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Objective <p>To investigate the clinical efficacy of Tuina (Chinese therapeutic massage) manipulation combined with warming needle therapy in the treatment of cervical spondylotic radiculopathy (CSR) and its effects on cervical function and range of motion.</p> Methods <p>A total of 122 patients with CSR were randomly divided into two groups using the random number table method, with 61 cases in each group. Both groups received the same traction therapy. The control group was additionally treated with Tuina manipulations, while the combination group received Tuina manipulation combined with warming needle therapy. After treatment, the total effective rate of the two groups was compared. The changes in pain, cervical function, cervical range of motion, inflammatory factor levels, and quality of life were also evaluated.</p> Results <p>During the treatment, 2 cases in the combination group were lost to follow-up, while in the control group, 1 case was lost to follow-up, and 1 case withdrew. The total effective rate of the combination group was 93.2%, which was significantly higher than 74.6% in the control group (<i>P</i>&lt;0.05). The visual analog scale (VAS) score and neck disability index (NDI) score in the combination group were significantly lower than those in the control group (<i>P</i>&lt;0.05). The scores of the clinical assessment scale for cervical spondylosis (CASCS) and activities of daily living (ADL) in the combination group were significantly higher than those in the control group (<i>P</i>&lt;0.05). The levels of interleukin (IL)-1β, IL-6, and tumor necrosis factor-α in the combination group were significantly lower than those in the control group (<i>P</i>&lt;0.05). The cervical range of motion in all directions was significantly greater in the combination group than in the control group (<i>P</i>&lt;0.05). There was no significant difference in the incidence of adverse reactions such as subcutaneous ecchymosis and dizziness between the two groups (<i>P</i>&gt;0.05).</p> Conclusion <p>Based on traction therapy, Tuina manipulation combined with warming needle therapy is more effective than Tuina manipulation alone in the treatment of CSR. It shows significant advantages in restoring cervical physiological function, improving quality of life, and enhancing cervical range of motion.</p>

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Clinical observation of Tuina manipulation combined with warming needle therapy in the treatment of cervical spondylotic radiculopathy

  • 期刊论文

  • 发表日期：

    2026年4月23日

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  • Peng Chen,
  • Xiaohui Li,
  • Niannian Du

摘要

Objective

To investigate the clinical efficacy of Tuina (Chinese therapeutic massage) manipulation combined with warming needle therapy in the treatment of cervical spondylotic radiculopathy (CSR) and its effects on cervical function and range of motion.

Methods

A total of 122 patients with CSR were randomly divided into two groups using the random number table method, with 61 cases in each group. Both groups received the same traction therapy. The control group was additionally treated with Tuina manipulations, while the combination group received Tuina manipulation combined with warming needle therapy. After treatment, the total effective rate of the two groups was compared. The changes in pain, cervical function, cervical range of motion, inflammatory factor levels, and quality of life were also evaluated.

Results

During the treatment, 2 cases in the combination group were lost to follow-up, while in the control group, 1 case was lost to follow-up, and 1 case withdrew. The total effective rate of the combination group was 93.2%, which was significantly higher than 74.6% in the control group (P<0.05). The visual analog scale (VAS) score and neck disability index (NDI) score in the combination group were significantly lower than those in the control group (P<0.05). The scores of the clinical assessment scale for cervical spondylosis (CASCS) and activities of daily living (ADL) in the combination group were significantly higher than those in the control group (P<0.05). The levels of interleukin (IL)-1β, IL-6, and tumor necrosis factor-α in the combination group were significantly lower than those in the control group (P<0.05). The cervical range of motion in all directions was significantly greater in the combination group than in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions such as subcutaneous ecchymosis and dizziness between the two groups (P>0.05).

Conclusion

Based on traction therapy, Tuina manipulation combined with warming needle therapy is more effective than Tuina manipulation alone in the treatment of CSR. It shows significant advantages in restoring cervical physiological function, improving quality of life, and enhancing cervical range of motion.