were randomly divided into Tuinagroup(25),METs group(25)and Patch group(25).Patients received Tai Chi Tuina and METs once a day,5 times a week,weekend rest for a total of 2 weeks.While the KT group receive KT therapy 48 h,interval 24 h for 2 weeks.The changes of static posture of the sagittal plane,NDI,and the score of SFMA were compared before and after the treatment.Result1.Difference in age and gender: This study included a total of 70 cases,including 21 male patients(30.00%),49 female patients(70.00%).Among the cases,11 were 20-29 years old(15,71%),18 were 30-39 years old(25.71%),25 were 40-49 years old(35.71%),16 were 50-60 years old(22.86%).2.Difference of the scroe of static posture of the sagittal plane before and after treatment: The scroe of static posture of the sagittal plane after treatment in the three groups was improved(P<0.01);the improvement of Tuina group and KT group was better than that of METs group(P<0.05),but there was no significant difference between KT group and Tuina group(P>0.05).3.Difference of the FHA before and after treatment: The FHA after treatment in the three groups was improved(P<0.01);and the improvement of Tuina group was better than that of METs group and KT group(P<0.05),while there was no significant difference between KT group and METs group(P>0.05).4.Difference of the FSA before and after treatment: The FSA after treatment in the three groups was improved(P<0.01);and the improvement of KT group was better than that of Tuina group(P<0.05),and the improvement of Tuina group was better than that of METs group(P<0.05).5.Difference of the NDI before and after treatment: The NDI after treatment in the three groups was improved(P<0.01);and the improvement of Tuina group was better than that of METs group(P<0.01),and the improvement of METs group was better than that of KT group(P<0.05).6.Difference of the score of SFMA before and after treatment: The score of SFMA after treatment in the three groups was improved(P<0.01);and the improvement of Tuina group was better than that of METs group and KT group(P<0.05),while there was no significant difference between KT group and METs group(P>0.05).Conclusion1.Among patients with UCS,there are more women than men,and the majority are middle-aged and older.2.Three therapies have their own advantages in the improvement of static posture of the sagittal plane,neck pain and functional activity of cervical spine and scapular during the treatment of UCS patients.Among them,TaiChi Tuina is better on the relief of neck pain and the improvement of functional activity of cervical spine and scapular.Both TK and Taichi Tuina are better on the improvement of Abnormal posture;While Taichi Tuina is better on the improvement of FHA,KT is better on the improvement of FSA.