| Objective To investigate the value of dispersive shock wave meridian retrieval for patients with chronic neck pain (CNP). Methods A total of 60 CNP patients in Affiliated Hospital of Youjiang Medical College for Nationalities from February 2020 to Janu.ary 2022 were selected and divided into the control group (n=30) and the observation group (n=30) by simple randomization. They weretreated with radiated shock wave therapy and radiated shock wave respectively. Acupoint treatment, continuous treatment for 8 weeks.After 8 weeks of treatment, the 2 groups of clinical efficacy, visual analogue scoring (VAS), surface electromyography indicators [medi.an frequency (MF), root mean square (RMS)], cervical spine dysfunction index (NDI), Cervical spine mobility (left-handed, right-hand. ed, forward, backward extension), pain mediators [prostaglandin E (PEG2), nerve growth factor (NGF), bradykinin (BK)], self-conscious function scale (PSFS), European five Dimension scale (ED-5Q).Results After 4 weeks and 8 weeks of treatment, the total effectiverate of treatment in the observation group was 90.00% higher than that in the control group (66.67%, P<0.05).VAS and NDI scores in the observation group were lower than the control after 4 weeks and 8 weeks of treatment Group (P<0.05).After 4 weeks and 8 weeks oftreatment, the MF and RMS of posterior cervical extensor and sternocleidomastoid muscles in the observation group were higher thanthose in the control group, and right-handedness, back-extension, prodration and left-handedness were higher than those of the control group Group (P<0.05).Serum PEG2,NGF,BK levels in the observation group after 4 weeks of treatment and 8 weeks later were lower than those of the control group (P<0.05).ED-5Q scores of the 2 groups after 8 weeks of treatment Lower than before treatment, PSFS score was higher than before treatment (P<0.05).Conclusion Discharge shock wave following the meridian and acupuncture points iseffective in treating CNP, regulating pain mediators, improving the degree of fatigue of the cervical muscles and expanding the mobilityof the cervical spine. |
