Manual therapy cervical syndrome and posterior muscles affected by long-term stress research
|School||China Academy of Traditional Chinese Medicine|
|Course||TCM orthopedics and traumatology|
|Keywords||Manuever therapy Cervical spondylopathy Clinical observation Experimental Studies Infrared Thermography|
This study was divided two parts: clinical and experimental studies.Part I : The clinical observation of manuever therapy for the patient with the Cervical spondylopathy: Before and after studyObjective:To observe the effectiveness of manuever therapy for the patient with the cervical spondylopathy.Methods:70 cases (male 32, female 38)with a range from 18 to 62 years were selected in Hospital of Orthopedics and truamatology from December 2004 to February 2006. They were divided into two groups (control n=35, compare n=35) randomly. Control group was treated by manuever therapy, three times per week and two weeks a session. Compare group was treated by cervical traction on seat, three times per week, two weeks a session. Clinical assessment scale for cervical sponylosis (CASCS) index, Infrared Thermography observations and Cervical Range of Motion(CROM) were taken to evaluate the effectiveness of the patient with the neck type of cervical spondylosis before and after treatment. All clinical information will statistical handled by SPSS(11. 5)statistical analysis software. numerical variable was adopted by t Test, enumeration data was adopted by Kruskal-Wallis H test, while ranked data were rank sum test.Results:1.The CASCS Index: CASCS index was taken to evaluate the ability, symptoms and signs before and after treatment. The full Index is 30 points. The result show controlled group performed better than compared group with an effectiveness of 97. 14%, or P<0. 05.2.Infrared Thermography observations: Result shown control group ascending obviously after treatment (P<0. 01). Compare group performs a limited ascending after treatment (P<0. 05). Control group has performed great improvement than compare group with (P<0. 05) after the treatment session.3. Cervical Range of Motion: The measuring result improve obviouslyin control group including flexion-extension (P<0. 05), rotation (P<0. 05) and lateral bending (P<0.05)Conclusion:1.Clinical study prove that Sun’s manuever therapy works for CS through the improve the curvatura, reducing pain and numbness. Overall effectiveness was 97. 14%.2. This study strong proves that Sun’s manuever therapy can release neck muscles spasm and improving the neck muscles balances.3. Manuever therapy has improved the regional temperature through microcirculation, metabolism and relaxation of the muscles and tissue. Infrared thermography is an effective, efficient and valuable tool in diagnosis and prevention in the patient with cervical sponylosis. Infrared thermography is an idea alternative and supplementary inspection in clinical means.4. Manuever therapy can improve cervical range of motion by restructuring the disarrangenable facet joints dislocation. This adjustment can improve the disability of the cervical spine in better curvature.5. The function of manuever therapy can be concluded by the mechanism of balance restructuring, relaxation, improvement of microcirculation and reduce pain free.Part II: The experimental study of neck muscles by keeping the cervical spine into the abnormal stress condition in rabbitObjective:To establish an animal model by using rabbits in order to study that changes of cervical rear muscles by keeping the cervical spine into the abnormal stress condition. Methods:30 Japanese white rabbits were divided into 2 groups randomly: Control and model groups, each group of 15. Rabbits of the model group was kept at forty-five-degree flexion for five hours once a day. After twelve weeks, observe the X-rays changes of cervical vertebra and the changes of Infrared Thermography, measure the content of Creatine kinase (CK)> Lactate dehydrogenase (LDH) in blood and the content of oxygen free radicals in muscle tissue.Results:1. Changes and analysis of X-rays of cervical vertebraIntegral value of X-rays of model group was obviously higher than that of control group after twelve weeks and discrepancy was significant (P<0. 05) Integral value of X-rays of control group compared with itself twelve weeks before did not have significant discrepancy (P > 0.05). Showing that cervical vertebra has occurred changes of degeneration obviously after cervical vertebra instability caused by keeping the cervical spine into the abnormal stress condition, the animal model was established.2. Changes of Infrared ThermographyResult shown, comparing with control group, model group changed obviously after twelve weeks by keeping the cervical spine into the abnormal stress condition (P<0.05).3. Changes of Creatine kinase (CKX Lactate dehydrogenase (LDH) in blood and analysisComparing with control group, the content of Creatine kinase (CK) in model group significantly increased (P<0. 01) after twelve weeks by keeping the cervical spine into the abnormal stress condition, the number of CK was significantly increased in rabbit’ s blood in model group. Comparing with control group, the content of Lactate dehydrogenase (LDH) in model group significantly increased (P<0.01) after twelve weeks by keeping the cervical spine into the abnormal stress condition, the number of LDH was significantly increased in rabbit’ s blood in model group.4.Experimental study on measurement of the content of oxygen free radicals in muscle tissueThe number of Super oxide dissmutas (SOD) in model group was less than control group (P<0. 01) after twelve weeks by keeping the cervical spine into the abnormal stress condition, activity of SOD decreased significantly in rabbit’ s muscle tissue in model group.Comparing with control group, the content of Malonyldialdehyed(MDA) in model group significantly increased (P<0. 01) after twelveweeks by keeping the cervical spine into the abnormal stress condition,activity of MDA was significantly increased in rabbit’ s muscle tissuein model group.Conclusion:1.Confirmed by X-rays of cervical vertebra, an animal model is establish successfully by keeping the cervical spine into the abnormal stress condition.2. Infrared thermography is an effective, efficient and valuable tool. It can reflect diverse information.3. The number of LDH and CK were significantly increased in rabbit’ s blood in model group.4. The activity of MDA and SOD were changed obviously in rabbit’ s muscle tissue in model group.5. To keep cervical rear muscles’ balance of biochemical and biomechanical is important to cervical spondylopathy.