A Clinical Observation of Functional Abdominal Pain Syndrome in Patients Treated by Traditional Chinese Spinal Orthopedic Manipulation / 中国结合医学杂志

<p><b>OBJECTIVE</b>To evaluate the clinical effect of traditional Chinese spinal orthopedic manipulation (TCSOM) in treating patients with functional abdominal pain syndrome (FAPS) in comparison with Pinaverium Bromide (Dicetel, PBD), and to assess a possible cause for FAPS.</p><p><b>METHODS</b>Eighty patients with FAPS were randomly and equally assigned to the TCSOM group and PBD group according to the random number table. All patients in the TCSOM group were treated with a maximum of 5 times of spinal manipulations. Patients in the PBD group were instructed to take 50 mg 3 times a day, consistently for 2 weeks. The symptoms of pre- and post-treatment were assessed on a visual analog scale (VAS) pain score. A symptom improvement rating (SIR) was implemented to evaluate the effects of the treatments.</p><p><b>RESULTS</b>The symptoms of 27 cases of the TCSOM group were relieved soon after the first TCSOM treatment and 9 cases were significantly improved. The VAS pain scores in the TCSOM group were significantly lower than those in the PBD group after 2 weeks treatment. According to the SIR based on VAS, the TCSOM group included 30 cases with excellent results, 7 cases with good, and 3 cases with poor. Adverse events to the treatment were not reported. Based on VAS, the PBD group reported 8 cases with excellent results, 10 cases with good and 22 cases with poor. There was a significant difference between the two groups (P<0.01).</p><p><b>CONCLUSIONS</b>The displacement of intervertebral discs and/or vertebra in the thoracic or lumbar region seems to be a contributing factor in the symptoms of FAPS. TCSOM is an effective treatment for FAPS.</p>

Clinical effect of traditional Chinese spinal orthopedic manipulation in treatment of chondromalacia patellae.

OBJECTIVE: To evaluate the clinical effect of traditional Chinese spinal orthopedic manipulation (TCSOM) in treating chondromalacia patellae (CP). METHODS: Sixty cases of CP patients were randomly assigned to a TCSOM group and a Celecoxib group according to the random number table method. All patients in the TCSOM group were treated with a maximum of 10 spinal manipulations and rehabilitation training of quadriceps femoris. The symptoms before and after treatment were assessed with visual analog scale (VAS) and Kujala functional knee scoring system (KFKSS). A symptom improvement rate (SIR) was implemented in order to evaluate the effects of the treatments. RESULTS: The symptoms of 16 patients in the TCSOM group quickly resolved after the first spinal manipulation and 8 cases were significantly improved. The VAS scores in the TCSOM group after 4 weeks of treatment were significantly lower than those in the Celecoxib group. The KFKSS scores in the TCSOM group after 4 weeks of treatment were significantly higher than those in the Celecoxib group. Side effects of the treatment were not reported. Symptom improvement rate based on the VAS in the TCSOM group indicated more significant improvements than the Celecoxib group. CONCLUSION: TCSOM has greater efficacy than Celecoxib capsules for relief of the symptoms of CP.

Irritable bowel syndrome treated by traditional Chinese spinal orthopedic manipulation.

OBJECTIVE: To evaluate the clinical effect of traditional Chinese spinal orthopedic manipulation (TCSOM) in treating irritable bowel syndrome (IBS) compared with pinaverium bromide Dicetel (PBD), and to assess a possible cause for IBS. METHODS: Two hundred ten IBS patients were randomly divided into the TCSOM group and the PBD group. All patients in the TCSOM group were treated with spinal manipulations 5 times. Pain intensity was assessed on a visual analogue scale and symptoms were evaluated based on bowel symptom scale (BSS) scores before and after treatment. A symptom improvement rating (SIR) was implemented to evaluate the effects of treatment, and to statistically compare the TCSOM and PBD groups. RESULTS: Post-treatment subjective assessment for the TCSOM treatment group showed that 92 cases had excellent results, 10 cases had good results, 3 cases had fair results, and 0 cases had poor results. In the PBD group, 30 cases had excellent results, 41 cases had good results, 12 cases had fair results, and 22 cases had poor results. According to the SIR, which was based on the BSS, the TCSOM group included 92 cases with excellent results, 10 cases with good results and 3 cases with poor results. There were no adverse side effects from treatment. Based on the BSS, the PBD group had 30 cases with excellent results, 41 cases with good results, and 34 cases with poor results. We found that the symptom rating in the BSS in the TCSOM group showed a more significant improvement, such as a reduction in the severity and frequency of symptoms, compared with that in the PBD group (P < 0.001). CONCLUSION: Displacement of intervertebral discs and/or vertebra in the thoracic or lumbar region appears to be a contributing factor in the symptoms of IBS. Correcting this displacement of intervertebral discs and/or vertebra to resolve the stimuli caused by pressure exerted on the nerves and vessels around the spine is an effective treatment for IBS.