Mild to Moderate Cervical Spondylotic Myelopathy(CSM)
Conditions
Interventions
the intervention group:Angled Manual Traction + Standard Care (Cervical Flexion Immobilization + Neurotrophic Therapy): Angled Manual Traction encompasses muscle manipulation, traction techniques, and
Sponsors
Guangdong Provincial Hospital of Chinese Medicine
Eligibility
Sex/Gender
All
Age
30 Years to 75 Years
Inclusion criteria
Inclusion criteria: (1) Meet the criteria set forth in the "Expert Consensus on Integrated Western and Chinese Medicine Diagnosis and Treatment of Cervical Spondylosis" with an mJOA score between 12 and 17 (indicating mild to moderate severity); (2) Be between 30 and 75 years of age; (3) Informed and voluntary informed consent. Candidates who meet all three criteria simultaneously are eligible for inclusion.
Exclusion criteria
Exclusion criteria: Participation is disallowed for individuals meeting any of the following criteria: (1) Presence of additional spinal cord injurious conditions (e.g. amyotrophic lateral sclerosis spinal tumors acute spinal cord injuries secondary adhesive arachnoiditis multiple peripheral neuritides etc.) as well as craniocerebral-related central nervous system diseases (e.g. craniocerebral tumors cerebrovascular diseases etc.) and multiple peripheral neuropathy which may lead to cervical and spinal cord damage including limb movement issues sensory and reflex disorders and other related symptoms; (2) Individuals with cervical spine instability or MRI results indicating severe spinal cord compression significant spinal cord edema or degeneration or those who have previously undergone or are scheduled for cervical spine surgery during the trial; (3) Individuals with severe cardiovascular cerebrovascular respiratory or other systemic diseases including oncological and hematological conditions; (4) Patients who have temporomandibular arthritis mandibular tumors thyroid tumors etc who cannot adequately cooperate with treatment; (5) Persons in poor overall health who cannot manage daily self-care; (6) Pregnant women those planning to become pregnant or breastfeeding mothers; (7) Individuals with disabilities (including but not limited to blindness deafness mutism or mental retardation) that hinder their ability to participate in the clinical trial; (8) Any individuals deemed unsuitable for study participation by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Modified Japanese Orthopaedic Association cervical spine score (mJOA); | — |
Secondary
| Measure | Time frame |
|---|---|
| Gait assessment based on Plantar Pressure Measurement System;limb muscle strength;Assessment of the quality of limb muscles; | — |
Countries
China
Contacts
Public ContactYongjin Li
Guangdong Provincial Hospital of Chinese Medicine
Outcome results
None listed