Effects of Fixed-Point Lateral Flexion and Rotation Manipulation on Intervertebral Foramina Morphology of Cervical Spondylotic Radiculopathy
10.16156/j.1004-7220.2022.04.22
- VernacularTitle:定点侧屈旋扳整颈手法对神经根型颈椎病椎间孔的形态学影响
- Author:
Jin SU
1
;
Bifeng FU
1
,
2
;
Runteng LIU
3
;
Tianxiao FENG
1
;
Yuandong LI
1
;
Aifeng LIU
4
;
Juntao ZHANG
4
;
Chao ZHANG
1
;
Jiayu LI
1
;
Ping WANG
1
,
4
Author Information
1. Department of Orthopedics, the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine
2. National Clinical Research Center of Traditional Chinese Acupuncture and Moxibustion
3. Rehabilitation Department, Tianjin Hospital
4. Regional Orthopedic Diagnosis and Treatment Center of Traditional Chinese Medicine, National Administration of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
cervical spondylotic radiculopathy (CSR);
fixed-point lateral flexion and rotation manipulation;
three-dimensional (3D) reconstruction;
intervertebral foramen morphology
- From:
Journal of Medical Biomechanics
2022;37(4):E720-E725
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the changes in morphology of intervertebral foramina in patients with cervical spondylotic radiculopathy (CSR) treated with fixedpoint lateral flexion and rotation manipulation based on three-dimensional (3D) reconstruction technology, so as to provide references for the effectiveness of manipulation treatment. MethodsForty patients with CSR were treated with fixed point lateral flexion and rotation manipulation once every other day for a total of 7 times and 2 weeks as a course of treatment. CT data of the patients before and after treatment were analyzed by using multifunctional CT, Mimics 21.0, Geomagic and SolidWorks 2017. The area of the intervertebral foramen, anterior and posterior diameter of the intervertebral foramen, upper and lower diameter of the intervertebral foramen were measured before and after treatment, as well as the infrared thermal imaging temperature differences of the bilateral neck and shoulder, front and back of the upper limb, and the VAS scores of the patients were observed before treatment, 7 d after treatment, 14 d after treatment and 1 month follow-up. Results Foraminal area, anterior and posterior diameters, upper and lower diameters of 40 patients were improved after treatment, and the temperature differences of infrared thermal imaging of patients before and after treatment were statistically significant. The VAS score of the patients decreased progressively. Conclusions Fixed point lateral flexion manipulation can significantly improve the shape of the intervertebral foramen in patients with CSR, so as to achieve the treatment purpose of relieving nerve compression.
