Clinical Study on Zha's Manipulation Combined with Muscle Energy Technique in the Treatment of Second and Third Cervical Facet Joint Disorders
10.13359/j.cnki.gzxbtcm.2025.04.018
- VernacularTitle:查式推拿手法联合肌肉能量技术治疗第二、三颈椎小关节紊乱症的临床研究
- Author:
Guiping LIU
1
;
Jia YUAN
;
Shunjun ZENG
;
Wenfeng FENG
Author Information
1. 广东省中西医结合医院,广东佛山 528200
- Keywords:
cervical facet joint disorders;
Zha's manipulation;
muscle energy technique(MET);
tuina;
Neck Disability Index(NDI);
randomized controlled trial
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(4):921-926
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of Zha's manipulation combined with muscle energy technique(MET)on neck and shoulder pain and Neck Disability Index(NDI)of patients with second and third cervical facet joint disorders,and then to find out a precise,safe and effective therapies for the its treatment.Methods A randomized controlled trial was conducted for 60 patients with second and third cervical facet joint disorders who met the inclusion criteria.The patients who admitted to the outpatient clinic of the Rehabilitation Department of Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine from June 2023 to July 2024 were randomly divided into a treatment group and a control group,with 30 patients in each group.The treatment group was given the treatment of Zha's manipulation combined with MET,and the control group was given conventional tuina therapy.The treatment was performed once a day and the course of treatment covered five consecutive treatments.The changes of Visual Analogue Scale(VAS)scores of pain and NDI scores in the two groups before and after treatment were observed.After treatment,the clinical efficacy of the two groups was evaluated.Results(1)During the treatment,there were no fell-off cases in the two groups,and all patients completed the whole course of treatment.(2)After five days of treatment,the total effective rate of the treatment group was 96.7％(29/30),and that of the control group was 86.7％(26/30);the intergroup comparison(tested by rank sum test)showed that the therapeutic efficacy of the treatment group was significantly superior to that of the control group(P＜0.05).(3)After treatment,the VAS scores of neck pain in the two groups were significantly decreased compared with those before treatment(P＜0.05),and the decrease of the VAS scores of neck pain in the treatment group was significantly superior to that in the control group(P＜0.05).(4)After treatment,the NDI scores for evaluating the cervical vertebra function in the two groups were significantly improved compared with those before treatment(P＜0.05),and the improvement of NDI scores in the treatment group on was significantly superior to that in the control group(P＜0.05).Conclusion Zha's manipulation combined with MET therapy can effectively alleviate pain and improve the cervical vertebra function of patients with second and third cervical facet joint disorders,and its therapeutic efficacy is superior to that of conventional tuina therapy.
