Observation on clinical efficacy of warm needling moxibustion plus Mulligan dynamic joint mobilization for cervical radiculopathy

2017 ◽  
Vol 15 (6) ◽  
pp. 440-445
Author(s):  
Tao Song ◽  
Xu-chu Pan
Keyword(s):  
Clinical Efficacy ◽  
Cervical Radiculopathy ◽  
Joint Mobilization ◽  
Warm Needling Moxibustion ◽  
Warm Needling

scholarly journals Partial uncinatectomy combined with anterior cervical discectomy and fusion for the treatment of one-level cervical radiculopathy: analysis of clinical efficacy and sagittal alignment

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Haimiti Abudouaini ◽  
Tingkui Wu ◽  
Hao Liu ◽  
Beiyu Wang ◽  
Hua Chen ◽  
...  
Keyword(s):  
Clinical Efficacy ◽  
Sagittal Alignment ◽  
Cervical Radiculopathy ◽  
Fusion Rate ◽  
Uncinate Process ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Cervical Sagittal Alignment ◽  
Uncovertebral Joint

Abstract Background Biomechanical studies have demonstrated that uncovertebral joint contributes to segment mobility and stability to a certain extent. Simultaneously, osteophytes arising from the uncinate process are a common cause of cervical spondylotic radiculopathy (CSR). For such patients, partial uncinatectomy (UT) may be required. However, the clinical efficacy and sagittal alignment of partial UT during anterior cervical discectomy and fusion (ACDF) have not been fully elucidated. Methods A total of 87 patients who had undergone single level ACDF using a zero-profile device from July 2014 to December 2018 were included. Based on whether the foraminal part of the uncovertebral joint was resected or preserved, the patients were divided into the ACDF with UT group (n = 37) and the ACDF without UT group (n = 50). Perioperative data, radiographic parameters, clinical outcomes, and complications were compared between the two groups. Results The mean follow-up was 16.86 ± 5.63 and 18.36 ± 7.51 months in the ACDF with UT group and ACDF without UT group, respectively (p > 0.05). The average preoperative VAS arm score was 5.89 ± 1.00 in the ACDF with UT group and 5.18 ± 1.21 in the ACDF without UT group (p = 0.038). However, the average VAS arm score was 4.22 ± 0.64, 4.06 ± 1.13 and 1.68 ± 0.71, 1.60 ± 0.70 at 1 week post operation and at final follow up, respectively, (p > 0.05). We also found that the C2-7 SVA and St-SVA at the last follow-up and their change (last follow-up value − preoperative value) in the ACDF with UT group were significantly higher than ACDF without UT group (p < 0.05). No marked differences in the other cervical sagittal parameters, fusion rate or complications, including dysphagia, ASD, and subsidence, were observed. Conclusions Our result indicates that ACDF using a zero-p implant with or without partial UT both provide satisfactory clinical efficacy and acceptable safety. However, additional partial UT may has a negative effect on cervical sagittal alignment.

Warm needling moxibustion plus functional exercises for knee osteoarthritis

2016 ◽  
Vol 14 (6) ◽  
pp. 412-415 ◽  
Author(s):  
Kai-yong Zhang ◽  
Yang Yang ◽  
Yin Shou ◽  
Si-wei Xu ◽  
Hui-ru Jiang ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Warm Needling Moxibustion ◽  
Warm Needling

scholarly journals Manual therapy and segmental stabilization in the treatment of cervical radiculopathy

2016 ◽  
Vol 29 (1) ◽  
pp. 45-52
Author(s):  
Rafael Souza Aquaroli ◽  
Elder Soares Camacho ◽  
Luis Marchi ◽  
Luiz Pimenta
Keyword(s):  
Cervical Spine ◽  
Functional Disability ◽  
Evaluation Process ◽  
Cervical Radiculopathy ◽  
Shoulder Abduction ◽  
Joint Mobilization ◽  
Functional Development ◽  
Average Pain ◽  
Cervical Traction ◽  
Radicular Symptoms

Abstract Introduction: Cervical radiculopathy (CR) is one of the diseases that most affect the cervical spine, causing radicular symptoms in the ipsilateral limb. Conservative treatment aim recover of both mechanical and physiological functions through neural mobilization techniques, along with the activation of the deep neck flexors with cervical segmental stabilization, combining techniques of joint mobilization and manipulation, which seeks mobility improvement of crucial areas of the cervical spine. The objective of this study was to evaluate a multimodal treatment to enhance the outcomes of conservative care in patients diagnosed with CR. Methods: The sample consisted of 11 patients with CR, between 21 and 59 years old, 3 female and 8 male. It was recorded the Visual Analogue Scale (VAS) for pain, the Functional Development of the Neck Pain and Disability Scale (NPDS) and the goniometry during shoulder abduction. The intervention plan was composed by neural mobilization, intermittent cervical traction, pompages, stretching, myofascial inhibition techniques, manipulative techniques and cervical segmental stabilization exercises. After 12 weeks of treatment, subjects underwent a new evaluation process. Results: Before the treatment, subjects reported an average pain of 7 (± 1.48) in VAS, whose dropped to average 1.18 (± 1.99) (p < 0.01). Functional disability evaluated in NPDS was 36 (± 10.95) before treatment decreasing to 11.45 (± 9.8) (p < 0.01) after the treatment. Range of motion of the ipsilateral upper limb was restores by increasing from 9.2° (± 8.2) to 137° (± 24.4) (p < 0.01). Conclusion: The proposed treatment approach was effective, significantly improving the results of analgesia and functional disability a series of cases of patients diagnosed with cervical radiculopathy. {#}

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