| Significance: Cervical Spondylopathy(CS) is the general name for a series of clinical symptoms, including pain, caused by degeneration of cervical intervertebral discs, hyperosteogeny of cervical verterbra and aseptic inflammation of cervical soft tissue CS which is also called cervical syndrome is a common disease in elderly people. Cervical Spondylopathy is the early stage of CS. If it is not treated in time, it will be delayed and become stubborn, at the same time influence life quality seriously.Professor Lin yingqiang of Massage Department at GuangDong Provincal Tradition Chinese Medical (TCM) Hospital has thirty-year clinical experiences in Orthopedics, who has concluded a unique type of Lin's locating manipulation according to the physiological and pathological feature of CS. This manipulation has been put into use for twenty years and has received very good therapeutic effects. In order to collect the experience of the famous old doctors of Traditional Chinese Medicine in the country and to make good use of it and make it more scientific and standard, we have set up a research program observing the clinical feature and efficacy of Lin's manipulation in the treatment of Cervical CS. The primary goal of this study is to explore its clinical efficacy and pathogenesis in cervical-type cervical spondylopathy.Objective: To study the clinical availability of Cervical Local and Rotatory Manipulation (CLRM) by clinical randomny-contrasting-experiments and to observe the clinical scores of patients with CS, we could anaylize the influence on the patients' symptom-physical signs and lival qualities.Methods: 80 cases with Cervical Spondylopathy patients those who met the inclusion criteria were randomly divided into two groups: The treatment group were performed CLRM for a course of treatment, and the control group were performed general rotatory manipulation also for a course of treatment. Points, including clinical symptom scores and iconography examination were recorded before and after the treatment. The observing indexes, including neck pain, tenderness, activities, feelings and the influence on daily life, were quantitatively scored. The efficacy was justified by the scores. Then we have the datas statistical analysis.Results: 1. After the treatment, there were significant differences between the total efficacy of the two groups (P<0. 01) . 2. The result showed that there was no significant statistical difference between the prior-treatment indexes of the two groups (P>0. 05) . It means that the two groups could be compared with each other.3,After a course of treatment with different methods, we detected the indexes one more time. It indicated that there were significant differences in the scores of two groups detected post and prior-treatment (P<0. 01), both methods were effective. However, the difference of post and prior-treatment score of symptom and physical sign between two groups was significantly different. It showed that Lin's manipulation was more effective.Conclusions: 1. The two kinds of manipulations both make obvious improvements in symptom and physical sign of patients with cervical spondylopathy. But compared with these two rotation manipulations, CLRM might be a better treatment means for CS. 2. The patients with CS of these two groups have some differrent improvements in symptoms and lival qualities. However,clinical research between these them finding out: the effect of some symptoms(eg. neck pain, neck feelings) and some lival qualities (eg.) in treatment group is much better than that in control group.3. After this reseach, we come to a opinion on that Lin's CLRM is simple, quick and effective in the treatment of Cervical-type cervical spondylopathy. That is to say, Lin's CLRM should be generalized in the clinic.
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