Objective To explore effect of thumb force application point on clinical effect of fixed-point rotation technique,and provide guidance for standardized operation.Methods The paper chose 60 patients with neck pain in an outpatient department of a tertiary hospital with prospective randomized controlled trial,and divided them into three groups randomly:a,b,and c.Each group was operated by the same doctor,with different thumb force points.Group a had articular processes,group b had spinous processes,and group c had transverse processes.Pain numerical scores(NRS),cervical dysfunction index(NDI),and overall change scores(PGIC)of patients were recorded and analyzed before and after treatment.Results After treatment,there was no statistically significant difference in immediate NRS values,4th week follow-up values among three groups.After treatment,there was no statistically significant difference in NDI follow-up values among three groups,there was no statistically significant difference in PGIC values among three groups.Conclusion Application point of thumb does not have significant effect on treatment effect on cervical spine fixed-point rotation technique,and further research is needed to investigate effect of thumb force application point on safety of cervical spine fixed-point rotation technique.
关键词
定点旋转手法/颈痛/拇指施力点
Key words
Fixed-point rotation technique/Neck pain/Thumb force application point