Clinical Study On The Treatment Of Cervical Spondylotic Radiculopathy Of The Lower Cervical Segment By Lifting Shoulder Positioning And Pushing

Objective: to observe the effect of lifting shoulder positioning and pushing on cervical spondylotic radiculopathy.The purpose of this study is to find a manipulation for the lower cervical segment with high safety,accurate positioning and prominent curative effect,so as to improve the clinical cure rate of the cervical spondylotic radiculopathy of the lower cervical segment treated by massage.Methods: a total of 60 patients who met the diagnostic criteria for cervical spondylosis of the lower cervical nerve root type from January 2017-december 2018 were randomly assigned to two groups,namely,30 patients in the experimental group(lifting shoulder positioning and pushing)and 30 patients in the control group(lifting).One course of treatment 10 times,5 times a week,a total of 2 weeks.After one course of treatment,statistical analysis and processing were conducted on the data collected and sorted before and after the treatment of the experimental group and the control group,such as VAS,clinical efficacy evaluation standard scale,etc.,to analyze and compare the clinical efficacy of the two treatment methods,and finally draw a conclusion.Results: 1.Gender,age and time of onset of the two groups of patients were compared(P> 0.05),the difference is no statistically significant,there are comparable.2.VAS was compared between the two groups before treatment(P > 0.05),the difference is no statistically significant,there are comparable.There was a significant difference about VAS between the two groups after treatment(P<0.05),the difference is statistically significant,the outcome improved significantly.VAS was compared between the two groups after treatment(P>0.05),the difference is no statistically significant,there are comparable.3.The clinical efficacy evaluation standard scale and the scale score before treatment of the two groups were compared(P> 0.05),the difference is no statistically significant,there are comparable..After treatment,the scores of patients in the two groups were significantly different from those before treatment(P<0.05),he difference is statistically significant,the outcome of each item in the two groups were improved significantly.After treatment,the scores of patients in the two groups were not statistically significant(P > 0.05),there are comparable.4.After one course of clinical manipulation treatment,compared with the data of the previous patients,in the total effective rate evaluation: after the treatment of the experimental group(lifting shoulder positioning and pushing),the clinical control was1 case,the obvious effect was 16 cases,the effective effect was 12 cases,and the ineffective effect was 1 case,the total improvement rate reached 96.67%,and the total cure rate reached 56.67%;However,in the control group(subtraction),there were 1case of clinical control,7 cases of significant effect,20 cases of effective effect and 2cases of ineffective effect,with a total improvement rate of 93.34% and a total cure rate of 26.67%.The difference in the total improvement rate between the two groups(P > 0.05),the difference is no statistically significant.The difference in the total cure rate between the two groups(P < 0.05),the difference is statistically significant.This indicates that the clinical effect of manipulation in the experimental group is significant.Conclusion: The method of lifting shoulder positioning and pushing against the top for targeted treatment of cervical spondylotic radiculopathy in the lower cervical segment has significant clinical efficacy,accurate positioning and strong pertinency,which is worthy of further study and application in clinical practice.