Objective: To reveal the change of Jingjin mechanical characteristic after using Tuina manipulation combined with exercise therapy on cervical spondylosis.Methods: After standardizing the process of Tuina manipulation,65 patients with cervical spondylosis were assigned into treatment group(Tuina manipulation combined with exercise therapy) and controlled(Tuina manipulation) group.Each group finished testing the mechanical characteristic of neck muscles by applying Biodex ⅢIsokinetic Testing System before and after treatment.Results: There was no significant difference(P 0.05) in PT,AP,F/E between two groups before treatment.There was greater improvement for the treatment group than the controlled group in PT,AP,F/E after treatment(P 0.05).There was significant difference in PT,AP,F/E compared within group for the treatment group and the controlled group after treatment(P 0.05).Conclusion: Tuina manipulation and Tuina manipulation combined with exercise therapy may improve mechanical characteristic of neck muscles in the patients of cervical spondylosis.Tuina manipulation combined with exercise therapy is greater improved than the single Tuina manipulation in patients of cervical spondylosis.

Objective To study the clinical pathway about massage therapy on protrasion of the lumbar in-tervertebral disci .Methods 100 patients were left hospital from massage department from May ,2008 to Dec.2008 and received massage therapy by conventional mode were as control group .80 patients received massage therapy by clinical pathway mode were as treatment group .Length of hospital stay ,medical costs ,expenses for medicine and treat-ment costs of patients in two groups were compared .Results The length of hospital stay in treatment group was shor-ter than that in control group (P<0.05).There was no significant difference between two groups on medical costs , expenses for medicine and treatment costs (P>0.05).Conclusion The number of days hospitalized patients can be significantly reduced by carrying of the clinical pathway .

目的:探讨温经通络方联合拔经推拿法对颈椎病患者颈肌力学性能的影响.方法:本组78例选自本院有症状的颈椎患者,采用表面肌电图和等速肌力测试仪,测试78例颈椎病患者在50%最大主动收缩力量值(MVC)前屈和后伸力竭运动中颈脊旁肌、斜方肌和胸锁乳突肌持续时间和表面肌电中位频率(MF)值及推拿治疗.结果:右侧颈脊旁肌和胸锁乳突肌比对侧同名肌MF值显著降低(P<0.05).经推拿治疗后,治疗前后比较,前屈和后伸运动中的右侧胸锁乳突肌、右侧斜方肌等的MF值均显著增高.结论:颈椎病颈脊旁肌和胸锁乳突肌均有易疲劳特征,推拿可改善颈部肌肉的疲劳状态.

近年来中药治疗腰椎间盘突出症的文献资料表明单独或综合应用于腰椎间盘突出症的治疗,均有一定疗效.广大研究人员对治疗腰椎间盘突出症的中药进行了大量的实验研究,现将其研究概况综述如下.