Treatment of Shoulder and Neck Pain in Patients with and without Upper Cervical Degeneration
- VernacularTitle:上颈段颈椎退变性颈肩痛临床诊治探讨
- Author:
Haiyan JIANG
;
Wei YUAN
;
Ying PENG
- Publication Type:Journal Article
- Keywords:
muscular fasciitis,cervical spondylosis,upper cervical spine
- From:Chinese Journal of Sports Medicine
1982;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the results of clinical treatment of shoulder and neck pain in patients with and without upper cervical degeneration. Methods Fifty two patients with diagnosed shoulder and neck muscular fasciitis(with high tension and tenderness on the trapezius) were divided into 3 groups: group A,with upper cervical degeneration(16 cases);group B,with upper cervical degeneration(15 cases),and group C,without cervical degeneration(21 cases).There were no significant difference in gender,age and course of disease among the 3 groups.Patients in 3 groups were regularly treated by naprapathy and electric therapy(intermediate frequency).Cervical traction and manipulation was added to the patients in group A.Treatment for 3 groups lasted for 2 weeks.The Visual Analog Scale(VAS) scores and Odom criteria before and after treatment were used for determining the results of clinical treatment. Results The VAS scores after treatment were significantly improved in group A and group C as compared with that in group B(P=0.000).Odom criteria of group A(93.8%) and group C(95.2%) were excellent and good without significant difference(P=0.692),but they were significantly higher than that of group C(P=0.001). Conclusions Patients with shoulder and neck pain accompanied by upper cervical degeneration(narrowing of intervertebral foramen) should be treated with cervical traction and manipulation beside the routine therapy.
