| Objective:To investigate the clinical efficacy of Mckenzie therapy combined with psychotherapy in treating cervical spondylotic vertebral arteriopathy (CSA). Methods:A total of 70 cases of CSA were randomly allocated to treatment and control groups, 35 cases each. The treatment group received Mckenzie therapy combined with psychotherapy. The control group received physical factor treatment. In the two groups, the total efficacy rate, symptom checklist-90 (SCL-90), and the outcome of TCD examination were evaluated before and after treatment. The clinical therapeutic effects were compared between the two groups. Results:After the treatment for 4 weeks, both two groups had a significant improvement in the scores of SDS and SAS (P<0.01), but the curative effect in the treatment group was better than the control group (P<0.01). The mean blood flow velocity (Vm) of vertebral artery (VA) and basilar artery (BA) after treatment was remarkably higher than that before treatment (P<0.05). As compared with the control group, the therapeutic effect in treatment group was significantly improved (P<0.01). The total efficacy rate was 91.43% in the treatment group and 80.0% in the control group with the difference being statistically significant (P<0.05). Conclusion:Mckenzie therapy combined with psychotherapy in treating cervical spondylotic vertebral arteriopathy CSA is a safe and effective therapy. Mckenzie mechanics principle can relieve the symptoms, establish a correct posture and motion pattern in patients with CSA, but the psychotherapy can further improve subjective initiative of patients and promote physical and mental health. |
