The Clinical Study For Treatment Of Juvenile Qing Bonesetting Neck Atlantoaxial Joint Disorder Preliminary

Objective:By using Qing Gong Zheng Gu treat the adolescent neck pain patients with atlantoaxial joint disorders, observed changes in clinical symptoms, signs, radiographic aspects before and after treatment, demonstrated the efficacy of the use of treating adolescent neck pain patients with atlantoaxial joint disorders by Qing Gong Zheng Gu.Methods:Measuring64adolescent neck pain patients with atlantoaxial joint disorders who meet the inclusion criteria before and after treatment Ailantoaxial facies articularis lateralis justification,the distance between odontoid Process to massa lateralis atlant(VBLADS), angular rotation of spinous process of axis,Atlantoodontoid interval(ADI).Three methods were used for patients with cervical curvature measurements.Using joint angle scale (GN-JDC) measurements of cervical flexion, extension,left rotation, right rotation activity.Filling in the Case Report Form,including general information, Visual Analogue Scale(VAS), Neck Pain Questionnaire(NPQ), clinical symptoms and signs score and so on.Finally, all data entered into the database for statistical analysis, to observe changes in each index before and after treatment.Results:Before and after treatment,Ailantoaxial facies articularis lateralis justification, the distance between odontoid Process to massa lateralis atlant(VBLADS), angular rotation of spinous process of axis, Atlantoodontoid interval(ADI) of64patients had statistically significant (P<0.01); Visual Analogue Scale(VAS), Neck Pain Questionnaire(NPQ), clinical symptoms, clinical signs, cervical four directions physiological activity compared with before treatment were statistically significant (P<0.01); Used Borden’s method to measured before and after treatment of cervical curvature had no statistically significant(P>0.05); Used Cervical curvature index (CCI) and Harrison’s method to measured before and after treatment of cervical curvature had statistically significant(P<0.01).Before treatment:Visual Analogue Scale(VAS) was6.23±1.79;Neck Pain Questionnaire(NPQ) was10.84±2.18;cervical left rotation angle was49.06±9.14°, right rotation angle was59.09±9.60°, flexion angle was59.08±9.67°,extension angle was56.16±9.72°;clinical symptom score was8.59±2.52; clinical signs score was10.69±2.34.After treatment:Visual Analogue Scale(VAS) was1.52±1.47;Neck Pain Questionnaire(NPQ) was4.45±2.19;cervical left rotation angle was59.75±8.43°,right rotation angle was67.80±7.53°, flexion angle was70.22±6.27°,extension angle was70.05±5.41°;clinical symptom score was3.48±1.23;clinical signs score was3.05±1.79.Image:After treatment,the number of Ailantoaxial facies articularis lateralis justification greater than80%improvement rate was32people;Number improvement rate between50%-80%of13people; Number improvement rate less than50%of16people;3people symptoms do not improve.The number of distance between odontoid Process to massa lateralis atlant(VBLADS) greater than80%improvement rate was19people; Number improvement rate between50%-80%of22people; Number improvement rate less than50%of19people;4people symptoms do not improve.The number of angular rotation of spinous process of axis greater than80%improvement rate was18people; Number improvement rate between50%-80%of11people; Number improvement rate less than50%of31people;4people symptoms do not improve.Conclusion:①Adolescent neck atlantoaxial joint disorder increasing incidence and serious impact on physical and mental health of young people.②Unhealthy living and learning habits are the main reasons leading to adolescent neck atlantoaxial joint disorder, its risk factors and clinical manifestations of cervical disease in the elderly have some differences.③Qing Gong Zheng Gu of after treatment can reduce symptoms and signs score,④radiological aspects, Qing Gong Zheng Gu can improve the patient’s cervical spine disorder atlantoaxial joint performance of X-ray; while Qing Gong Zheng Gu can partially improve patient cervical lordosis.⑤According to the statistical analysis, the effect of Qing Gong Zheng Gu in the treatment of adolescent neck atlantoaxial joint disorder is effective.