CLINICAL OBSERVATION OF EFFECTS OF TRACTION AND MANIPULATION IN PATIENTS WITH VERTEBROARTERIAL TYPE OF CERVICAL SPONDYLOPATHY / 中国运动医学杂志

ABSTRACT

Clinical observation was undertaken on patients with vertebroarterial type ofcervical spondylopathy who were treated with necktraction and manipulation, of110 patients, there were 82 men and 28 women. The average age was 56.29 yearsold. 102 of 110 patients had vertigo. In 91 patients with which vertigo wasassociated with body position, most of them also had abnormal hearing and visionand headche and hoarseness, etc. Examination The positive rate of Jackson Test and Rotating-head Test was83.33%. The degenerative changes could be seen on the X-ray films of the cer-vical vertebrae. 55.95% of them suffered from eyeground arteriosclerosis, 40.78%hyperlipemia, 42.16%. hypertension, 36.17% ECG abnormality. Treatment of 110 patients, 97 were treated with neck traction and manipu-lation. The average times of neck-traction of whom were 44.13, the averagetimes of manipulation 33.92. In addition, we compared one group which usedtraction and manipulation with another one that used traction and manipulationtogether with drip transfusion of dextran. Chi-spuare Test showed no signifi-cant difference between the two groups. Conclusion 1. The information in the paper indicated close relationship between verte-broarterial type of cervical spondylopathy and atherosclerosis. 2. Diagnosis of the disease could be done after excluding a few diseasessuch as Meniere's disease and hemicranie and sympathetic type of cervicalvertebrae, etc. 3. After vertebroarterial angiography, the patients suffering from the diseasetreated with surgery if conservative therapy had no effect. 4. The paper also studied the mechanism of neck-traction and manipulation on vertebroarterial type of cervical spondylopathy.