[Abstract
OBJECTIVE: To observe the clinical efficacy of traction combined with chiropractic massage in the treatment of cervical spondylosis. Methods: 125 cases of cervical spondylosis patients were randomly divided into two groups. Eighty-five cases in the treatment group were treated with traction combined with chiropractic massage, and 40 cases in the control group were treated with traction combined with cervical rejuvenation granules for comparison. The course of treatment was seven days, and each course of treatment was continuous. Results: After treatment, there were 85 cases in the treatment group, 60 cases (70.58%) were clinically cured; 18 cases (21.17%) were effective; 5 cases (5.88%) were effective; 2 cases (2.35%) were ineffective; the total effective rate was 97.64%. In the control group, there were 40 cases, 10 cases (25%) were cured; 8 cases (20%) were effective; 12 cases (30%) were effective; 10 cases (25%) were ineffective; the total effective rate was 75%. There was a very significant difference between the treatment group and the control group (P<0.01). Conclusion: Traction combined with chiropractic massage for the treatment of cervical spondylosis has reliable efficacy and can be clinically promoted and applied. Key words】 Cervical spondylosis, traction, chiropractic massage, drug therapy Cervical spondylosis is a common disease with dizziness, neck, shoulder and upper limb pain and numbness as the main symptoms. The author combined clinical experience, self-designed traction combined with chiropractic massage treatment of cervical spondylosis 125 cases, achieved better results, compared with the drug control group has a very significant difference (P < 0.01), is reported as follows. 1. Clinical data The selected cases were all outpatients and inpatients of our rehabilitation medicine department from January 2009 to December 2009, and were randomly divided into traction combined with chiropractic and drug treatment control groups according to their order of consultation. Each patient was diagnosed with cervical spondylosis by X-ray and combined with physical examination. In the treatment group, there were 125 cases, 67 males and 58 females; the minimum age was 26 years old, the maximum age was 82 years old, and the average age was 45.1 years; the shortest duration of the disease was 1 week, the longest was 12 years, and the average was 2 months. In the control group, there were 25 cases, 11 males and 14 females; the minimum age was 26 years old, the maximum age was 72 years old, and the average age was 40.1 years; the shortest disease duration was 3 days, 8 years, and the average was 1.5 years. 2. Treatment method The treatment group was based on cervical spine X-ray film, and the cervical spine film showed that: vertical traction and posterior traction (15° angle) were applied to those with straightened curvature or reverse arch, and vertical traction was applied to those with cervical curvature and forward angle, with a traction force of 3-5 kg, depending on the patient's weight, age and condition; Tui-na treatment: firstly, the muscles of the neck, shoulder and upper back were relaxed by rolling, kneading and pinching, with gentle techniques, mainly to relax the affected muscles. Finally, according to the patient's cervical spine piece for chiropractic manipulation: cervical hyperflexia and forward into the angle of the neck extraction and extension method of correction, [operating principles] the patient is sitting, the operator stands behind, with both thumbs on the back of the occipital bone (can also be placed on the Fengchi point), with two forearms were pressed on the patient's two shoulders The patient's forearms are pressed against each shoulder. The upward thrust of both thumbs and the downward pressure of both forearms on the two shoulders cause the cervical spine to be in a continuous upward stretching force, forming a stretching force for 10-15 seconds each time, 2-3 times. Chiropractic manipulation for patients with straightened cervical vertebrae or antalgia [operating principles] the patient is sitting on the operator's right side, the left thumb on top of the patient's cervical spinous process, the rest of the four fingers to stabilize the patient's neck, the tiger's mouth on top of the patient's occipital bone, the right hand bending the elbow to lift the patient's lower jaw with the elbow joint, the two hands coordinated force, the left thumb forward push, the right hand upward, backward force, the left thumb top press C2-C6 spinous process, from top to bottom two to three times. The above two techniques are used to relax the tendons and channels, relieve spasm and pain, and smooth the joints. The above two techniques can effectively relieve the clinical symptoms and achieve the effect of clinical cure. 3. Treatment standard and treatment effect 3.1 Efficacy standard Clinical cure: clinical symptoms disappeared and neck function completely returned to normal; effective: clinical symptoms basically disappeared and local pressure pain was reduced; effective: main clinical symptoms disappeared and normal work and study was possible, but local pressure pain was still present; ineffective: compared with before treatment, main clinical symptoms did not improve significantly. 3.2 Treatment effect 85 cases in the treatment group, 60 cases (70.58%) were clinically cured; 18 cases (21.17%) were effective; 5 cases (5.88%) were effective; 2 cases (2.35%) were ineffective; the total effective rate was 97.64%. In the control group of 40 cases, 10 cases (25%) were cured, 8 cases (20%) were effective, 12 cases (30%) were effective, 10 cases (25%) were ineffective, and the total effective rate was 75%. Compared with the efficacy of the two groups, P<0.01 by X test, there is a very significant difference. 4, Discussion The root cause of various clinical symptoms of cervical spondylosis is mainly the change in the physiological curvature of the cervical spine and the degenerative pathological changes of the cervical intervertebral disc. As people grow older, especially those who work with their heads down or have a history of neck injury are more likely to develop the disease, so factors such as strain and injury and dislocation accelerate these degenerative processes, and these degenerative changes can cause the anterior and posterior diameters of the intervertebral foramina to become smaller, so that the nerves are squeezed, and the nerves under pressure are thus damaged by inflammation and even degeneration; because the vertebral artery penetrates the transverse foramina on both sides of the cervical spine, changes in the physiological curvature of the cervical spine Because the vertebral artery travels through the transverse foramen on both sides of the cervical spine, changes in the physiological curvature of the cervical spine directly lead to stimulation of the vertebral artery, resulting in the vertebral artery blood flow being affected, further causing insufficient blood supply to the head. In addition, osteophytes are also a common cause of the disease, the posterior edge of the vertebral body can protrude into the spinal canal to stimulate compression of the spinal cord, the lateral and hooked protrusions can protrude into the intervertebral foramen to stimulate compression of the nerve roots and vertebral artery, while the larger protrusions in front of the vertebral body can stimulate compression of the esophagus. This disease belongs to the category of "paralysis" in Chinese medicine, "Su Wen Paralysis" cloud: "the so-called paralysis, each to its time, heavy induction of wind and cold gas also. Another example is the "Source of Miscellaneous Diseases Rhinoceros Turbid Paralysis Source": "Paralysis, closed also. Three gas mixed to, congestion meridians, blood does not work, can not be dispersed at any time, so long and for paralysis". The disease is mostly caused by a deficiency of the Sun meridian and the Governor's Vessel. If the kidney is not strong enough, the wind, cold and dampness will take advantage of the deficiency to enter, resulting in blockage of the meridians, poor flow of Qi and blood, so the clinical appearance of the neck and neck straightness, and numbness and pain in the limbs and arms, and kidney deficiency can not produce marrow to fill the bones, is the main intrinsic factor of bone degeneration, treatment of this disease should be dredging the meridians, moving Qi and blood, while replenishing the kidney for the principle. Traction combined with chiropractic massage can effectively stretch and adjust the cervical spine curvature, reduce the internal pressure of the cervical spine, improve the physiological curvature of the cervical spine, relieve the tension and spasm of the neck and shoulder muscles, and loosen the adhesions of the soft tissues of the neck, so that the curative effect is exact. In conclusion, traction combined with chiropractic treatment for cervical spondylosis is suitable for clinical application because it does not cause stomach discomfort and fatigue, and it can delay the surgical process or even avoid surgery, and it is easy and economical to treat.