Clinical Efficacy and Safety of 'Three-Dimensional Balanced Manipulation' in the Treatment of Cervical Spondylotic Radiculopathy by Finite Element Analysis
| Autor: | Guodong Sun, Cong-An Wang, Yuanzhen Chen, Bin Shi, Guangjian Hou, Feng Zhang, Sun Shifei, Dandan Wang, Shengnan Cao |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Manipulation
Spinal Vertebral Body Article Subject Finite Element Analysis Cervical spine disorder General Biochemistry Genetics and Molecular Biology law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Humans 030212 general & internal medicine Clinical efficacy Intervertebral Disc Radiculopathy Orthodontics Massage General Immunology and Microbiology business.industry Intervertebral disc General Medicine medicine.disease Finite element method Biomechanical Phenomena Vertebral body Treatment Outcome medicine.anatomical_structure Cervical Vertebrae Medicine Spondylosis business 030217 neurology & neurosurgery After treatment Research Article |
| Zdroj: | BioMed Research International, Vol 2021 (2021) BioMed Research International |
| ISSN: | 2314-6141 2314-6133 |
| DOI: | 10.1155/2021/5563296 |
| Popis: | Cervical spondylotic radiculopathy (CSR) is the most commonly encountered cervical spine disorder. Cervical manipulation has been demonstrated as an effective therapy for patients. However, the mechanisms of manipulations have not been elucidated. A total of 120 cervical spondylotic radiculopathy patients were divided into the “three-dimensional balanced manipulation” treatment group (TBM group) and control group randomly. The control group was treated with traditional massage; the TBM treatment group was treated with “three-dimensional balanced manipulation” based on traditional massage. The symptoms and clinical efficacy of the patients were compared before and after treatment for one month. A three-dimensional finite element model was established. The mechanical parameters were imported to simulate TBM, and finite element analysis was performed. The results showed that the total effective rate was significantly higher in the TBM group compared with the control group. The biomechanical analysis showed the vertebral body stress was mainly distributed in the C3/4 spinous processes; the deformation mainly concentrated in the anterior processes of the C3 vertebral body. The intervertebral disc stress in the C3~C7 segment was mainly distributed in the anterior part of the C3/4 intervertebral disc, and the deformation extends to the posterior part of the C3/4 nucleus pulposus. In summary, these data are suggesting that TBM was effective in CSR treatment. The results of the finite element model and biomechanical analysis provide an important foundation for effectively avoiding iatrogenic injuries and improving the effect of TBM in the treatment of CSR patients. |
| Databáze: | OpenAIRE |
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