Observation For Clinical Effects Of Cutting Needle-knife Combined With Functional Exercise To Treat Neck Type Of Cervical Spondylosis

ObjectiveTo observe the clinical effect of cutting needle-knife combined with functional exercise therapy on Neck Type of Cervical Spondylosis and to compare with massage combined with functional exercise therapy.By observing Cervical X-ray arch top,cervical vertebra activity,visual analogue scale,Neck Disabilitv Index and other indicators to evaluate the clinical efficacy of the two treatment options,and to explore the mechanism of its treatment on Neck Type of Cervical Spondylosis,and provide the scientific basis for the clinical application of cutting needle-knife combined with functional exercise in the treatment of Neck Type of Cervical Spondylosis.MethodsPatients who met the inclusion criteria of 60 cases of Neck Type of Cervical Spondylosis as the research object,all from January 2016 to October 2017 to Henan Province Hospital of Traditional Chinese Medicine orthopedic patients treatment center,Patients were divided into treatment group(30 cases)and control group(30 cases)according to patient's order of treatment.The treatment group,13 males and 17 females,the average age of 39.90± 9.82 years,the average duration of 2.68±1.59 months,the control group of 14 males and 16 females,the average age of 40.30 ± 12.11 years,the average duration of 2.88 ±1.39 months,two Group by statistical analysis(P>0.05),no significant difference.The treatment group was treated with cutting needle-knife combined with functional exercise,while the control group was treated with massage combined with functional exercise,in which the cutting needle-knife was released three times,once a week,massage for three weeks and once a day,Exercises for 3 weeks,morning and evening each time once,do 4 cycles,a cycle of about 1.5min.The Cervical X-ray arch top,cervical vertebra activity,visual analogue scale and Neck Disabilitv Index were recorded and comparcd before and after treatment.The improvement of the main symptoms and signs of the two groups were evaluated and the combination of the two treatment methods was evaluated Efficacy,and according to telephone follow-up three months after treatment,statistics of relapse rate,evaluation of the long-term efficacy of the two treatments.ResultsIn the treatment group,14 patients were cured,15 were improved,1 was not cured,the effective rate was 96.67%.The control group was treated with massage combined with functional exercise,7 were cured,19 were improved.4 were unhealed,The effective rate was 86.67%,there was a significant difference between the two groups(P<0.05).Before and after the treatment of Neck Type of Cervical Spondylosis patients in both groups were compared before and after treatment found that after treatment,Cervical X-ray arch top,cervical vertebra activity,visual analog scale,Neck Disabilitv Index were improved than before treatment(P<0.05),There are significant differences,both treatment methods have better clinical efficacy.After treatment,Cervical X-ray arch top was no significant difference(P>0.05),cervical vertebra activity,visual analog scale,Neck Disabilitv Index were significantly different(P<0.05),the treatment group was better than Control group.Three months after treatment,the effective rate of recurrence in both groups was 0%in the treatment group and15.4%in the control group,with significant difference between the two groups(P<0.05).The therapeutic effect of the treatment group was better than that of the control group,and the long-term curative effect was better than that of the control group.ConclusionIn the premise of functional exercise,compared with the massage treatment,cutting needle-knife treatment can be more effective in improving the clinical observation index of Neck Type of Cervical Spondylosis and improve clinical efficacy.Its mechanism of action is mainly by releasing the trigger point of high incidence,can effectively relieve neck spasm,adjust the balance of cervical muscle;combined with functional exercise can effectively improve the physical curvature of the cervical spine,correction of facet joint disorders,the greatest degree of improvement of cervical Stability and biomechanical balance,relieve or eliminate the clinical symptoms of Neck Type of Cervical Spondylosis,more suitable for clinical application.