A Comparative Study On The Effect Of Three Soft Tissue Relaxation Techniques On The Surface Electromyography Of Cervical Muscles

ObjectiveThrough to reveal the mechanism of rolling manipulation group,pressing and kneading manipulation group and flicking and plucking manipulation group of traditional Chinese medicine massage,massage and plucking on neck muscle biomechanics,and provide reference for clinical scientific application of soft tissue manipulation.Methods60 patients with cervical spondylosis were randomly divided into three groups using the random number table method,who see a doctor in Second Affiliated Hospital of Tianjin University of TCM.there were 20 patients in rolling manipulation group,pressing and kneading manipulation group and flicking and plucking manipulation group.The Root mean square(RMS),Median frequency(MF),VAS pain score,cervical spine flexion,extension,lateral flexion and rotational range of motion of three groups before and immediately after treatment were recorded.the above data were compared between groups and before and after treatment,and the data were analyzed using SSPS23.0 software.Results1 After treatment,rolling manipulation group,pressing and kneading manipulation group and flicking and plucking manipulation group RMS(forward bends,after stretch)of the cervical erector spine and the superior trapezius muscles decreased than before treatment,(P<0.05).The RMS of pressing and kneading manipulation group and flicking and plucking manipulation group were lower than rolling manipulation group(P<0.05),while the RMS of pressing and kneading manipulation group and flicking and plucking manipulation group were no significant difference(P>0.05).After the treatment of rolling manipulation group,pressing and kneading manipulation group and flicking and plucking manipulation group,the MF of the erector spinal muscle and the superior trapezius(forward bends,after stretch)were all increased compared with those before the treatment(P<0.05).The MF of pressing and kneading manipulation group and flicking and plucking manipulation group were all higher than rolling manipulation group(P<0.05).The differences between the MF of pressing andkneading manipulation group and flicking and plucking manipulation group were no significant difference(P> 0.05).It is suggested that the three methods can relieve muscle fatigue.The pressing and kneading method and the flicking and plucking method have similar effects on relieving muscle fatigue,both of them are better than the rolling method.2 After treatment,VAS of rolling manipulation group,pressing and kneading manipulation group and flicking and plucking manipulation group decreased than before treatment,and the difference was statistically significant(P < 0.05).VAS of pressing and kneading manipulation group and flicking and plucking manipulation group were lower than rolling manipulation group(P<0.05).VAS of pressing and kneading manipulation group was lower than flicking and plucking manipulation group(P<0.05).It is suggested that the three methods can relieve pain.The pressing and kneading method is better than the flicking and plucking method,and the flicking and plucking method is better than the rolling method.3 After rolling manipulation group,pressing and kneading manipulation group,flicking and plucking manipulation group treatment,the cervical activity(flexion,extension,left flexion,right flexion,left rotation,right rotation)was rising(p<0.05).Pressing and kneading manipulation group,flicking and plucking manipulation group were higher than rolling manipulation group about cervical activity(P< 0.05).Pressing and kneading manipulation group cervical activity is higher than flicking and plucking manipulation group(P<0.05).It is suggested that the three manipulations can improve the activity of cervical vertebra.The pressing and kneading method is better than the flicking and plucking method,and the flicking and plucking method is better than the rolling method.ConclusionRolling manipulation,pressing and kneading manipulation and flicking and plucking manipulation can immediately relieve cervical muscle fatigue and neck pain and improve cervical vertebra range of motion.The effect of pressing and kneading manipulation and flicking and plucking manipulation on cervical muscle fatigue was better than that of rolling manipulation,and the effect of pressing and kneading manipulation and flicking and plucking manipulation was similar.Pressing and kneading manipulation is better than flicking and plucking manipulation in relieving neck pain and improving cervical range of motion,and flicking and plucking manipulation is better than rolling manipulation with the ulnar side ofthe plam in curative effect.