RESUMO
<p><b>OBJECTIVE</b>To compare the difference in the short-term and long-term efficacy on cervical spondylosis of neck type between warm needling therapy in the regions of both neck and lumbus and that only in the region of neck.</p><p><b>METHODS</b>Eighty-one patients of cervical spondylosis of neck type were randomized into group A (41 cases) and group B (40 cases), in which 2 cases dropped out. Finally, 40 cases in the group A and 39 cases in the group B accomplished the trial. In the group A, the warm needling therapy was applied to the acupoints in the region of neck and the lumbus. Fengchi (GB 20), Tianzhu (BL 10), Neck-Bailao (EX-HN 15), Wangu (GB 12), Tianyou (TE 16) and(including the tender points and code-like masses on palpation) were selected in the region of neck. Dachangshu (BL 25), Qihaishu (BL 24) and Jiaji (EX-B 2) of L5 were selected in the region of lumbus. The warm needling was applied to Fengchi (GB 20), Tianzhu (BL 10), Dachangshu (BL 25). In the group B, the warm needling therapy was applied only to the acupoints in the neck, which were same as the group A. The treatment was given once every two days, three times a week in the two groups. Separately, before treatment, 1 week after treatment, at the end of 2-week treatment and at the end of 1 month follow-up, the score of neck pain questionnaire (NPQ), the score of range of motion (ROM) in the cervical region and the score of the cervical symptoms were recorded. The efficacy at the end of treatment and in the follow-up was evaluated.</p><p><b>RESULTS</b>Compared with those before treatment, the scores at all the observation time points were significantly improved in the two groups after treatment (all<0.05). In the follow-up, NPQ score, ROM score and the score of cervicalsymptoms were different significantly between the two groups (all<0.05). The results in the group A were better than those in the group B. At the end of 2-week treatment, the total effective rate was 92.5% (37/40) in the group A and was 87.2% (34/39) in the group B (>0.05). In the follow-up, the total effective rate was 87.5% (35/40) in the group A, better than 64.1% (25/39) in the group B (<0.05).</p><p><b>CONCLUSIONS</b>The treatment for both neck and lumbar regions with warm needling therapy and the treatment in the local area all achieve the short-term efficacy on cervical spondylosis of neck type. For the long-term efficacy, the treatment for both neck and lumbar regions achieves the better result as compared with the routine treatment in the region of neck.</p>
RESUMO
<p><b>OBJECTIVE</b>To compare the clinical efficacy between the four-hand-needling therapy and the routine needling therapy at neck-Jiaji (EX-B 2) in the treatment of cervical spondylosis of neck type.</p><p><b>METHODS</b>Eighty patients of cervical spondylosis of neck type were randomized into an observation group and a control group, 40 cases in each one. In the observation group, Sanjian (LI 3), Wailaogong (EX-UE 8), Zhongzhu (TE 3) and Houxi (SI 3) on the affected side were selected. In the control group, the neck-Jiaji (EX-B 2) on bilateral C, Cand Cwere selected. The treatment was given once every two days. The score of visual analogue scale (VAS) was observed before treatment, right after the first treatment, in a half of one month of treatment and in one month of treatment separately and the clinical efficacy was observed after 1-month treatment in the two groups.</p><p><b>RESULTS</b>After treatment, VAS score was reduced as compared with that before treatment in the two groups (all<0.05). The immediate VAS score after treatment in the observation group was reduced much more apparently as compared with that in the control group (<0.01). The curative rate was 52.5% (21/40) in the observation group and was 32.5% (13/40) in the control group and the total effective rates were 95.0% (38/40) and 82.5% (33/40) respectively. The efficacy in the observation group was better than that in the control group (both<0.05).</p><p><b>CONCLUSIONS</b>The four-hand-needling therapy and routine acupuncture at neck-Jiaji (EX-B 2) all have the very good efficacy on cervical spondylosis of neck type with wind-cold-damp. The immediate efficacy of the four-hand-needling therapy is much more significant.</p>