Clinical efficacy of Li's tuina therapy on small joint derangement of cervical spondylosis:Based on the concept of"sinus-meridian-bone"
Objective To observe the clinical efficacy of Li's tuina therapy based on the concept of"sinus-meridian-bone"on small joint derangement of cervical spondylosis(CS).Methods A total of CS 70 patients with small joint derangement were randomly assigned into the control group(n =35)and the treatment group(n =35),in which they were treated with con-ventional massage and Li's tuina therapy,respectively.The treatment was perfomed for 3 weeks(qod),aiming to compare the short form of the McGill Pain Questionnaire(SF-MPQ)score,the Neck Disability Index(NDI)score,the Pittsburgh Sleep Quality Index(PSQI)score between groups before and after treatment.Results After treatment,the scores of Visual Analog Scale(VAS),the Pain Rating Index(PRI)and the Present Pain Index(PPI)of the SF-MPQ in the both groups after treat-ment were significantly lower(P<0.05),which were more pronounced in the treatment group than the control group(P<0.05).The NDI scores in the two groups were significantly decreased than those before treatment(P<0.05),and the decrease was significant in the treatment group than the control group(P<0.05).There was no significant difference in the improvement degree of cervical curvature between the two groups before and after treatment(P>0.05).The PSQI scores of the both groups after treatment were significantly lower than those before treatment(P<0.05),and which in the treatment group were significantly lower(P<0.05).Conclusion For CS patients,"Li's tuina therapy"based on the concept of"tendon-meridian-bone"is superior to conventional tuina therapy in alleviating pain of small joint derangement,which can improve cervical dysfunction and sleep quality,but has no advantage in improving cervical curva-ture in a short time.
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