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The Effect Of Supine Intermittent Traction For Cervical Radiculopathy With Cervical Traction Device

Posted on:2014-10-24Degree:MasterType:Thesis
Country:ChinaCandidate:J B JiaFull Text:PDF
GTID:2254330425458289Subject:Surgery
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Study Design:Using a new type of portable and angle adjustable traction device treat forcervical nerve root type cervical spondylosis. Verify the safe and effective of thetraction therapy.Objective:To investigate the clinical results of Supine intermittent traction for cervicalradiculopathy with a portable self-adjustable angle cervical traction device. providesa safe, effective conservative treatment for the majority of patients with cervicalspondylosis.Methods:December2010To October2012,60cases of patients with CervicalRadiculopathy who have different degrees of neck pain, unilateral upper extremityparesthesia and numbness. MRI finding that different cervical segments havedifferent degrees of disc herniation.30patients of Experimental group accept Supineintermittent Cervical Traction With A Portable Adjustable Angle Traction Deviceunder the guidance of professional physiotherapist, appropriate traction angle(extension15°~anteflexion30°),traction weight (3Kg), supine intermittent tractionfor50minutes a day, Twice a day And at the same time taking Meloxicam Tablets(7.5mg*1cases, qd, po)4weeks for treatment. The control group of30patients oralMeloxicam Tablets (7.5mg*1case, qd, po)4weeks for conservative treatment.Record JOA scores and VAS scores before and after the treatment of60patients, Andmeasurement the hernial degree of lesion Cervical disc of the experimental groupbefore and after treatment at sagittal MRI image.Results:Check with x2test, The age distribution and gender distribution between theexperimental group and the experimental group (P>0.05), it have no signif-icant difference.Before the treatment, the JOA scores and VAS scores of the twogroups have not any significant difference (P>0.05). Duration of follow-up4weeks, comparing with the time before treatment, There are significant difference betweentwo group at JOA scores and VAS scores (P<0.05).28patients of the experimentalgroup mostly tract with the angle of flexion0°~30°, and with segmental lesionsdownward the angle of traction has gradually increased; Sagittal MRI image depictthat Last follow-up disc herniation degree of d (mm) comparing with comparingwith those the diseased disc herniation degree of D (mm) before treatment havesignificant improved(P<0.05).Conclusion:28cases of nerve root type cervical spondylosis had accepted traction treatmentwith the angle of flexion0°~30°,traction weight of3kg,50minutes of traction timeand had achieved more good results then the control group. Patients with C4-T1segment cervical radiculopathy tract with the angle of flexion0°~30°have gotobvious curative effect, and with segmental lesions downward the angle of tractionhas gradually increased; Proper traction in the treatment of intervertebral disk helpreturning prominent. Supine intermittent cervical craction with a portable adjustableangle traction device have exact treatment for cervical radiculopathy and Nosignificant correlation between traction weight and patients. In addition, Portableadjustable angle traction device have unique advantages in curing cervicalradiculopathy: safe, Effective.
Keywords/Search Tags:cervical traction, intermittent traction, cervical radiculopathy, Portableself-adjustable angle
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