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(Effect of clinosatic manipulation on blood flow velocity of patients with cervical spondylosis of vertebral artery type in supine position) [Chinese - simplified characters]
Yin ZJ, Chen XM
Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2006 Sep 18;10(35):90-91
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: To observe the effect of clinostatic manipulation in supine position on the flow velocity of vertebral artery in patients with cervical spondylosis (CSA) of vertebral artery type, and compare with cervical traction. METHODS: (1) Sixty inpatients with CSA between September 1999 and January 2001 were selected from People's Hospital Affiliated to Fujian College of Traditional Chinese Medicine, and all subjects knew and agreed with the treatment as well as the inspecting indexes. (2) Patients were randomly divided into two groups: treatment group (n = 30, 10 males, 20 females) and control group (n = 30, 12 males, 18 females). Treatment group: patients were treated with the clinostatic manipulation in supine position once every three days for totally 10 times as one course. Control group: patients were treated with cervical spinal traction in a sitting position once every three days for totally 10 times as one course. (3) The systolic velocity (Vs), diastolic velocity (Vd) and mean blood speed (Vm) of vertebral artery in patients before and after the treatment were examined by Transcranial Doppler Sonography (the AUS -- 128DP Shenzhen). (4) Differences in measurement data were compared with t test. RESULTS: A total of 60 cases with CSA were involved in the analysis of results. The differences in blood flow velocity of anterior vertebral artery between two groups before treatment were not significant (p > 0.05). The vertebral artery systolic velocity, diastolic velocity and mean blood speed of patients in the treatment group after treatment were obviously faster than patients in the control group before treatment (p < 0.05 to 0.01). Bilateral vertebral artery systolic velocity and diastolic velocity of the right lateral in patients of the control group after treatment were significantly faster than patients in the control group before treatment (p < 0.05). CONCLUSION: The blood flow velocity of vertebral artery of patients with CSA can be significantly ameliorated by clinostatic manipulation in supine position, and the effect of which is better than that of cervical traction.

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