The Effect Of Three-step Five-step Massage Combined With Tiantuo Type On The Motion Function Of Neck Muscles In Cervical Spondylosis Of Different Age

Objective:Using sEMG,MCU and other indicators,The observation of the movement function of cervical muscles in different age groups with the "three-steps and five-methods" Tuina and the Yi Jin Jing Tuotian style.This study in different age paragraph the neck type of cervical spondylosis(CSN)patients as the research object,and choose "three-steps and five-methods" Tuina and Yi Jin Jing Tuotian style for treatment of a supporting type of training,system to observe and summarize the treatment of neck movement function in patients with different age paragraph CSN,for "three-steps and five-methods" Tuina and Yi Jin Jing Tuotian style provides the theory basis for improve the function of neck movement.Method:A total of 45 qualified subjects were included.According to their age,there were 15 subjects in the youth group,15 subjects in the middle-aged group and 15 subjects in the elderly group.All subjects received "three steps and five methods" massage combined with titian training.The "three-step five-way" massage therapy lasted for 4 weeks,3 times a week for about 30 min each time.Day type training six times a week,every 30 minutes,for 4 weeks.Before and after intervention using Visual analog pain score(VAS),methods of electric diagram(sEMG),Cervical vertebra multi-function training evaluation system(MCU)of subjects were neck pain,neck muscle fatigue degree,to assess the neck muscle strength and mobility.Results:1 After treatment,VAS score,MPF value of sEMG,isometric flexion force and left/right flexion range Angle of the young and old subjects in the treatment group were all improved,with statistically significant differences(P < 0.05).2 After treatment,subjects in the middle-aged group showed no significant improvement in the range of motion Angle of right flexion except that before treatment,and all other indicators showed statistical difference(P < 0.05).3 VAS pairwise comparison between the three groups showed that the VAS score difference in the youth group before and after intervention was significantly higher than that in the middle-aged group and the elderly group(P = 0.019,0.021,respectively).There was no significant difference between the middle-aged group and the elderly group.4 The pair comparison of MPF value between the three groups showed that the difference of MPF value between erector spinal muscles and trapezius muscles in the youth group before and after intervention was significantly higher than that in the middle-aged group and the elderly group(P<0.05).The middle-aged group was significantly higher than the elderly group(P<0.05).5 pairwise comparison between the three MCU groups showed that the contraction force of left/right flexion and the Angle of left/right flexion range in the youth group before and after intervention were significantly higher than those in the middle-aged group and the elderly group(P<0.05).The right flexion isometric contraction force of the middle-aged group was significantly higher than that of the elderly group(P<0.05),and there was no statistical difference between the other groups(P>0.05).Conclusion:1.For 4 consecutive weeks,the "three-steps and five-methods" Tuina combined with tiantuotype training can help improve the degree of neck pain,relieve the degree of neck muscle fatigue,and improve muscle strength and range of motion in CSN patients.2.For different age groups,4 consecutive weeks of "three-steps and five-methods" Tuina combined with tiantuo type training is more conducive to the recovery of neck function of young CSN patients.