Dongshen Massage Therapy On Neck Type Of Cervical Spondylosis Clinical Efficacy Research And MRI Study

ObjectiveCervical spondylosis is a common multiple disease,for the human modern"civilization disease" of the "main force."With the modern work and lifestyle changes,computer phones and other electronic products popular,sitting in the office increased mental workers,the number of neck type of cervical spondylosis patients gradually increased,and gradually younger age.Although the patient suffering from pain and suffering,but also affect the family's emotional value,to the formation of heavy social impact,heavy daily trouble in work and study.Professor Luo Rin in the perennial massage in the clinical work of the invention of the dongshen massage therapy for the treatment of neck type of cervical spondylosis is often very excellent effect.For the exploration of cervical cervical spondylosis treatment clinical efficacy and legal mechanism,to carrying out This topic research.This study is divided into two parts,one is for the dongshen massage of neck type of cervical spondylosis of the clinical efficacy of the study,the second is the use of dongshen massage therapy on neck type of cervical spondylosis MRI observation study.To provide a scientific basis for the treatment of neck type of cervical spondylosis,for dongshen massage concept extension and clinical practice of ideas to lay the foundation of scientific theory.Study one:the cl inical curative effect of dynamic and extensor therapy for cervical spondylotic myelopathyMethodIn this study,60 patients with cervical spondylosis were enrolled in this study.60 patients with neck type of cervical spondylosis were divided into treatment group and control group according to random group number.Statistical analysis of its age,gender,course of comparable.The treatment group selected Guangdong No2.TCM hospital,Luo Rin director' s dongshen massage therapy(dongshen massage method)as treatment group;the control group using the Chinese medicine press?science of Chinese massage?in the treatment of cervical spondylosis(Regular massage).Treatment group and control group before treatment once a day,two days after for twice a day,one approximate 15 min,5 times after treatment,the curative effect evaluation.The difference between the two groups was evaluated by visual analogue scale(VAS),cervical function index NDI,neck and shoulder activity.ResultThere was no significant difference in the age,sex,course of disease between the treatment group and the control group(P>0.05),indicating that the patients in the treatment group and the control group Baseline characteristics are comparable.Control method of visual analogue scale(VAS),the treatment group after treatment the mean rank(upper quartile,median and lower quartile)was 23.73(0.75,1.0,2),the control of treatment was 37.27(1.0,2.0,1.0),two groups and compared before treatment(P<0.05).Second cervical dysfunction index(NDI),the treatment group after treatment the mean rank(upper quartile,median and lower quartile)was 37.27(1.75,3.0,1.75),the control group after treatment was 37.27(21.5,31.0,21.5),two groups and compared before treatment P<0.05,differences with statistical significance.The curative effect of the two groups was compared with that of the control group.The number of cured patients in the treatment group was 13 cases,and the effective amount was 13 cases.The control group was cured in 4 cases and the effective amount was 11 cases.The cure rate and the effective rate in the treatment group were higher than those in the control group.The cure rate was 43.3%in the treatment group and 13.3%in the control group.The effective rate of the treatment group was 43.3%and 36.7%in the treatment group.Compared with the control group,P<0.05,the effect of neck activity compared to meaningful.ConclusionDongshen massage and conventional massage group both achieved clinical effect in the treatment of neck type of cervical spondylosis,but dynamic and clinical therapeutic effects of tuina group better than routine tuina group.Study 2:MRI observation of cervical spondylotic myelopathy treated by dongshen massage therapyMethodFifteen patients with cervical spondylotic myelopathy treated by dongshen massage therapy were randomly selected according to the inclusion criteria.Both in dongshen massage before and afterr a period of treatment to compare neck muscles around through the nuclear magnetic resonance imaging(MRI).Compared before and after the massage the neck of the function of flexor.muscles before and after the main representative of extensor group of muscles--the trapezius muscle and sternocleidomastoid imaging(MRI)of the form before and after treatment,compared to patients with action before massage therapy and move the reach massage therapy patients after the left trapezius muscle,on the right side of the left trapezius muscle and sternocleidomastoid,right sternocleidomastoid C5?C6 neck section of the shaft position(cross sectional)drawing(2D),and test about computation on its cross section is the largest diameter and maximum diameter before and after values,and contrast before and after treatment muscle morphological change,its quantitative.Use their control mode,through the massage treatment of cervical spondylosis patients before and after morphological changes under MRI,analysis of dongshen massage neck related muscles in patients with cervical spondylosis by mechanism;For the application of dongshen massage to the neck type of cervical spondylosis push for to new theory and basis.Result15 patients in 9 patients with trapezius and sternocleidomastoid muscle left and right longest diameter and the longest diameter before and after the dynamic extension of the volume was showed an overall trend,the other 6 patients with trapezius and sternocleidomuls The longest diameter of the leucor muscle and the longest diameter of the anteroposterior and posterior volume were decreased,and the numerical analysis was carried out by using the rank sum test.The results showed that the muscle length measurement showed an increasing trend 9 cases or muscle length measurements of small 6 cases,after the dynamic extension of the bilateral sternocleidomastomy before and after the diameter of the left and right diameter and the maximum before and after treatment P<0.05,after the extension of bilateral trapezius Diameter and left and right diameter and pre-treatment length of P<0.05,with statistical differences.ConclusionStretch after dongshen massage patients with sternocleidomastoid muscle and trapezius muscle have undergone morphological changes,or showed an increasing trend or a smaller trend,which shows dongshen massage with two-way muscle regulation.Indicating that dongshen massage has to relieve muscle spasms,restore muscle elasticity,swelling and stasis,change muscle morphology,reduce pain,improve the clinical symptoms of patients with cervical spondylosis,reduce the role of cervical spine dysfunction.