Clinical Efficacy Evaluation Of Moxibustion Combined With Improved Five-Animal Exercise In The Treatment Of Cervical Spondylosis

Objective:In this study,moxibustion,improved Five-Animal exercise and moxibustion combined with improved Five-Animal exercise were used to treat cervical spondylosis of cervical type,to evaluate the efficacy of the three treatment methods,and the clinical efficacy basis was provided for the community application and promotion of moxibustion and improved Five-Animal exercise in the treatment of cervical spondylosis of cervical type.Methods:This study is a randomized control trial.100 patients with spondylosis of cervical type that met the inclusion criteria were randomly divided into 3 treatment groups and 1 waiting treatment group,with 25 cases in each group.3 treatment groups are moxibustion group,Five-Animal exercise group,and moxibustion combined with Five-Animal exercise group.The moxibustion group used self-made neck moxibustion appliance to moxibustion on the GB 21 and GV of the neck.The Five-Animal exercise group is a modified version of the cervical spine corrective posture Five-Animal exercise.The moxibustion combined with the Five-Animal exercise group received the moxibustion treatment first,and then did the Five-Animal exercise.The waiting treatment group did not use any treatment during the treatment period.The treatment groups received treatment once a day,5 times a week and a total of 4 weeks.The visual analogue scale(VAS),short form Mc Gill pain questionnaire(SF-MPQ),neck disability index(NDI),cervical spine flexion and extension,lateral flexion activity before and after treatment,and VAS of follow-up after 1 month were scored.Results:1.Baseline analysis: the four groups were comparable in terms of gender,age,number of days of onset of neck pain and average length of neck pain within 4 weeks,VAS,SF-MPQ,NDI,and measured range of cervical flexion,extension and lateral flexion activity(P>0.05).2.Efficacy evaluation:(1)The treatment groups before and after treatment of VAS,SF-MPQ,NDI,and cervical spine flexion and extension,lateral flexion activity measured contrast differences within the group was statistically significant(P<0.05);the treatment groups and waiting treatment group after treatment of VAS,SF-MPQ,NDI and cervical spine flexion,lateral flexion activity measured contrast differences between groups was statistically significant(P<0.05);(2)After treatment of VAS,SF-MPQ,and VAS of follow-up after 1 month: Compared with the moxibustion group and the Five-Animal exercise group,the difference between the moxibustion combined with Five-Animal exercisei group was statistically significant(P<0.05);(3)After treatment of NDI: Compared with the Five-Animal exercise group,the difference between the moxibustion combined with Five-Animal exercise group was statistically significant(P<0.05);(4)After treatment of activity of cervical spine forward flexion and left flexion: Compared with the moxibustion group,the difference between the moxibustion combined with Five-Animal exercise group was statistically significant(P<0.05);posterior extension and right flexion: There was no significant difference between the treatment groups(P>0.05).3.Comparison of significant efficacy and cure rate: Combined with moxibustion group and Five-Animal exercise group,the difference between the moxibustion and Five-Animal exercise group was statistically significant(P<0.05).Conclusion:1.Moxibustion,improved Five-Animal exercise,and moxibustion combined with improved Five-Animal exercise can improve the clinical symptoms of spondylosis of cervical type.Moxibustion combined with improved Five-Animal exercise has the best effect on relieving neck pain,and sustained pain relief in the later period.The significant efficacy and cure rate is highest.2.The moxibustion of self-made neck moxibustion appliance and improved of Five-Animal exercise are effective interventions for the treatment of spondylosis of cervical type.The combined use can improve the clinical efficacy better.The three treatment methods are easy to operate,high safety,which are conducive to the community application and promotion.