Chen Jianquan, Chen Rongbin, Li Yong, Chen Maoshui, Lv Zhouming, Zeng Haobin, Lian Qiang
The Second Clinical Medicine College, Guangzhou University of Chinese Medicine, Guangzhou, China.
Department of Orthopaedics, Guang Dong Province Hospital of Traditional Chinese Medicine Zhuhai Branch, Zhuhai, Guangdong, China.
Emerg Med Int. 2022 Oct 6;2022:3837995. doi: 10.1155/2022/3837995. eCollection 2022.
With the accelerated pace of life in modern society, changes in work style, and the popularity of computers, the prevalence of cervical spondylosis (CSR) is increasing, and the age of onset is advancing. Once suffering from this disease, it is often difficult to cure and recurring, with complex clinical symptoms, causing a serious impact on human health.
To evaluate the efficacy of manipulation and cervical traction in the treatment of radical cervical spondylosis.
The PubMed, CNKI, and Wanfang databases were searched for literature. The literature related to this study was included according to selective criteria and inhibitory elimination criteria, and valuable information was selected for statistical analysis, resulting in a total of 11 randomized controlled trials with 994 subjects.
The short-term efficacy of manual treatment for CSR was superior to that of cervical traction alone ( < 0.05); subgroup analysis showed that the short-term efficacy of pulling or rotational manipulation was superior to that of cervical traction ( < 0.05). The mean difference between symptoms and manipulation VAS scores was higher before and after treatment when compared with cervical traction for CSR ( < 0.05); the subgroup analysis showed that VAS scores, upper extremity anesthesia scores, and survivorship scores were lower for pulling or rotating manipulation than for cervical traction ( < 0.05).
The advantages of manual therapy in terms of short-term efficacy, VAS pain scores, neck pain, upper extremity anesthesia, and survivorship improvement provide a theoretical basis for its clinical impact.
随着现代社会生活节奏的加快、工作方式的改变以及计算机的普及，颈椎病（CSR）的患病率不断上升，发病年龄也趋于年轻化。一旦患上这种疾病，往往难以治愈且容易复发，临床症状复杂，对人类健康造成严重影响。
评估手法推拿与颈椎牵引治疗神经根型颈椎病的疗效。
检索PubMed、CNKI和万方数据库中的文献。根据纳入标准和排除标准纳入与本研究相关的文献，并选取有价值的信息进行统计分析，最终纳入11项随机对照试验，共994例受试者。
手法治疗神经根型颈椎病的短期疗效优于单纯颈椎牵引（<0.05）；亚组分析显示，拔伸或旋转手法的短期疗效优于颈椎牵引（<0.05）。与颈椎牵引治疗神经根型颈椎病相比，手法治疗前后症状及VAS评分的平均差值更高（<0.05）；亚组分析显示，拔伸或旋转手法的VAS评分、上肢麻木评分及生存质量评分均低于颈椎牵引（<0.05）。
手法治疗在短期疗效、VAS疼痛评分、颈部疼痛、上肢麻木及生存质量改善方面的优势为其临床应用提供了理论依据。
