cervical intervertebral disc herniation
Conditions
Interventions
Patients with cervical disc herniation (CDH):Cervical Distraction and Rotation Manipulation
Patients with neck discomfort but without cervical disc herniation:Cervical Distraction and Rotation Manipulation
Sponsors
Shanghai Traditional Chinese Medicine Hospital
Eligibility
Sex/Gender
All
Age
20 Years to 50 Years
Inclusion criteria
Inclusion criteria: Patients with cervical disc herniation: 1 Confirmed via imaging examination as having mild (MSU grading zone 1B) or moderate (MSU grading zone 2B) right-sided cervical disc herniation (Figure 1); 2 Aged 20–50 years; 3 No history of tumors, trauma, or surgery; 4 BMI <24 kg/m²; 5 Self-Rating Anxiety Scale (SAS) score <53 and Self-Rating Depression Scale (SDS) score <53; 6 No massage therapy, physical therapy, or similar treatments in the past month; 7 Agree to participate in the study and sign an informed consent form. (2) Patients with neck discomfort but no cervical disc herniation: 1) Confirmed via imaging examination to have no cervical disc herniation; 2) Aged 20–50 years; 3) No history of tumors, trauma, or surgery; 4) BMI <24 kg/m²; 5) Self-Rating Anxiety Scale (SAS) score <53 and Self-Rating Depression Scale (SDS) score <53; 6) No massage therapy, physical therapy, or similar treatments in the past month; 7) Agree to participate in the study and sign an informed consent form.
Exclusion criteria
Exclusion criteria: Patients with cervical disc herniation (CDH): 1) Do not meet imaging diagnostic criteria for CDH or the herniation does not conform to MSU grading zones 1B or 2B; 2) Severe internal medical diseases (e.g. cardiovascular or cerebrovascular disorders); 3) History of head or spinal trauma; 4) History of head or spinal surgery; 5) Autoimmune or infectious diseases; 6) Pregnant or lactating women; 7) Claustrophobia or metal implants preventing completion of the examination; 8) Concomitant conditions such as tumors infections immune system disorders or poorly controlled diabetes hypertension or heart disease. (2) Patients with neck discomfort but without cervical disc herniation: 1 Severe internal medical diseases (e.g. cardiovascular or cerebrovascular disorders); 2 History of head or spinal trauma; 3 History of head or spinal surgery; 4 Autoimmune or infectious diseases; 5 Pregnant or lactating women; 6 Claustrophobia or metal implants preventing completion of the examination; 7 Concomitant conditions such as tumors infections immune system disorders or poorly controlled diabetes hypertension or heart disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resting-state functional brain imaging using fMRI; | — |
Secondary
| Measure | Time frame |
|---|---|
| Stress, strain, and displacement of intracranial contents during the implementation of the manual technique;The variation in the distance between the proximal end of the medulla oblongata and the foramen magnum; | — |
Countries
China
Contacts
Public ContactFan Xue
Shanghai Municipal Hospital of Traditional Chinese Medicine
Outcome results
None listed