Efficacy of MCU-based and 3D-FEA for Improving Cervical Spondylosis
Objective:Based on the Muli-Cervical Unit(MCU)and three-dimensional finite element analysis(3D-FEA),this study explored whether the"Tuo tian zhuang"exercise in the Southern Shaolin Yi Jin Jing can improve the efficacy of electroacupuncture in the treatment of cervical spondylosis.Methods:P...
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Editorial Office of Rehabilitation Medicine
2021-06-01
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| Series: | 康复学报 |
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| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.03002 |
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| author | Meigui KE Ruixu XU Ningying HUANG Hai GUO Xinghui YAN Nanxi WU Sidong DOU |
| author_facet | Meigui KE Ruixu XU Ningying HUANG Hai GUO Xinghui YAN Nanxi WU Sidong DOU |
| author_sort | Meigui KE |
| collection | DOAJ |
| description | Objective:Based on the Muli-Cervical Unit(MCU)and three-dimensional finite element analysis(3D-FEA),this study explored whether the"Tuo tian zhuang"exercise in the Southern Shaolin Yi Jin Jing can improve the efficacy of electroacupuncture in the treatment of cervical spondylosis.Methods:Patients who met the inclusion criteria for cervical spondylosis of cervical type were randomized assigned by age stratification into control group and experimental group. A total of effective cases were 156 with 78 cases in each group. Both the control group and the experimental group were treated with electroacupuncture for 4 weeks, and the experimental group was continued to practise the Southern Shaolin Yi Jin Jing"Tuo tian zhuang"exercise for 12 weeks. A finite element model, the visual and analogue scale(VAS)of pain and MCU were used to compare the pain changes, including cervical spine mobility in all directions, disc stress between C<sub>4</sub>-C<sub>7</sub>during forward flexion and joint capsule stress in the hooks of the two groups before and after treatment.Results:After 4 weeks of electroacupuncture treatment, the VAS scores of both groups were improved significantly compared with scores before treatment(<italic>P</italic><0.05), with no significant differences between the ages groups within the group and the subgroups between the groups(all <italic>P</italic>>0.05). After 12 weeks of treatment, VAS scores were lower in the experimental group and in all subgroups than in the control group(<italic>P</italic><0.05 and <italic>P</italic><0.017, respectively);and there was a statistical difference in the degree of pain relief in each age subgroup(<italic>P</italic><0.05), suggesting that young patients had better pain relief than middle-aged and elderly patients. Patients in both groups showed varying degrees of increase in cervical mobility and muscle strength in all directions(<italic>P</italic><0.05), 12 weeks of treatment with significant differences between the experimental and control groups and between subgroups(<italic>P</italic><0.05 and <italic>P</italic><0.017, respectively);the C<sub>4</sub>-C<sub>7</sub>disc stress and C<sub>4</sub>-C<sub>7</sub>crotal joint capsule stress were reduced to varying degrees between age subgroups compared to the pre-treatment period in this group. The stresses in the C<sub>4</sub>-C<sub>7</sub> disc and C<sub>4</sub>-C<sub>7</sub>capsular joint were reduced to varying degrees between the ages subgroups compared with those before treatment(<italic>P</italic><0.05).Conclusion:The combination of electroacupun-cture with the Southern Shaolin Yi Jin Jing"Tuo tian zhuang"is more effective than electroacupuncture alone in relieving pain, impro-ving the mobility of the cervical spine, improving muscle strength and reducing stress in the cervical. The young group of patients have the best therapeutic effect. |
| format | Article |
| id | doaj-art-db995f6d8f20474ca0a53b290d43251c |
| institution | Kabale University |
| issn | 2096-0328 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Editorial Office of Rehabilitation Medicine |
| record_format | Article |
| series | 康复学报 |
