Objective:This study was to explore unarmed neural mobilization combined with neck and shoulder synchronous traction in patients with cervical spondylosis of nerve root type efficacy and safety.Methods:A total of 122 patients with cervical spondylosis radiculopathy were randomly divided into traction group(61 cases)and combined group(61 cases).Evaluation of two groups of patients before and after treatment of cervical spine function and the degree of pain,inflamma-tion index,the quality of life,and relapse.Results:After treatment,the angles of right flexion,right rotation,left flexion,and left rotation in the combined group were higher than those in the traction group(P＜0.05).The plasma viscosity,whole blood low-shear viscosity,whole blood high-shear viscosity,Neck Pain Questionnaire(NPQ)and Neck Disability Index(NDI)scores in the combined group were lower than those in the traction group(P＜0.05).Inflammatory indica-tors,the combined group of IL-1β,TNF-α,IL-6 and PGE2 levels are lower than traction group,combined group WHOQOL-BREF each dimension score higher than traction group(P＜0.05).The recurrence rate of the combined group was significantly lower than that of the traction group(x2=3.921,P=0.048).Conclusion:Manual nerve mobilization combined with neck and shoulder synchronous traction can effectively reduce the degree of pain,improve cervical spine dysfunction,optimize blood rheology and inflammatory indicators,so as to improve the quality of life of patients,treatment safety,suitable for clinical application.
关键词
神经根型颈椎病/徒手神经松动术/颈肩同步牵引/疼痛程度/颈椎功能障碍
Key words
cervical spondylosis of nerve root type/unarmed neural mobilization/neck and shoulder synchronous traction/pain degree/cervical spine dysfunction
维普
万方数据