Treatment of 30 Cases of Atlantoaxial Joint Dysfunction Syndrome with Sinew Dredging Manipulation
Objective:To retrospectively analyze 30 cases of atlantoaxial joint dysfunction syndrome treated by sinew dred-ging manipulation,and observe the improvement of the main symptoms and imaging indicators.Methods:From January 2022 to October 2022,30 patients with atlantoaxial joint dysfunction syndrome were selected.They were treated with sin-ew dredging manipulation,3 times a week for a total of 3 weeks.The subjective symptoms of patients were evaluated by visual analogue scale(VAS)and cervical vertigo symptom and function assessment scale before treatment,3 weeks and 6 weeks after the first treatment.Before treatment and 3 weeks after the first treatment,the atlantoaxial relative rotation an-gle,the lateral mass distance of the odontal process,and the anterior atlantodental distance were measured in cervical CT and the range of motion of atlantoaxial joint were measured in the cervical flexion and extension position.Results:All the 30 patients completed the manual treatment for 9 times in 3 weeks.Compared with before treatment,the VAS scores of neck pain and the cervical vertigo symptom and function scale of the patients were significantly improved 3 weeks and 6 weeks after the first treatment,and the differences were statistically significant(P＜0.01).Compared with before treat-ment,the relative rotation angle of the atlantoaxial,the distance of the lateral mass of the odontal process and the range of motion of atlantoaxial joint were significantly improved 2 weeks after treatment,and the differences were statistically significant(P＜0.01).The anterior atlantodental distance was decreased compared with that before treatment,and the difference was not statistically significant(P＞0.05).Conclusion:Under the guidance of the theory of tendon and bone alignment,the use of sinew dredging manipulation can effectively improve the clinical symptoms and imaging manifestations of patients,and there is no cervical spine wrenc-hing operation in the treatment process,which has good safety.
atlantoaxial joint staggered suturesmanipulationtendon and bone normalizationrelative rotation angle of at-lantoaxial vertebraespacing of odontoaxial lateral blocks
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