Observation on clinical effect of spinal fine-tuning manipulation combined with neck three-needle technique in treatment of neck-type cervical spondylosis

YUAN Lei; FAN Changhai

doi:10.3969/j.issn.1674-3806.2026.02.15

Abstract：Objective To observe the clinical effect of spinal fine-tuning manipulation combined with neck three-needle technique in treatment of neck-type cervical spondylosis(NTCS).Methods A total of 132 patients with NTCS who were admitted to Handan Hospital of Integrated Traditional Chinese Medicine and Western Medicine from October 2022 to December 2023 were recruited and divided into observation group and control group by using random number table method,with 66 patients in each group.The control group was treated with spinal fine-tuning manipulation,while the observation group was treated with spinal fine-tuning manipulation combined with neck three-needle technique,3 times weekly,1 week as a course of treatment.Both groups were treated continuously for 4 courses of treatment.The clinical effective rate,pain condition,cervical spine function,cervical ranges of motions,serum nitric oxide(NO)and endothelin(ET)levels,and relapse rate were compared between the two groups.The occurrence of adverse reactions in the patients during the treatment was recorded.Results The total clinical effective rate of the observation group was significantly higher than that of the control group(93.94％vs 74.24％;x2=9.570,P=0.002).After the treatment,the Visual Analogue Scale(VAS)scores and Neck Disability Index(NDI)scores in the observation group were significantly lower than those in the control group(P＜0.05),and the cervical ranges of motions including cervical anterior flexion,backward extension,left-handed rotation and right-handed rotation in the observation group were significantly greater than those in the control group(P＜0.05).After the treatment,the serum ET level in the observation group was lower than that in the control group,and the serum NO level in the observation group was higher than that in the control group,with statistically significant differences between the two groups(P＜0.05).After the treatment,the Activities of Daily Living(ADL)scale scores in the observation group were significantly higher than those in the control group(P＜0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(9.09％vs 3.03％;x2=1.198,P=0.274).At 6 months after the treatment,the relapse rate in the observation group was lower than that in the control group,with statistically significant difference between the two groups(8.06％vs 26.53％;x2=6.869,P=0.009).Conclusion The combination of spinal fine-tuning manipulation and neck three-needle technique is safe and effective in treatment of NTCS,and is worthy of clinical recommendation.