Clinical Study On Treating Cervical Spondylotic Radiculopathy By Press-needle Combined With Kinesiotherapy

ObjectivesTo compare the effect of press-needle combined with kinesiotherapy and filiform-needle combined with kinesiotherapy in the treatment of cervical spondylotic radiculopathy,including pain,cervical dysfunction and range of motion,and to explore a safe,effective and simple treatment scheme for cervical spondylotic radiculopathy.MethodsThis study was a randomized controlled study involving 78 patients with cervical spondylotic radiculopathy who were admitted to the outpatient department or recruited clinically from January 2020 to December 2020 in the Guangdong Second Traditional Chinese Medicine Hospital.In this study,simple random grouping was adopted.Coin toss was used to randomly generate grouping results,which were put into opaque envelopes and sorted by number.The patients who met the inclusion conditions were selected corresponding envelopes successively according to the time sequence of inclusion,and were divided into different groups according to the grouping information in the envelopes,namely,the pressneedle combined with kinesiotherapy group(treatment group)and the filiform-needle combined with kinesiotherapy group(control group).The treatment group was treated with press-needle combined with kinesiotherapy,while the control group was treated with filiform-needle combined with kinesiotherapy.Two groups of acupoints was chosen alternately.The first group of acupoints:Ashi point,two pairs of Jiaji points at the top and bottom of the positive reaction plane,Shoulder Jing(GB21),Dazhui(DU14).The second group of acupoints:Xuan Zhong(GB39),Da Zhu(BL11),Jianzhongshu(SI15),Jingbailao(EX-HN15).In the filiform-needle combined with kinesiotherapy group,shallow needling with filiform needle was applied.After bringing about the desired sensation,normal reinforcement and normal reduction was performed.The filiform needle was kept for 15 minutes,and the kinesiotherapy was performed after the needle was removed.Kinesiotherapy was performed after the completion of the press-needle acupuncture,and the needle was retained for 48 hours.Treatment was performed 3 times a week,with no less than 2 days between treatments,for 2 weeks.The changes of VAS scores,NDI and ROM scores before and after treatment were observed,and the statistical software SPSS20.0 was used for statistical analysis.Group,gender,age,disease course,cervical range of motion score before and after treatment,VAS score before and after treatment,and cervical dysfunction index score before and after treatment were recorded into the database of SPSS20.0 statistical software.After double checking the data entry,normality tests were carried out on all kinds of variables.Chi-square test is applied to gender;For data consistent with normal distribution,such as disease course and age,independent sample t-test was used for inter-group comparison,and paired t-test was used for intra-group comparison.For data that did not conform to normal distribution,such as VAS score and ROM score,independent sample nonparametric test was used for inter-group comparison and related sample nonparametric test was used for intra-group comparison.ResultsThere were no significant differences in gender,age,disease course,VAS score,NDI and ROM score between the treatment group and the control group,which were comparable.After treatment,After treatment,in the treatment group,11 cases were cured,11 cases were significantly effective,12 cases were improved,and 5 cases were ineffective;in the control group,2 cases were cured,15 cases were significantly effective,13 cases were improved,and 9 cases were ineffective.The total effective rate of the treatment group and the control group was 87.18%and 76.92%,respectively,and there was statistical significance in the total effective rate between the treatment group and the control group(P<0.05).There were statistically significant differences in the VAS scores,NDI and ROM scores before and after treatment in both the treatment group and the control group(P=0.000<0.05).There were significant differences in VAS scores between the two groups before and after treatment.(P=0.002<0.05).There was no significant difference in NDI and ROM scores between the two groups before and after treatment(P=0.859、0.879>0.05).ConclusionBoth press-needle combined with kinesiotherapy and filiform-needle combined with kinesiotherapy improved the VAS score,NDI score and ROM score in the treatment of cervical spondylotic radiculopathy.It is effective to treat cervical spondylotic radiculopathy with press-needle combined with kinesiotherapy and filiform-needle combined with kinesiotherapy.The analgesic effect of press-needle combined with kinesiotherapy is better than that of filiform-needle combined with kinesiotherapy.There was no significant difference in the improvement of cervical function and range of motion between press-needle combined with kinesiotherapy and filiform-needle combined with kinesiotherapy.