Fu's Subcutaneous Needling Combined with Kinematic Acupuncture versus Electroacupuncture in the Treatment of Cervical Spondylotic Radiculopathy: A Randomized Controlled Trial.

IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY
Journal of Pain Research Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI:10.2147/JPR.S498728
Yingtong Lin, Wanyi Hong, Lili Sui, Qian Jiang, Ganghui Jiang, Weixin Yan, Nenggui Xu, Rui Zhang
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引用次数: 0

Abstract

Background: Degenerative Cervical Myelopathy (DCM) is an overarching term that encompasses a broad spectrum of degenerative conditions affecting the cervical spine. Cervical Spondylosis Radiculopathy (CSR) represents a prevalent yet particularly severe type within the broader spectrum of Degenerative Cervical Myelopathy (DCM). Currently, conservative treatments, such as acupuncture, traction, physical therapy, and medication, are the standard methods used. As a widely applied physical therapy for musculoskeletal disease, Fu's Subcutaneous Needling (FSN) therapy could be considered when choosing treatment interventions for complement. Electroacupuncture, a commonly used acupuncture treatment, has been proven effective by multiple studies. The comparative analysis with electroacupuncture is specifically aimed at assessing the potential advantages and therapeutic efficacy of FSN therapy in the management of CSR. This is particularly pertinent in instances where conventional conservative interventions and traditional acupuncture techniques may fall short in providing adequate symptom relief.

Methods: The study was a single-centered study without blinding. 80 eligible patients were randomly assigned into two groups, with 40 in each group. The study group received FSN combined with Kinematic acupuncture, the control group received electroacupuncture treatment.

Results: The results after treatment demonstrated that the study group had significantly higher scores in VAS (P=0.001), NPQ (P=0.000), NDI (P=0.000), TY (P=0.000), SF-36 (P=0.000), Hand-numbness (P=0.004), total effective rate (P=0.004) and Analgesic effect time (P=0.001) compared to the control group. The follow-up results also indicated that the experimental group outperformed the control group in VAS (P=0.000), NPQ (P=0.000), NDI (P=0.000), TY (P=0.000), SF-36 (P=0.000), however, the results of Hand-numbness scoring showed no significant statistical difference between both two groups (P=0.302), neither did Relieve duration (P=0.562).

Conclusion: In general, Fu's Subcutaneous Needling combined with Kinematic acupuncture method is more effective in relieving symptoms and promoting recovery of CSR.

Trail registration: The clinical trial has been registered at the Chinese Clinical Trial Registry (NO. ChiCTR2300068507).

伏氏皮下针刺联合运动针与电针治疗神经根型颈椎病的随机对照试验。
背景:退行性颈椎病(DCM)是一个包罗万象的术语,涵盖了影响颈椎的各种退行性疾病。神经根型颈椎病(CSR)是退行性脊髓型颈椎病(DCM)中一种普遍但特别严重的类型。目前,保守治疗,如针灸、牵引、物理治疗和药物治疗是常用的标准方法。Fu’s Subcutaneous needle (FSN)疗法作为一种广泛应用于肌肉骨骼疾病的物理疗法,在选择辅助治疗干预措施时可以考虑Fu’s Subcutaneous Needling (FSN)疗法。电针是一种常用的针灸治疗方法,已被多项研究证明是有效的。与电针的比较分析是专门为了评估FSN疗法在治疗CSR中的潜在优势和治疗效果。这是特别相关的情况下,传统的保守干预和传统的针灸技术可能无法提供足够的缓解症状。方法:采用单中心研究,无盲法。80例符合条件的患者随机分为两组,每组40例。研究组采用FSN联合运动针刺治疗,对照组采用电针治疗。结果:治疗后结果显示,研究组在VAS (P=0.001)、NPQ (P=0.000)、NDI (P=0.000)、TY (P=0.000)、SF-36 (P=0.000)、手部麻木(P=0.004)、总有效率(P=0.004)、镇痛作用时间(P=0.001)评分均显著高于对照组。随访结果还显示,实验组在VAS (P=0.000)、NPQ (P=0.000)、NDI (P=0.000)、TY (P=0.000)、SF-36 (P=0.000)方面均优于对照组,但两组手麻木评分结果差异无统计学意义(P=0.302),缓解时间差异无统计学意义(P=0.562)。结论:一般情况下,付氏皮下针刺配合运动针刺法对缓解CSR症状、促进其康复更为有效。临床试验注册:临床试验已在中国临床试验注册中心(NO. 5)注册。ChiCTR2300068507)。
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来源期刊
Journal of Pain Research
Journal of Pain Research CLINICAL NEUROLOGY-
CiteScore
4.50
自引率
3.70%
发文量
411
审稿时长
16 weeks
期刊介绍: Journal of Pain Research is an international, peer-reviewed, open access journal that welcomes laboratory and clinical findings in the fields of pain research and the prevention and management of pain. Original research, reviews, symposium reports, hypothesis formation and commentaries are all considered for publication. Additionally, the journal now welcomes the submission of pain-policy-related editorials and commentaries, particularly in regard to ethical, regulatory, forensic, and other legal issues in pain medicine, and to the education of pain practitioners and researchers.
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