Effect Of Muscle Energy Technique On Magnetic Resonance-Diffusion Tensor Imaging Of Cervical Muscles In Patients With Cervical Spondylosis

Objective Magnetic Resonance-Diffusion Tensor Imaging technique was used to show the difference of characteristic parameters of Diffusion Tensor Imaging before and after cervical target muscle in patients with cervical spondylosis,as well as with the help of Neck Disability Index,Visual Analogue Scale and so on.To evaluate the significance and feasibility of Muscle Energy Technology in adjusting unbalanced muscles,and then to provide a new idea for the treatment of cervical spondylosis.Methods From January 2018 to December 2018,20 volunteers(11 males and 9 females)with cervical spondylosis were enrolled in our hospital,the age was 25 ? 38 years(mean 33.4 ±3.6 years).There were 15 cases of sternocleidomastoid muscle pain,10 cases of head clip muscle pain,and 5 cases had both sternocleidomastoid muscle pain and head clip muscle pain.Using 3.0T superconducting Magnetic Resonance scanner in our hospital,ZOOM mode was used to scan the subjects with conventional MRI and MRI-DTI respectively,cervical muscle group imaging was performed with EPI sequence.the abdominal center of the target muscle was selected for measurement in each subject in to reduce the effects of artifacts.The ADC and FA values of bilateral sternocleidomastoid muscle and bilateral head clip muscle in C4 level muscle belly were measured by the same operator before and after treatment.The average values were measured three times in each part.SPSS 22.0 software was used for statistical analysis,the difference of FA,ADC,VAS and NDI before and after treatment was compared by paired sample t test,and the difference between before and after treatment was statistically significant(P<0.05).Results Comparison of DTI characteristic parameters of target muscle before and after treatment: after treatment,the FA value of left and right sternocleidomastoid muscle was significantly higher than that before treatment,and the ADC value was significantly lower than that before treatment.The FA value of the left and right head muscles was significantly higher than that before treatment,and the ADC value was significantly lower than that before treatment.There were significant differences in ADC and FA before and after treatment(P < 0.05).The mean value of VAS score after treatment was lower than that before treatment,and there was significant difference between before and after treatment(P <0.05).The mean value of NDI score after treatment was lower than that before treatment,and there was significant difference between before and after treatment(P < 0.05).Conclusion 1.The cervical spondylosis patients with sternocleidomastoid muscle and head clip muscle pain,the diffusion capacity of muscle water molecules was limited after muscle energy technique be applied to sternocleidomastoid muscle and head clip muscle.The difference is statistically significant.2.The NDI score of patients with sternocleidomastoid muscle and head clip muscle pain after treatment was lower than that before treatment,and the difference is statistically significant.After treatment,the cervical spine function of patients with cervical spondylosis is significantly improved compared with that before treatment.3.The VAS score of patients with sternocleidomastoid muscle and head clip muscle pain of cervical spondylosis after treatment was lower than that before treatment,the difference is statistically significant.After treatment,the pain symptoms of patients with cervical spondylosis were significantly improved;4.Muscle Energy Technology in the treatment of cervical spondylosis patients with sternocleidomastoid muscle,head clip muscle pain combined with cervical flexion,extension,rotation disorder has achieved satisfactory results.