The Short-term Effectiveness of Three Manipulations for Atlantoaxial Joint Disorders and the Effects on Surface Electromyography of Sternocleidomastoid Muscle
10.13288/j.11-2166/r.2023.24.009
- VernacularTitle:三种手法治疗寰枢关节紊乱症的近期疗效及对胸锁乳突肌表面肌电图的影响
- Author:
Can YANG
1
;
Rui LI
1
;
Yanzhen ZHANG
1
;
Shimin ZHANG
1
;
Jinsong LIU
1
;
Zuoxu LI
1
;
Chaolu WANG
1
;
Tao CHONG
1
;
Zhaojie ZHANG
1
Author Information
1. Wangjing Hospital of China Academy of Chinese Medical Sciences， Beijing， 100102
- Publication Type:Journal Article
- Keywords:
atlantoaxial joint disorders;
vertigo;
tuina;
tendon relaxing manipulation;
rehabilitation manipulation;
sternocleidomastoid muscle;
surface electromyography
- From:
Journal of Traditional Chinese Medicine
2023;64(24):2532-2537
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo compare the short-term effectiveness of the three different manipulations for atlantoaxial joint disorders and their effects on surface electromyography of sternocleidomastoid muscle. MethodsNinty patients with atlantoaxial joint disorders were randomly divided into the tendon relaxing manipulation group， the tendon relaxing plus rehabilitation manipulation group， and the conventional manipulation group， with 30 cases in each group， and each group of patients received the corresponding manipulation treatment for 2 weeks. The changes of visual analogue score （VAS） of occipital neck pain， evaluation scale for cervical vertigo （ESCV）， and averaged electromyography （AEMG） of surface electromyography of bilateral sternocleidomastoid muscles before and after the treatment were observed， and the clinical effectiveness and safety of the patients were compared among groups. ResultsThe VAS scores of patients in each group decreased， and the ESCV scores increased after treatment （P＜0.01）， and the tendon relaxing manipulation group and the tendon relaxing plus rehabilitation manipulation group were significantly better than the conventional manipulation group （P＜0.01）. The AEMG of the bilateral sternocleidomastoid muscles of the three groups increased after treatment （P＜0.01）； when compared among the three groups， the AEMG of the bilateral sternocleidomastoid muscles of the tendon relaxing plus rehabilitation manipulation group was higher than that of the tendon relaxing manipulation group， and the tendon relaxing manipulation group was higher than that of the conventional manipulation group （P＜0.05 or P＜0.01）. The cure and markedly effective rates of the tendon relaxing manipulation group， the tendon relaxing plus rehabilitation manipulation group， and the conventional manipulation group were 56.67%， 86.67%， and 36.67% respectively， showing statistically difference （K=10.21， P＜0.01）. ConclusionThe tendon relaxing manipulation and tendon relaxing plus rehabilitation manipulation can effectively improve the symptoms of vertigo， headache， and neck pain for patients with atlantoaxial joint disorders， and can improve the contraction function of sternocleidomastoid muscle， whose effectiveness are better than that of conventional manipulation.
