Ignite Creation Date:
2024-05-06 @ 12:10 AM
Last Modification Date:
2024-10-26 @ 10:45 AM
Study NCT ID:
NCT01500967
Status:
UNKNOWN
Last Update Posted:
2012-01-25
First Post:
2011-08-30
Brief Title:
Shi-style Cervical Manipulations for Cervical Radiculopathy
Sponsor:
Shanghai University of Traditional Chinese Medicine
Organization:
Shanghai University of Traditional Chinese Medicine
Study Overview
Official Title:
Shi-style Cervical Manipulations for Cervical Radiculopathy-A Randomized Single Blinded Controlled Trial
Status:
UNKNOWN
Status Verified Date:
2012-01
Last Known Status:
RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Neck pain and related problems occur frequently in modern societies and have a considerable impact on individuals and the society Cervical radiculopathy CR generally presents with pain numbness or weakness in a dermatomal distribution CR results from impingement on a nerve root by either spondylotic narrowing of the neural foramen or a lateral intervertebral disc herniation Various studies have shown that nonoperative management for CR is effective such as medications physical therapy Spinal manipulation traction acupuncture collar immobilization and epidural steroid injections Spinal manipulation is one of the manual techniques for treating mechanical neck pain No high-quality evidence has proved the effectiveness of manipulative therapy in the treatment of cervical radiculopathy However limited evidence suggests that manipulation may provide short-term benefit in the treatment of neck pain cervicogenic headaches and radicular symptoms Few complications such as worsening radiculopathy myelopathy and spinal cord injury may occur Spinal massage manipulation is used for centuries in China Many patients with cervical disc disease are increasingly turning to manipulations to alleviate their symptoms and reduce the side effects of medications The goal of this study is to determine the efficacy of a spinal manipulation three steps and nine manipulations on treating with the cervical radiculopathy
Detailed Description:
Radiculopathy generally presents with pain numbness or weakness in a dermatomal distribution Causative factors include an acute nucleus pulposus herniation spondylitic changes around the foramen causing nerve compression or a combination of these
Cervical radiculopathy results from impingement on a nerve root by either spondylotic narrowing of the neural foramen or a lateral intervertebral disc herniation Frequent complaints include painful neck movements radicular pain paraspinal muscle spasm muscle weakness and diminished deep tendon reflexes Radhakrishnan K 1994 Radiculopathy tends to produce substantial limitation of movement of the head and neck
The goals of any treatment plan should be well defined Specifically it should be the goal of the treating physician to relieve pain improve function and prevent recurrence Although some symptomatic patients meet surgical criteria most patients are clearly candidates for nonoperative treatment Treatment modalities for radiculopathy include rest medications physical therapy manipulation injections and patient education
Various studies have shown that nonoperative management of cervical radiculopathy leaves a substantial minority of patients with persistently troublesome symptoms Lees F 196341 42 Lees and Turner found that in two thirds of patients symptoms tend to persist in the absence of surgical treatment Lees F 1963 DePalma and Subin found that of 255 patients treated nonoperatively only 29 experienced complete symptom relief Radhakrishnan K 199441 Better outcomes with nonoperative management however have been observed in studies that were based in physiotherapy centers than those from surgical series Radhakrishnan K 1994
Spinal balance is the way Professor Shi Qi Arthralgia theory and The theory of muscle imbalance theory under the guidance of mix martial arts Wang Shi expertise and Traumatology combined with clinical experience and experimental research Rub take roll put loose pull friction shaking pinching so called nine manipulations It can adjust qi and blood phlegm stasis Dredge meridians spasm pain support organs alleviate correct cervical dynamic and static imbalance Three steps and nine manipulations is the common method of treatment of Professor Shi Qi for cervical disease
Cervical radiculopathy results from impingement on a nerve root by either spondylotic narrowing of the neural foramen or a lateral intervertebral disc herniation Frequent complaints include painful neck movements radicular pain paraspinal muscle spasm muscle weakness and diminished deep tendon reflexes Radhakrishnan K 1994 Radiculopathy tends to produce substantial limitation of movement of the head and neck
The goals of any treatment plan should be well defined Specifically it should be the goal of the treating physician to relieve pain improve function and prevent recurrence Although some symptomatic patients meet surgical criteria most patients are clearly candidates for nonoperative treatment Treatment modalities for radiculopathy include rest medications physical therapy manipulation injections and patient education
Various studies have shown that nonoperative management of cervical radiculopathy leaves a substantial minority of patients with persistently troublesome symptoms Lees F 196341 42 Lees and Turner found that in two thirds of patients symptoms tend to persist in the absence of surgical treatment Lees F 1963 DePalma and Subin found that of 255 patients treated nonoperatively only 29 experienced complete symptom relief Radhakrishnan K 199441 Better outcomes with nonoperative management however have been observed in studies that were based in physiotherapy centers than those from surgical series Radhakrishnan K 1994
Spinal balance is the way Professor Shi Qi Arthralgia theory and The theory of muscle imbalance theory under the guidance of mix martial arts Wang Shi expertise and Traumatology combined with clinical experience and experimental research Rub take roll put loose pull friction shaking pinching so called nine manipulations It can adjust qi and blood phlegm stasis Dredge meridians spasm pain support organs alleviate correct cervical dynamic and static imbalance Three steps and nine manipulations is the common method of treatment of Professor Shi Qi for cervical disease
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None