Observation on the therapeutic effect of fast filiform needling method on improving upper limb dysfunction in patients with cervical spondylotic radiculopathy
Objective To observe the therapeutic effect of fast filiform needling method to improve the upper limb dysfunction in patients with cervical spondylotic radiculopathy.Methods This study was a randomized controlled trial.A total of 72 patients with cervical spondylotic radiculopathy admitted to Lianyungang Affiliated Hospital of Nanjing University of Traditional Chinese Medicine from January 2021 to December 2022 were divided into two groups according to the block randomization method.In the experimental group,there were 20 males and 16 females,aged(47.94±6.16)years,with the course of disease of(27.25±9.49)months.In the control group,there were 18 males and 18 females,aged(46.73±5.14)years,with the course of disease of(26.02±7.58)months.The experimental group was treated with fast filiform needling method,and the penetrating release stimulation was given to the neck soft tissue injury site,once every other day,and alternately with massage treatment,6 times in each group.The control group was treated with traditional acupuncture,once a day,6 times as a course of treatment,and rested for 1 day every other course of treatment,for a total of 2 courses of treatment.The Tanaka Jingjiu cervical symptom score and cervical dysfunction index(NDI)were compared between the two groups 1 day before treatment and 1 day after treatment,and the clinical efficacies of the two groups were evaluated.t test and x2 test were used.Results Compared with those 1 day before treatment,the Tanaka Jingjiu cervical symptom scores in both groups were increased on the 1st day after treatment[(14.93±2.74)points vs.(9.70±2.45)points in the experimental group and(12.70±2.93)points vs.(9.40±2.01)points in the control group],but the NDI scores were decreased[(15.92±4.21)points vs.(38.19±5.86)points in the experimental group and(25.46±3.84)points vs.(36.76±7.25)points in the control group],with statistically significant differences(all P＜0.05).The improvement of scores of the experimental group was better than that of the control group[Tanaka Jingjiu cervical symptom score:(5.23±1.89)points vs.(3.30±1.25)points,NDI score:(22.27±4.67)points vs.(11.30±3.97)points,both P＜0.05].The total effective rate of the experimental group was higher than that of the control group[91.7％(33/36)vs.72.2％(26/36)],with a statistically significant difference(x2=4.560,P=0.032).Conclusions The fast filiform needling method can relieve the clinical symptoms in patients with cervical spondylotic radiculopathy,relieve the patients'pain,achieve the benign regulation of upper limb function,and reduce the impact of disease on living ability.It has certain advantages over traditional acupuncture treatment,and is worthy of further popularization and application in clinic.
Cervical spondylotic radiculopathyFast filiform needling methodMuscle fascia releaseUpper limb function
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维普
