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Millimeter comprehensive treatment of sympathetic cervical spondylosis clinical research

Author: ZhangYan
Tutor: YueShouWei
School: Shandong University
Course: Rehabilitation Medicine and Physical Therapy
Keywords: Sympathetic cervical spondylosis SSR Millimeter Tow Computer IF
CLC: R681.55
Type: Master's thesis
Year: 2007
Downloads: 57
Quote: 0
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Abstract


Purpose; investigate millimeter, traction, intermediate frequency, comprehensive treatment of sympathetic cervical spondylosis short and long term effects. Established in our laboratory sympathetic skin response in healthy volunteers (SSR) of the normal data. Compare sympathetic cervical spondylosis sympathetic skin response before and after treatment characteristics. Methods; 80 patients were randomly divided into treatment group and control group, treatment group millimeter, traction, intermediate frequency treatment control group, FM, traction, intermediate frequency treatment. Hai Kang used Science and Technology Development Co., Ltd. production SKM-Ⅰ-type multi-source conduction millimeter meridian therapeutic apparatus, the aircraft for the two non-modulated continuous wave, frequency 32.5 ~ 38.5GHZ, continuously adjustable output power, the main radiator 80 ~ 110mW, vice radiator 50 ~ 80mW. According to the principle of acupoints along meridians acupoints. Every 3 to 5 points per hole 5min, daily once. Total of 12 days. Cervical traction produced by Beijing Oriental vertebral God computer controlled traction device, traction mode is intermittent traction, traction 3 minutes, traction 7 ~ 10Kg, intermittent one minute, relaxation force 5 ~ 8Kg, then pulling three minutes, a total of 10 minutes. Once a day. Neutral position traction in the prone position. Total of 12 days. Beijing production K89-Ⅲ type intermediate frequency treatment instrument, two electrodes are placed on both sides of the risk of vertebral and fixed. Tolerated dose, for 20 minutes once a day. Total of 12 days. Both groups with drug treatment. Before treatment and after treatment of cervical disease using clinical assessment scale efficacy evaluation. Were observed immediately after treatment efficacy and recurrence rate of 6 months. And studied 30 healthy volunteers and 80 patients before and after treatment of sympathetic skin response test results. Quiet sympathetic skin response test at room temperature 24 ~ 26 ℃. Subjects supine, relaxation, skin temperature to maintain 33 ~ 36 ℃. Recorded using surface electrodes on both hands. Data from the Danish production Dundee Keypoint 4-channel EMG evoked potential recording, bandwidth filter settings in 1HZ to 3KHZ. Recording electrode is connected to a pair of palms. Reference electrode connected to the back of his hands. Rectangular wave 17 ~ 24mA intensity electrical stimulation of the forehead, the median nerve, umbilical, each lasting 0.5ms, a total of four times. Two intervals of 15s or random extended. Determination of 30 healthy volunteers (12 males, 18 females), aged 32 to 41 years, mean age 36.8 ± 3.9 years; All 80 patients were performed before and after treatment SSR checks. Measuring SSR onset latency (S) and amplitude (mV). The abnormality criterion; ① latency> (?) ± 2s ② SSR is missing. Results; treatment 12 days to assess the clinical cure rate was 62.5%, the cure rate was 40.0% in the control group, the difference was statistically significant (P <0.05). 12 days after X-ray treatment, the treatment group; unstable 0 cases, mild slip C 3 ~ C 4 3 例, C 4 ~ C 5 5 例, C 5 ~ C 6 1 cases The control group; unstable C 4 ~ C 5 2 cases, mild slip C 3 ~ C 4 5 cases, C 4 ~ C 5 5 例, C 5 ~ C 6 1 cases 6 months follow-up after treatment, the treatment group were cured and cured patients found no recurrence in the control group at 6 months in 4 patients relapsed (13.3%), relapse rate compared two groups was significant (P <0.05). Healthy volunteers from the forehead, the median nerve, stimulation can be found in the umbilical recorded double palm SSR wave whose shortest latency difference was not statistically significant (P> 0.05). Left and right side of the record to the latency and amplitude was no significant difference (P> 0.05). Cervical sympathetic stimulation in patients with abnormal frontal highest rate, 72.5%, 67.5%, followed by the navel, both hands at least 55.0% of the total abnormality rate was 92.5%. SSR patients were cured after treatment, 92.7% of the normal rate. Conclusion; comprehensive treatment on sympathetic cervical spondylosis have a good effect, but the millimeter wave therapy is better than FM. SSR can be more accurately reflect the sympathetic cervical sympathetic nerve function in patients with the condition.

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CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Bone diseases > Spine and back disorders > The vertebrae quality hyperplasia
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