Clinical Study On Stick Exercise In The Treatment Of Juvenile Cervical Spine Physiological Curvature Change And Neck Pain

Objective : To explore the effect of stick exercise on treatment of juvenile cervical spine physiological curvature change and neck pain.Methods:138 juvenile outpatients who meet the diagnosis and are included in the standard from the second clinic of Tuina of affiliated hospital of Shanxi University of Chinese Medicine were selected.patients were randomly divided into stick exercise group(35 cases),traction group(34 cases),massage group(34cases)and exercise group(35 cases).The general data of the four groups were compared,and the difference was not statistically significant(P> 0.05),which is comparable.Patients in the traction group were treated with cervical traction,and those in the massage group were treated with cervical massage.Patients in the exercise group were treated with functional exercises of the extensor muscles behind the neck,and patients in the stick exercise group were treated with rehabilitation exercise of stick exercise.Patients in each group were observed for clinical effects and changes in cervical curvature and pain(VAS score)after 2 months of treatment.Results:1.The results of clinical effect comparison after treatment in each groupThere was no significant difference in the total effective rate among the four groups after treatment(P>0.05).2.Comparison of physiological curvature of cervical spine before and after treatment in each groupThere was no significant difference in the curvature comparison(P>0.05);the improvement of the cervical curvature of the patients in each group after treatment was better than that before the treatment in this group,and the difference was statistically significant(P<0.01).There was no significant difference in the physiological curvature of the cervical spine between the traction group and the massage group after treatment(P>0.05).After the stick exercise group and the exercise group,the improvement of the physiological curvature of the cervical spine was better than that of the massage group.The difference was statistically significant(P<0.05),and the improvement of the stick exercise group was significantly better than that of the exercise group(P<0.05).3.Comparison of VAS degree before and after treatment in each groupcomparison of VAS scores before treatment among the four groups of patients,the difference was not statistically significant(P>0.05);the VAS scores of patients in each group were better than those in this group before treatment,and the difference was statistically significant(P<0.01).The VAS scores of the three groups of stick exercise group,massage group,and exercise group were better than the traction group after treatment,and the difference was statistically significant(P<0.05);the VAS scores of the massage group and stick exercise group were better than the exercise group after treatment,and the differences were statistically significant(P <0.05);there was no significant difference in the VAS score between the stick exercise group and the massage group after treatment(P> 0.05).4.Comparison of NPQ degree before and after treatment in each groupcomparison of NPQ scores before treatment among the four groups of patients,the difference was not statistically significant(P>0.05);the NPQ scores of patients in each group were better than those in this group before treatment,and the difference was statistically significant(P<0.01).The NPQ scores of the three groups of stick exercise group,massage group,and exercise group were better than the traction group after treatment,and the difference was statistically significant(P<0.05);the NPQ scores of the massage group and stick exercise group were better than the exercise group after treatment,and the differences were statistically significant(P <0.05);there was no significant difference in theNPQ score between the stick exercise group and the massage group after treatment(P> 0.05).Conclusion:1.Stick exercise has a good effect on the treatment of juvenile cervical spine.2.Stick exercise has a therapeutic effect on the recovery of physiological curvature of juvenile cervical spine.