Randomized Controlled Study of Liu Shoushan Manipulation in Treating of Non-Specific Chronic Neck Pain
Objective:To assess the efficacy and safety of Liu Shoushan manipulation therapy in treating non-specific chron-ic neck pain(NCNP).Methods:40 patients with NCNP were randomly assigned to either an observation group(20 cases)receiving Liu Shoushan manipulation therapy and a control group(20 cases)receiving traction therapy.The differences of elastic modulus,pain degree and cervical dysfunction of different muscles between the two groups were evaluated before and after treatment.Results:After treatment,the shear wave elastography(SWE)value of the two groups decreased.The observation group demonstrated significantly lower SWE values in the left sternocleidomastoid muscle(L-SCM),trapezius(TRAP)and splenius capitis(SPCAP)compared to the control group(P＜0.001),and there was no statistically differ-ence in right sternocleidomastoid muscle(R-SCM)between the two groups(P=0.243).Additionally,visual analogue scale(VAS)and neck disability index(NDI)scores decreased significantly in both groups post-treatment,with the observation group showing greater reductions compared to the control group(P＜0.05).Correlation analysis revealed sig-nificant negative correlations between VAS score differences and elasticity modulus differences of the trapezius and SPCAP(-1.0＜r＜-0.5,P＜0.001),and negative correlation with the L-SCM(P=0.002 1),while correlations with the R-SCM were not significant statistically(P=0.289 1).Conclusion:Liu Shoushan manipulation therapy can significantly improve the stiffness of the trapezius and SPCAP in patients with chronic non-specific neck pain,effectively alleviate pain,improve cervical spine function,and maintain efficacy in the short-term follow-up.
non-specific chronic neck painLiu Shoushanorthopedic therapyshear wave elastographyrandomized con-trolled study
万方数据
维普
