| Objective: To observe the efficacy of Mulligan technique combined with improved acupuncture Rényíng in the treatment of cervical spondylosis of vertebral artery type (CSA). Method: Sixty case of CSA were randomly divided into observation group and control group, n=30 in each group. Both groups were given drugs of relieving vertigo symptoms, traction therapy and infrared therapy as a common treatment, and the observation group was treated by Mulligan technique combined with improved acupuncture Rényíng for 2 weeks additionally, while the control group was given improved acupuncture Rényíng alone. Both groups were assessed with transcranial color Doppler ultrasound (TCD) and evaluation scale for cervical vertigo (ESCV) with double blind method before and after treatment. Result: One week and 2 weeks after treatment, the ESCV scores, the mean blood flow velocity (Vm) of vertebral artery (VA) and basilar artery (BA) in both groups were remarkably higher than those before treatment (P<0.01). The ESCV scores and Vm of VA and BA in observation group between 1 week and 2 weeks were obviously different (P<0.05) but not in control group. After 1 week of treatment, the ESCV scores between the two groups showed no significant difference, but the Vm of VA and BA in the observation group was higher than in the control group (P<0.05). As compared with the control group, the ESCV scores and Vm of VA and BA in the observation group were significantly elevated (P<0.05, and 0.01) after treatment for 2 weeks. Conclusion: The Mulligan technique combined with improved acupuncture Rényíng provides a fast and efficient treatment method for patients with CSA, and has been continuously improving the clinical symptoms of dizziness and the quality of life of CSA patients. |
