Clinical Study Of Self-made Cervical Exercise Combined With Massage Manipulation In The Treatment Of Cervical Spondylosis Based On The "Holistic View Of Spine "

Part Ⅰ:Literature ResearchThis part mainly reviews the literature of cervical spondylosis from different aspects.Recent literatures on cervical spondylosis are systematically reviewed,including the overview of cervical spondylosis and epidemiological studies,the understanding of cervical spondylosis in traditional medicine,the classify of traditional Chinese medicine,the understanding of cervical spondylosis in modern medicine and the commonly treatment methods of traditional Chinese and modern medicine,and it also describes some extent of the "Holistic view of spine".The purpose of this part is to provide a more detailed and comprehensive understanding of cervical spondylosis and to provide a basis for later clinical research.Part Ⅱ:Evidence-based researchObjective:To analyze the effect of massage and routine functional exercise therapy on cervical spondylosis.METHODS:Common Chinese and English databases were retrieved,RCTs of massage and functional exercise therapy for cervical spondylosis were collected,all relevant literatures were screened and evaluated,and all data were analyzed by R language.RESULTS:15 articles were included and 1047 cases were evaluated,The five indexes of excellent and good rate,VAS score,NDI score,cervical curvature and craniocervical angle were analyzed.Meta-analsis showed that the excellent rate of treatment,VAS score table and NDI score of patients in functional exercise combined with massage(treatment group)were better than those in the conventional control group,with statistical significance(P<0.05);the cervical curvature change in the treatment group was also significantly better than that in the control group,with statistical significance;there was no significant difference in craniocervical angle between the two groups.Conclusion:In the treatment of cervical spondylosis,the therapeutic effect of functional exercises is more significant.The combination of functional exercises and massage manipulation can alleviate cervical symptoms and relieve patients’ pain more effectively than simple massage.Part Three:Clinical ResearchObjective:To compare the short-term and long-term effects of self-made functional exercises on cervical spondylosis based on the "Holistic view of spine " with massage manipulation in the treatment of cervical spondylosis,so as to provide reference and basis for the clinical treatment of cervical spondylosis.Methods:75 patients with cervical spondylosis were collected for clinical study.75 patients with cervical spondylosis were randomly divided into three groups:group A(25 cases),treated by self-made cervical exercises alone;group B(25 cases),treated by massage alone;group C(25 cases),treated by self-made cervical exercises+massage combined.Using Borden’s method to measure X-ray cervical curvature changes,visual analogue scale(VAS score)to evaluate pain value and Tanaka Jingjiu Cervical Score Scale to evaluate cervical function at three time points before treatment,after treatment and 6 months after treatment.Result:1.During the follow-up at each time point,3 patients in group A dropped out and 22 patients finished the study;2 patients in group B dropped out,and 23 patients completed the study;all patients in group C were followed up.A total of 70 patients participated in the study.2.Cervical curvature:There was no significant difference between two groups of all three groups bef-ore and after treatment(P>0.05).There was significant difference between group A and group B,group B and group C 6 months after treatment(P<0.01),and there was no significant difference between group A and group C 6 months after treatment(P>0.05).3.VAS score table:1.There was no significant difference between two groups of all three groups before treatment(P>0.05);2.There was significant difference between group A and group B(P<0.01),between group A and group C(P<0.01),and no significant difference between group B and group C(P>0.05)after treatment;3.There was significant difference between group A and group B,group B and group C(P<0.01),.There was no significant difference between group A and group C(P>0.05)after 6 months of treatment.4.Tanaka Jingjiu Cervical Score Table:1.There was no significant difference between two groups of all three groups before treatment(P>0.05).2.there were significant differences between group A and group B(P<0.05),significant differences between group A and group C(P<0.01),and no significant differences between group B and group C(P>0.05)After treatment.3.There was significant difference between group A and group B,group B and group C(P<0.01),There was no significant difference between group A and group C(P>0.05)after 6 months of treatment.5.The X-ray films of lumbar spine of some patients in group A were collected and observed.The results showed that the curvature of lumbar spine was improved significantly before treatment and 6 months after treatment.The pain and discomfort of lumbar spine and back were alleviated obviously.It indicated that the functional exercises designed on the basis of the"Holistic view of spine " in this study had obvious therapeutic effect on the patients’whole spine.Conclusion:1.Massage and self-made functional exercises based on the "Holistic view of spine" have certain effects on cervical spondylosis.The short-term effect of simple massage manipulation on cervical spondylosis is obviously better than that of simple cervical exercises;the long-term effect of massage is slightly worse than that of cervical exercises,and the combination of the two treatments can avoid the shortage of single treatment,actively remove the root of disease,prevent the occurrence and development of cervical spondylosis,and obtain better short-term and long-term effects,thereby reduce the incidence of cervical spondylosis.2.Cervical spine exercise based on the "Holistic view of spine "is conducive to the recovery of cervical curvature and lumbar curvature.It can fundamentally relieve the cause of disease,reduce the recurrence of spinal diseases while alleviating the pain of patients,and achieve the effect of preventive treatment.