| Objective:To observe the influence of the thumb palmar finger joint method combined with the supine position cervical vertebra positioning method on the quality of life,insomnia and neck symptoms of the patients with neck origin insomnia,and provide a more effective treatment method for the neck source insomnia.Methods:60 cases of neck source insomnia were randomly divided into manipulative treatment group and acupuncture control group,with 30 patients in each group.The treatment group: first with the thumb palmar finger joint method to release the soft tissue,the thumb metacarpophalangeal joint to knead the neck three lines and the pillow part,the thumb palmar finger joint push the neck pinch ridge and the shoulder,the thumb palmar finger joint point to the wind pool,the hundred meeting,the sleeping,the neck hundred,the big vertebra,the shoulder well and the AI point.Fully loosened and then given,the cervical vertebra supine position positioning method: the first step: the patient supine,the operator with one hand on the pillow,the other hand on the mandible,the patient’s head slightly back,the assistant pressed on the patient’s bilateral knee joint,after sustained traction for about 10 seconds,give a skillful force.The second step,the operator’s one hand thumb finger to the lesion side of the spinous process at the stage of the disease,the other hand hold the patient to the side forehead,the two hands are relatively hard,and after reaching the limit give a skillful force.The control group selected Baihui and Sanyinjiao,Shenmen,Shen Mai,Zhao Hai,sleeping.Take 28,1 inch 0.5-0.8 inch flat thorn needle needle;measures are used for reinforcing reducing,the needle for 30 minutes,every 10 minutes a time line.Treatment for 2 courses,10 times for a course of treatment,every 1 days,1 times,1months follow-up.The changes of SF-36,PQSI and NDI scores in two groups before and after treatment were observed,and the differences between the two groups were compared.Results: 1.Baseline data in the first two groupsThere was no significant difference in gender,age,course of disease,SF-36,PQSIand NDI scores(P > 0.05).2.Results of treatment(1)The total effective rate of the two groups after the 2 course of treatment: the total number of people in the treatment group was 29,the effective number of 8 people,the effective number of 19 people,the invalid number 2,the total efficiency of 93.10%;the control group completed the total number of 28 people,the total number of 4people,a total of 18,invalid 6,the total efficiency of 78.57%.No cases were cured in all two groups.The difference was statistically significant(P < 0.05).(2)After 2 courses of SF-36 scale,the score of PCS in the treatment group increased by 19.73 + 1.86 points in the treatment group;the MCS score increased by 15.59 +1.78 points;the PCS score in the control group increased by 13.40 + 1.92;the MCS score increased by 8.92 + 1.98;there were significant statistical differences(P < 0.01).After 2 courses of treatment,the quality of life of the patients was improved,and the treatment group was obviously better than the control group(especially the emotional function),and the treatment group for the remission of the cervical symptoms was slightly better than the control group.(3)After 2 course of treatment,the score of PQSI scale was compared: the score of the treatment group decreased by 9.86 + 1.12;the score of the control group decreased by 7.52 + 1.96 points,with significant statistical difference(P < 0.01).It shows that after 2 courses of treatment,insomnia can be improved in a short period of time,and the curative effect in the treatment group is slightly better.(4)After 2 courses of treatment,NDI scale scores were compared: the treatment group scored 18.51 + 0.88 points,and the control group scored 12.66 + 1.02 points.There were significant statistical differences(P < 0.01).It shows that after 2 courses of treatment,the relief of neck symptoms is slightly better in the treatment group than in the control group.(5)Follow up: the PCS score of the treatment group increased by 17.19 + 1.68 points,the MCS score increased by 11.53 + 1.54 points,the PCS score of the control group increased by 10.37 + 1.82 points,and the MCS score increased by 5.04 + 1.88 points,and there was significant statistical difference(P < 0.01).For the improvement of quality of life,long term decline has been achieved,but the treatment group is still better than the control group.(6)Follow up: the PQSI score in the treatment group decreased by 9.52 + 1.24 points,while the PQSI score in the control group decreased by 4.99 + 1.86 points,with a significant difference(P < 0.01).The improvement of insomnia symptoms had a long term decline,but the treatment group was still better than the control group.(7)Follow up: the NDI score of the treatment group was 16.05 + 1.44 points,while the NDI score of the control group was 10.66 + 1.33.There were significant statistical differences(P < 0.01).The long-term effect of the control group was somewhat lower than that of the control group,while the treatment group improved the neck symptoms at the end of the treatment cycle.Conclusion:1.The joint method of the thumb and finger joint combined with the supine position can improve the symptoms of insomnia and the neck symptoms and improve the quality of life of the patients with cervical insomnia.2.The method of combining the thumb and finger joint method combined with the supine position of the cervical vertebra positioning wrench is still obvious for the improvement of the quality of life and the improvement of insomnia symptoms,and the long-term effect is better for the cervical symptoms.3.The thumb and metacarpophalangeal joint method combined with supine position of cervical spondylosis has great potential and advantages,and is worthy of clinical application. |
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