| ObjectiveThrough clinical trials comparing observation of the clinical efficacy of Neural mobilization combined with Maitland manipulation,cervical traction,medium frequency electrotherapy and only Maitland manipulation with cervical traction,medium frequency electrotherapy for treatment of cervical spondylotic radiculopathy.To explore the Neural mobilization combined with Maitland manipulation for the possible mechanism in treating cervical spondylotic radiculopathy.MethodsFrom August 2015 to December 2016 in patients with cervical spondylotic radiculopathy in Rehabilitation Medicine Department of Affiliated Hospital of Tai’an Medical College University,according to the inclusion criteria select 60 cases,33 cases are males,27 cases are females,average age 46.78±10.73 years,course of disease10.78±9.73 months.They were randomly divided into treatment group and control group,30 cases in each group.There was no significant difference between the two groups.The treatment group use Neural mobilization combined with Maitland manipulation,cervical traction,medium frequency electrotherapy and the control group only use Maitland manipulation with cervical traction,medium frequency electrotherapy.The treatment time was 2 weeks,to score the level of pain,clinical symptoms and signs,the study used NRS and Tanaka Yasuku symptom quantization table with 20 points.Through the SPSS 17 statistical software for data analysis and processing,through the T test and chi square test to compare the scores of the differences before and after treatment in each group and the differences between the two groups after treatment.To observe the clinical efficacy of Neural mobilization combined with Maitland manipulation for the treatment of cervical spondylotic radiculopathy,and to explore its possible mechanism.Results1.After two weeks,two groups of patients after treatment NRS score was lower than that before treatment,Tanaka Yasuku symptom quantization table with 20 points was higher than that before treatment(P<0.01),indicating the two groups before and after treatment there were significant differences;it can effectively reduce the pain score,improving the clinical symptoms and signs.2.After two weeks,the patients in the treatment group NRS score lower than the control group,Tanaka Yasuku symptom quantization table with 20 points was higher than that of the control group(P<0.01),indicating that the two groups after treatment there were significant differences in the scores;it can be concluded that the treatment group is better than the control group in relieving pain and improving the clinical symptoms and signs.3.After two weeks,the treatment group of 30 cases,cured in 8 cases,markedly effective in 14 cases,effective in 7 cases,invalid in 1 cases,the total effective rate was 97%.The control group of 30 cases,cured in 3 cases,markedly effective in 6 cases,effective in 17 cases,invalid in 4 cases,the total effective rate was 87%.Two groups of patients with total effective rate by chi square test(P<0.05),the difference was statistically significant.Conclusion1.Maitland manipulation combined with the conventional treatment,such as cervical traction,medium frequency electrotherapy,can reduce the degree of pain and improve the symptoms and signs in patients with cervical spondylotic radiculopathy.2.Neural mobilization combined with Maitland manipulation,cervical traction,medium frequency electrotherapy can significantly reduce the degree of pain and improve the symptoms and signs in patients with cervical spondylotic radiculopathy with significant effect.3.Neural mobilization combined with Maitland manipulation for the treatment of cervical spondylotic radiculopathy significantly better than the effect of simple Maitland manipulation. |
