Cervical Spondylotic Radiculopathy
Conditions
Interventions
Trial Group of study one :Cervical Rotation-Traction Manipulation
Control Group of Study One:none
Trial Group of study two:Cervical Rotation-Traction Manipulation
Control Group of Study Two:none
Trial Group of study Three: Cervical Rotation-Traction Manipulation
Control Group of Study Three:None
Sponsors
Research Department of WangJing Hospital of China Academy of Chinese Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Study 1: Inclusion criteria for patients with radiculotic cervical spondylosis: (1) Diagnostic criteria: The included patients should meet the diagnostic criteria of radiculopathy in the Guidelines for Diagnosis, Treatment and Rehabilitation of Cervical Spondylosis issued by the Chinese Medical Association of Rehabilitation in 2010, and two chief physicians should make a clear diagnosis of radiculopathy; (2) Age: 18 ~ 65 years old; (3) The patient's medical history showed typical manifestations of radicular cervical spondylosis, such as neck pain accompanied by upper limb radiation pain, unilateral or bilateral upper limb numbness, hypoesthesia or sensitivity of the skin; (4) Plain film, CT and other imaging diagnostic data of the patient clearly showed descriptions of "cervical degenerative lesion" and "narrowing of foramina". Inclusion criteria for subjects without cervical diseases: (1) Age: 18-65 years old: (2) no obvious symptoms of neck discomfort in the past three months; (3) Plain X-ray of cervical spine showed no "cervical degenerative lesion" or "stenosis of foramina"; (4) No obvious neck lesions were determined by the outpatient physician. Study 2: Inclusion criteria for patients with radiculotic cervical spondylosis: (1) Diagnostic criteria: The included patients should meet the diagnostic criteria of radiculopathy in the Guidelines for Diagnosis, Treatment and Rehabilitation of Cervical Spondylosis issued by the Chinese Medical Association of Rehabilitation in 2010, and two chief physicians should make a clear diagnosis of radiculopathy; (2) Age: 18 ~ 65 years old; (3) The patient's medical history showed typical manifestations of radicular cervical spondylosis, such as neck pain accompanied by upper limb radiation pain, unilateral or bilateral upper limb numbness, hypoesthesia or sensitivity of the skin; (4) Plain film, CT and other imaging diagnostic data of the patient clearly showed descriptions of "cervical degenerative lesion" and "narrowing of foramina". Inclusion criteria for subjects without cervical diseases: (1) Age: 18-65 years old: (2) no obvious symptoms of neck discomfort in the past three months; (3) Plain X-ray of cervical spine showed no "cervical degenerative lesion" or "stenosis of foramina"; (4) No obvious neck lesions were determined by the outpatient physician. Study 3: Inclusion criteria for patients with radiculotic cervical spondylosis: (1) Diagnostic criteria: The included patients should meet the diagnostic criteria of radiculopathy in the Guidelines for Diagnosis, Treatment and Rehabilitation of Cervical Spondylosis issued by the Chinese Medical Association of Rehabilitation in 2010, and two chief physicians should make a clear diagnosis of radiculopathy; (2) Age: 18 ~ 65 years old; (3) The patient's medical history showed typical manifestations of radicular cervical spondylosis, such as neck pain accompanied by upper limb radiation pain, unilateral or bilateral upper limb numbness, hypoesthesia or sensitivity of the skin; (4) Plain film, CT and other imaging diagnostic data of the patient clearly showed descriptions of "cervical degenerative lesion" and "narrowing of foramina". Inclusion criteria for subjects without cervical diseases: (1) Age: 18-65 years old: (2) no obvious symptoms of neck discomfort in the past three months; (3) Plain X-ray of cervical spine showed no "cervical degenerative lesion" or "stenosis of foramina"; (4) No obvious neck lesions we
Exclusion criteria
Exclusion criteria: Study 1: Exclusion criteria for patients with radiculotic cervical spondylosis: (1) Patients suffering from spinal tuberculosis, osteomyelitis and other infectious diseases; (2) Patients with symptoms caused by tumors of the nervous system; (3) Patients with more basic diseases and need to take multiple drugs for a long time (such as serious heart, lung, brain and blood diseases, liver and kidney insufficiency, etc.); (4) patients with mixed cervical spondylosis (5) Patients with severe osteoporosis who are not suitable for the treatment of rotary manipulation; (6) Patients with developmental spinal stenosis (sagittal diameter of spinal canal/sagittal diameter of vertebral body < 0.75); (7) Patients with upper limb muscle strength <= grade 3; (8) Patients with severe skin diseases or lesions at the treatment site, who cannot receive manual treatment; (9) Patients who had a history of cervical spine surgery and were not suitable for manual treatment; (10) Pregnant, lactating and menstruating women were not eligible to participate in the study. Exclusion criteria for subjects without cervical diseases: (1) Patients suffering from spinal tuberculosis, osteomyelitis and other infectious diseases; (2) Patients with symptoms caused by tumors of the nervous system; (3) Patients with more basic diseases and need to take multiple drugs for a long time (such as serious heart, lung, brain and blood diseases, liver and kidney insufficiency, etc.); (4) Patients with developmental spinal stenosis (spinal canal sagittal diameter/vertebral body sagittal diameter < 0.75); (5) Patients with severe skin diseases or lesions at the treatment site, unable to accept shear wave elastography; (6) Pregnant, lactating and menstruating women were not eligible to participate in this study. Study 2: Exclusion criteria for patients with radiculotic cervical spondylosis: (1) Patients suffering from spinal tuberculosis, osteomyelitis and other infectious diseases; (2) Patients with symptoms caused by tumors of the nervous system; (3) Patients with more basic diseases and need to take multiple drugs for a long time (such as serious heart, lung, brain and blood diseases, liver and kidney insufficiency, etc.); (4) patients with mixed cervical spondylosis; (5) Patients with severe osteoporosis who are not suitable for the treatment of rotary manipulation; (6) Patients with developmental spinal stenosis (sagittal diameter of spinal canal/sagittal diameter of vertebral body < 0.75); (7) Patients with upper limb muscle strength <= grade 3; (8) Patients with severe skin diseases or lesions at the treatment site, who cannot receive manual treatment; (9) Patients who had a history of cervical spine surgery and were not suitable for manual treatment; (10) Pregnant, lactating and menstruating women were not eligible to participate in the study. Exclusion criteria for subjects without cervical diseases: (1) Patients suffering from spinal tuberculosis, osteomyelitis and other infectious diseases; (2) Patients with symptoms caused by tumors of the nervous system; (3) Patients with more basic diseases and need to take multiple drugs for a long time (such as serious heart, lung, brain and blood diseases, liver and kidney insufficiency, etc.); (4) Patients with developmental spinal stenosis (spinal canal sagittal diameter/vertebral body sagittal diameter < 0.75); (5) Patients with severe skin diseases or lesions at the treatment site, unable to accept shear wave elastography; (6) Pregn
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Study One:Shear wave elasticity value;Study Two:Electrical conduction velocity of brachial plexus nerve;Study Two:VAS value;Study Three:Reho values of fMRI; | — |
Secondary
| Measure | Time frame |
|---|---|
| Study One:VAS value; | — |
Countries
China
Contacts
Public ContactWei Xu
Wangjing Hospital,China Academy of Chinese Medical Sciences
Outcome results
None listed