| spelling | doaj-art-db995f6d8f20474ca0a53b290d43251c2025-01-14T10:03:26ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282021-06-013120020823133862Efficacy of MCU-based and 3D-FEA for Improving Cervical SpondylosisMeigui KERuixu XUNingying HUANGHai GUOXinghui YANNanxi WUSidong DOUObjective:Based on the Muli-Cervical Unit(MCU)and three-dimensional finite element analysis(3D-FEA),this study explored whether the"Tuo tian zhuang"exercise in the Southern Shaolin Yi Jin Jing can improve the efficacy of electroacupuncture in the treatment of cervical spondylosis.Methods:Patients who met the inclusion criteria for cervical spondylosis of cervical type were randomized assigned by age stratification into control group and experimental group. A total of effective cases were 156 with 78 cases in each group. Both the control group and the experimental group were treated with electroacupuncture for 4 weeks, and the experimental group was continued to practise the Southern Shaolin Yi Jin Jing"Tuo tian zhuang"exercise for 12 weeks. A finite element model, the visual and analogue scale(VAS)of pain and MCU were used to compare the pain changes, including cervical spine mobility in all directions, disc stress between C<sub>4</sub>-C<sub>7</sub>during forward flexion and joint capsule stress in the hooks of the two groups before and after treatment.Results:After 4 weeks of electroacupuncture treatment, the VAS scores of both groups were improved significantly compared with scores before treatment(<italic>P</italic><0.05), with no significant differences between the ages groups within the group and the subgroups between the groups(all <italic>P</italic>>0.05). After 12 weeks of treatment, VAS scores were lower in the experimental group and in all subgroups than in the control group(<italic>P</italic><0.05 and <italic>P</italic><0.017, respectively);and there was a statistical difference in the degree of pain relief in each age subgroup(<italic>P</italic><0.05), suggesting that young patients had better pain relief than middle-aged and elderly patients. Patients in both groups showed varying degrees of increase in cervical mobility and muscle strength in all directions(<italic>P</italic><0.05), 12 weeks of treatment with significant differences between the experimental and control groups and between subgroups(<italic>P</italic><0.05 and <italic>P</italic><0.017, respectively);the C<sub>4</sub>-C<sub>7</sub>disc stress and C<sub>4</sub>-C<sub>7</sub>crotal joint capsule stress were reduced to varying degrees between age subgroups compared to the pre-treatment period in this group. The stresses in the C<sub>4</sub>-C<sub>7</sub> disc and C<sub>4</sub>-C<sub>7</sub>capsular joint were reduced to varying degrees between the ages subgroups compared with those before treatment(<italic>P</italic><0.05).Conclusion:The combination of electroacupun-cture with the Southern Shaolin Yi Jin Jing"Tuo tian zhuang"is more effective than electroacupuncture alone in relieving pain, impro-ving the mobility of the cervical spine, improving muscle strength and reducing stress in the cervical. The young group of patients have the best therapeutic effect.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.03002cervical spondylosiselectroacupunctureYi Jin JingTuo tian zhuangfinite elementMuli-Cervical Unit |
| spellingShingle | Meigui KE Ruixu XU Ningying HUANG Hai GUO Xinghui YAN Nanxi WU Sidong DOU Efficacy of MCU-based and 3D-FEA for Improving Cervical Spondylosis 康复学报 cervical spondylosis electroacupuncture Yi Jin Jing Tuo tian zhuang finite element Muli-Cervical Unit |
| title | Efficacy of MCU-based and 3D-FEA for Improving Cervical Spondylosis |
| title_full | Efficacy of MCU-based and 3D-FEA for Improving Cervical Spondylosis |
| title_fullStr | Efficacy of MCU-based and 3D-FEA for Improving Cervical Spondylosis |
| title_full_unstemmed | Efficacy of MCU-based and 3D-FEA for Improving Cervical Spondylosis |
| title_short | Efficacy of MCU-based and 3D-FEA for Improving Cervical Spondylosis |
| title_sort | efficacy of mcu based and 3d fea for improving cervical spondylosis |
| topic | cervical spondylosis electroacupuncture Yi Jin Jing Tuo tian zhuang finite element Muli-Cervical Unit |
| url | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.03002 |
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