Clinical Efficacy Of Aromatherapy Massage Therapy In The Treatment Of Vertebral Cervical Spondylolisthesis

Objective:This is a randomised controlled trial investigating the clinical efficacy of aromatherapy and jojoba massage in patients with s cervical sondylosis of vertebral artery type(CSA).For statistical analysis and evaluation,an Evaluation scale for cervical vertigo(ESCV),a visual analogue pain scores(VAS)and a Chinese medicine evidence score scale(CMESS)were collected before,after and at follow-up.They evaluated the overall effectiveness of the two groups and examined the safety and efficacy of aromatic massage therapy in the treatment of CSA to establish a new clinical protocol for the treatment of vertebral spondylosis.Methods:According to the principle of randomization,72 clinical patients with SSA were divided into an aromatherapy group(i.e.,the test group)and a jojoba therapy group(i.e.,the control group)by computer randomization in a 1:1 ratio,and the interventions for the test and control groups were as follows:(1)Test group: aromatherapy oils were added to the aromatherapy device and not turned off during the treatment period.Oil distribution and palm massage on the back of the shoulders for 3 minutes,massage and rubbing with the fingers of the neck for 2 minutes,pressure point effect on the back of the shoulders and upper extremities for 8 minutes,holding on the shoulders and neck for 2 minutes,and rubbing with the palms of the upper back for 2 minutes.(2)In the control group,the aromatherapy oil was replaced by a placebo oil and the other procedures were the same as in the experimental group.The treatment time was the same in both groups,20 minutes per session,and the frequency was once daily.Each session required 6 consecutive treatments,with a one-day break at the end of the first session.In this clinical trial,2 sessions were performed,and patients with CSA were followed up for one month after the end of the trial.The primary endpoint of this study was ESCV score at the end of treatment,and the secondary endpoints were VAS and TCM symptom scores.At the end of the follow-up period,improvement indices were calculated based on the collected scale scores and the differences in clinical outcomes between the two groups were compared.Results:(1)Baseline data: after statistical analysis,no significant differences were observed between the two groups of patients with CSA in terms of age,sex,disease duration,pre-treatment scores on the ESCV scale,VAS scale and TCM symptom rating scale and were comparable.(2)No allergic reactions to aromatherapy oils or placebo were observed in either group,and none of the patients experienced any treatment side effects.(3)Comparison of clinical efficacy of the two groups at different time points.Immediate efficacy: After one treatment session,VAS scores in both the experimental and control groups were statistically significant(P<0.01)compared with the pretreatment period;compared with the control group,VAS scores in the experimental group were statistically significant(P<0.01).Efficacy at the end of treatment: After two treatment cycles(14 days),the differences in ESCV total score,VAS score,and TCM Symptom Rating Scale score between the experimental and control groups were statistically significant(P<0.01)compared with the pretreatment period;Compared with the control group,the differences in ESCV total score and VAS score in the experimental group were statistically significant(P<0.01),and the differences in TCM symptom rating scale score in the experimental group compared with Chinese medicine symptom rating scale score in the experimental group were also statistically significant(P<0.05).Efficacy at follow-up: At follow-up one month after the end of treatment,there were statistically significant differences in ESCV total score,VAS score,and TCM syndrome score between the experimental and control groups compared to the pretreatment period(P<0.01);the difference in TCM syndrome score between the experimental and control groups was statistically significant compared to the control group(P<0.01).(4)Comparison of effective total scores between the two groups.After statistical analysis and comparison,there were 5 cases of clinical improvement,11 cases of significant effect,10 cases of effective effect,and 4 cases of invalid effect in the experimental group,with an overall efficacy of 86.67%;in the control group,there were 3 cases of clinical improvement,4 cases of significant effect,14 cases of effective effect,and 9 cases of invalid effect,with an overall efficacy of70%.The difference was statistically significant(P<0.05),indicating that the efficacy of the experimental group was higher than that of the control group after treatment of patients with CSA in both groups.Conclusion:(1)Immediate efficacy: Both aromatherapy and jojoba massage improved headache,neck pain,shoulder pain,headache,daily work status and psychosocial adjustment in CSA patients,but the immediate efficacy of aromatherapy after the first treatment and after the end of treatment was more striking than placebo massage.(2)Long-term efficacy: Follow-up showed that both aromatherapy and jojoba massage continued to improve all symptoms in CSA patients with good long-term efficacy,but the long-term efficacy of aromatherapy was more striking than jojoba.