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Journal of Chinese Integrative Medicine ›› 2012, Vol. 10 ›› Issue (1): 54-58.doi: 10.3736/jcim20120109

• Original Clinical Research • Previous Articles     Next Articles

Efficacy of cervical fixed-point traction manipulation for cervical spondylotic radiculopathy: a randomizedcontrolled trial

Jiang Chong-bo1,2,Wang Jun1(),Zheng Zhi-xin1,Hou Jing-shan1,Ma Ling1,Sun Tong1   

  1. 1. Department of Rehabilitation, Division of Medical Technology, Chinese PLA General Hospital, Beijing 100853, China
    2. Health Team of PLA Unit 96212, Puning 515347, Guangdong Province, China
  • Received:2011-07-29 Accepted:2011-08-28 Online:2012-01-20 Published:2018-09-21
  • Contact: Wang Jun

BACKGROUND: Cervical spondylotic radiculopathy is a commonly encountered and frequently occurring disease. Traditional Chinese osteopathic manipulations may have better therapeutic efficacy than that of other methods in treating patients with cervical spondylotic radiculopathy.OBJECTIVE: To evaluate the clinical therapeutic effects of cervical fixed-point traction manipulation in treating patients with cervical spondylotic radiculopathy.DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: A prospective, randomized controlled trial was adopted. Eighty-four patients with cervical spondylotic radiculopathy were randomly divided into treatment group (n=42) and control group (n=42). All patients were enrolled from the outpatient service of Department of Rehabilitation of Chinese PLA General Hospital of China. Patients received oral and written information about clinical procedures before giving their written informed consent. The patients were treated with cervical fixed-point traction manipulation (treatment group) or cervical computer traction (control group). Cervical fixed-point traction was performed once every other day for a total of seven treatment periods and cervical computer traction was performed 30 min, once per day for 14 d.MAIN OUTCOME MEASURES: Before and after treatment, visual analogue scale (VAS) score and temperature of upper limb skin (normal limb and abnormal limb) detected by infrared thermal imaging system were contrastively analyzed.RESULTS: Five patients were lost to follow-up, one patient in the treatment group and four patients in the control group. There were significant differences in VAS score and temperature difference between the normal and abnormal upper limbs of infrared thermal imaging in the treatment group (t=28.652, P<0.01; t=64.214, P<0.01) or in the control group (t=14.484, P<0.05; t=84.425, P<0.05) compared between before and after treatment. After treatment, the changes in VAS score and temperature difference of normal and abnormal upper limbs in the treatment group were more obvious compared with the control group (t=7.494, P<0.01; t=5.321, P<0.01).CONCLUSION: Cervical fixed-point traction manipulation has better efficacy than cervical computer traction in treating patients with cervical spondylotic radiculopathy.

Key words: cervical fixed-point traction manipulation, manipulation, osteopathic, traction, cervical spondylosis, randomized controlled trial

Figure 1

Flow diagram of this randomized trial"

Table 1

Score of visual analogue scale before and after treatment ($\bar{x}$±s)"

Group n Score of visual analogue scale
Before treatment After treatment Difference
Control 38 5.76±0.86 3.96±0.95* 1.80±0.76
Treatment 41 5.75±0.86 2.74±0.90** 3.01±0.67△△

Table 2

Temperature difference of infrared thermal imaging for upper limbs (normal limb and abnormal limb) before and after treatment ($\bar{x}$±s, ℃)"

Group n Temperature difference
Before treatment After treatment Difference
Control 38 1.30±0.04 0.50±0.04* 0.80±0.06
Treatment 41 1.30±0.08 0.41±0.06** 0.90±0.09△△
[1] Zhu QS, Gu R. Level diagnosis and therapy of cervical spondylotic radiculopathy. Zhongguo Ji Zhu Ji Sui Za Zhi. 2007; 17(2):93-95. Chinese.
朱庆三, 顾锐 . 神经根型颈椎病的定位诊断与治疗方法.中国脊柱脊髓杂志. 2007; 17(2):93-95.
[2] LiaoJ, ChenSJ, Xu T, Wang XC , Wang SZ. Efficacy of Tongduqiangji technique in treating cervical spondylotic radiculopathy — A randomized, controlled and single- blinded trial. Shizhen Guo Yi Guo Yao. 2011 ; 22(2) : 445-447. Chinese with abstract in English.
廖军, 陈水金, 徐腾, 王心城, 王诗忠 . 通督强脊手法治疗神经根型颈椎病随机对照研究.时珍国医国药. 2011; 22(2) : 445-447.
[3] State Administration of Traditional Chinese Medicine. Diagnostic and therapeutic effect evaluation criteria for diseases and syndromes in traditional Chinese medicine. Nanjing: Nanjing University Press. 1994: 186. Chinese.
国家中医药管理局. 中医病证诊断疗效标准.南京: 南京大学出版社. 1994: 186.
[4] Tanaka Y, Kokubun S, Sato T . Cervical radiculopathy and its unsolved problems. Current Orthopaedics. 1998; 12(1) : 1-6.
doi: 10.1016/S0268-0890(98)90001-9
[5] Huang SR, Shi YY , Shi GT. Pathogenic factors of blood circulation disturbance in lumbar intervertebral disc herniation and mechanism of Tuina manipulation in promoting circulation. J Chin Integr Med. 2003; 1(4):255-258. Chinese with abstract in English.
黄仕荣, 石印玉, 石关桐 . 腰椎间盘突出症患者腰腿痛的血循环障碍因素与推拿手法的促循环作用机制.中西医结合学报. 2003; 1(4):255-258.
[6] Wang J, Wang FG , He JB, Hou JS. Biomechanic study in manipulation therapy in treatment of dynamic canal stenosis. Yi Yong Sheng Wu Li Xue. 1996; 11(4):255-257. Chinese.
王军, 王福根, 和静彬, 侯京山 . 手法治疗动力型颈椎管狭窄症的生物力学研究.医用生物力学. 1996; 11(4):255-257.
[7] Devulder J . Thermograms and the vasomotor reflex. Pain Clinic. 2000; 12(3):233-236.
doi: 10.1163/156856900750232588
[8] Gong QJ, Lu ZH, Chen JS, Huang QD, Bo CJ, Luo XY, Liu SY , Chen HH. ITI findings of lumbar disc herniation combined with soft tissue lesion. Zhongguo Teng Tong Yi Xue Za Zhi. 2011; 17(6):340-344. Chinese with abstract in English.
宫庆娟, 卢振和, 陈金生, 黄乔东, 薄存菊, 罗秀英, 刘少颜, 陈惠华 . 腰椎间盘突出症合并软组织损害性病变的红外热成像.中国疼痛医学杂志. 2011; 17(6):340-344.
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