Cervical spondylosis treated by acupuncture at Ligou (LR 5) combined with movement therapy.
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OBJECTIVE: To compare therapeutic effects of acupuncture at Ligou (LR 5) plus movement therapy and conventional acupuncture on cervical spondylosis. METHODS: The therapeutic effect of acupuncture at Ligou (LR 5) plus movement therapy on 57 cases of cervical spondylosis (Group Acup.+M) was observed and compared with that of conventional acupuncture (Group Acup.) on 65 cases of cervical spondylosis with the same types of the disease during the same observation period as those treated by the former therapy. RESULTS: The cured rate, effective rate and total effective rate were 52.63%, 45.61% and 98.24%, respectively in Group Acup.+M; 46.15%, 50.77% and 96.92%, respectively in Group Acup. There were no significant differences in therapeutic effects between the two groups, shown by Ridit test (P>0.05). CONCLUSION: Both acupuncture plus movement therapy and conventional acupuncture were similarly effective in treating cervical spondylosis, but the former was superior to the latter in shorter treatment course and fewer points (+info)
Neuropsychological improvement in patients with cervical spondylotic myelopathy after posterior decompression surgery.
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Patients with cervical spondylotic myelopathy sometimes complain of cognitive dysfunction, which may be coincidence. However, cognitive dysfunction may be related to disorders of the cervical spine and/or spinal cord. This study investigated cognitive dysfunction in patients with cervical spinal disorders. A total of 79 patients with cervical spondylotic myelopathy (40 women and 39 men, mean age 61.2 years) underwent cervical laminoplasty between January 2006 and July 2007. Ten of these 79 patients (7 women and 3 men, mean age 65.2 years) complained of moderate to severe memory disturbances. These 10 patients underwent neuroimaging studies and a battery of neuropsychological tests consisting of the mini-mental state examination, Kohs Block Design Test, Miyake Memory Test, Benton Visual Retention Test (BVRT), and "kana-hiroi" test before and 3 months after surgery. Brain magnetic resonance imaging showed no organic brain lesions in the 10 patients, but single photon emission computed tomography demonstrated reduced regional cerebral blood flow in the posterior cortical areas in eight patients before surgery. Neuropsychological test scores showed statistically significant improvement after surgery in the Kohs Block Design Test and the BVRT, which measure visuospatial perception and reflect the function of the parietal and/or occipital lobes (p < 0.05). The practice effect may have contributed to the neuropsychological improvements, but this study suggests that cervical spinal disorders may affect cognitive functions and that surgical treatment can ameliorate such effects. (+info)
Assessment of nerve involvement in the lumbar spine: agreement between magnetic resonance imaging, physical examination and pain drawing findings.
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