Study On Neck Type Of Cervical Spondylosis Treated By Tuina Therapy Of Four-Finger Massage

Backgruand & Objective:Neck Type of Cervical Spondylosis(NTCS) as the early lesions in cervical spondylosis, its clinical symptom is lighter and it is easy to be ignored by patients,so it will translate to more severe cervical spondylosis and cause inconvenience to patients, such as seriously affect their study, work and life. Tuina has some positive roles such an dredge the meridian and regulating Qi and activating blood analgesia and so on,it can alleviate their clinical symptoms. By observing the clinical effects of the "Four-finger massage"treatment of neck type of cervical spondylosis, this study mean to provide theoretical basis for the "Four-finger massage"treatment of the neck type of cervical spondylosis.Methods:60 cases included in the standard neck type of cervical spondylosis patients were come from Jiangsu Province Hospital of TCM of Massage department outpatient service during the April 2015 to the December 2016.After explanation, reading, the 60 patients sign the informed consent form. According to the random number table, they were divided into two groups:one is treatment group (30 cases), and another is control group treatment (30 cases). The treatment group was treated with the Four-finger Massage and the control group treated with the Cervical Traction.Two groups accept treatment 1 times a day and 10 days as a course, they just accept 1 course. Then measured the McGill (including VAS,PRI,PPI,) and the surface electromyography of median frequency (sEMG-MF) before and after treatment. According to the obtained datum were statistically analyzed and determined the clinical curative effect.Results:Before the treatment, the general situation such as gender, age, course of disease and the scores of McGill (including VAS, PRI and PPI) and the MF were not statistically difference between the two groups (P>0.05) which means they had comparability.After treated 1 course, the scores of McGill (including VAS, PRI and PPI) were decreased and the results were statistically significant (P<0.01). Indicates that two groups of patients with neck shoulder pain, muscle stiffness, functional activities are alleviated. Compared with before treatment, the MF value of the massage group was statistically significant (P<0.01), indicates that massage can relieve muscle fatigue and increase the anti-fatigue effect to muscles. While the MF value of the control group was statistically significant (P>0.05), indicates that cervical traction have poor effect on improving muscle fatigue.After the treatment, the deference between the two groups, the scores of McGill (including VAS, PRI and PPI) and the MF, have statistics significance(P<0.05), indicates that massage not only relieve neck shoulder pain and improve function but also alleviate muscle fatigue and promote tissue repair, and superior than cervical traction group.The total effective rate of the two groups are 100%, it demonstrates that both the Four-finger Massage and the Cervical Traction have certain curative effect. After nonparametric test, the massage group is better than the cervical traction group (P<0.05) ,indicates that the comparison of the two groups has statistical significance, Four-finger massage therapy makes a better therapeutic effect than cervical traction therapy.Conclusion:Four-finger Massage treat the neck type of cervical spondylosis have certain curative effect. It can relieve neck-shoulder pain and improve the function of the neck-shoulder, increase the anti-fatigue effect to muscles, easy to operate, and high safety. It can be used as the preferred treatment for the neck type of cervical spondylosis or foundation treatment method, and and it is worth popularization and application.