The Study On The Effect Of Treating Nerve-root-type Cervical Spondylosis With Lateral Recumbent Position Fixed Point Reduction Manipulation

Nerve-root-type cervical spondylosis is the most common type cervical disease, almost occupied 50%-60%. Reduction manipulation has been stressed for its simple and effective in the practice of Tui-na doctors for long period of time. The key point for improving treatment effect is up-grading the technique of reduction manipulation . To evaluate advantages among different types of reduction manipulation, we need to use modern and scientific assessment tools. The evaluation is therefore so important for us to directing Tui-na clinic.There are many types of research tools to assess the effect of reduction manipulation. It includes Biomechanicology, Radiology, Anatomical Studies, Symptomatic studies, Physiology studies, and ect. However we can not find an agreeable standard assessment to evaluating the outcome syndromes of nerve-root-type cervical spondylosis and the effect of different treatments, though some assessments have been made so well to a certain degree. Electromyography has been used for diagnostic and evaluating purposes in recent years. In fact, the popularity of using electromyography can be explained by its sensibility in detecting degree of nerve root compression. As a result, electromyography is used to reflect the effect of reduction manipulation.Purposes: we use electromyography techniques to determine the result of lateral recumbent position fixed point reduction manipulation in treating nerve-root-type cervical spondylosis. Through scientific comparison , we aim also to determine the difference clinically between lateral recumbent position fixed point reduction manipulation and classic sitting-position reduction manipulation, therefore to reach the goal for rising the curative effect. Method: 60 cases were randomly divided into observation group (cervicaltraction + soft tissue massage + lateral recumbent position fixed point reduction manipulation);group I (cervical traction + soft tissue massage + classic sitting-position reduction manipulation);group II (cervical traction + soft tissue massage). Every group got 20 cases. Statistic analysis included the difference of syndrome, score of physical sign, electromyography and F-wave conductor test. We compare the pre-test and post-test statistic result. Results: 1. Each group gained significant improvement (P<0. 01);2. Observation group gained significant difference with control group II (P<0. 01), and with control group I (P<0. 05). Significant difference also found between control group I and control group II(P<0.01);3. Each group gained significant improvement of F-wave conduction velocity after treatment (P<0. 01), there was significant difference between each group after treatment. Conclusion: 1. Treating nerve-root-type cervical spondylosis with lateral recumbent position fixed point reduction manipulation can gain significant improvement;2. The effect of lateral recumbent position fixed point reduction manipulation is better than that of classic sitting-position reduction manipulation for its outcome;3. Reduction manipulation is important for nerve-root-type cervical spondylosis for its outstanding outcome;4. Electromyographic is less sensibility than F-wave conduction test. F-wave conduction test is sensibility for assessing nerve-root-type cervical spondylosis;5. It is worth for promoting lateral recumbent position fixed point reduction manipulation because of its treatment effect in nerve-root-type cervical spondylosis.