Action of Tuina on Retro-positioning of Skull Spatial Offset in Patients with Cervical Vertigo

目的：从颈部本体觉角度探讨颈性眩晕的发病机制，为手法治疗颈性眩晕提供临床依据。方法：符合颈椎病诊断标准的颈性眩晕患者121例。旋颈试验阴性，经颅多普勒检查证实无明显血管因素的颈性眩晕患者70例，设为观察组；旋颈试验阳性，经颅多普勒检查证实椎基底动脉痉挛或供血不足的颈性眩晕患者51例，设为对照组。两组患者均行相同的推拿治疗，每天治疗1次，5天为1个疗程，1个疗程后统计结果。结果：两组患者头颅三轴向空间偏移度较治疗前均有明显减少，差异有统计学意义（P〈0．01）；治疗后两组患者头颅三轴向空间偏移度的比较，差异无统计学意义（P〉0．05），尚不能认为两组患者经手法治疗1个疗程后的疗效有所差异。结论：推拿手法治疗可以改善患者头颅的空间偏移回复能力。

Action of tuina on retro-positioning of skull spatial offset in patients with cervical vertigo

Objective To investigate the onset mechanism of cervical vertigo from the proprioceptive sensation and provide clinical basis for its treatment. Methods Among the 121 cases that conformed to the diagnostic criteria of cervical vertigo, 70 cases who presented with negative neck-rotation test and cervical vertigo without obvious vascular factors by transcranial Doppler (TCD) were assigned to the observation group, while 51 cases who presented with positive neck-rotation test and cervical vertigo due to spasm of vertebral basal artery or insufficient blood supply by TCD were assigned to the control group. The cases in the two groups were treated once every day, 5 days make up one treatment course and the results were statistically analyzed after one treatment course. Results The skull triaxial spatial offset of the cases in the two groups were significantly reduced after the treatment (P<0.01). However, there was no statistically significant difference between the skull triaxial spatial offset between the two groups (P>0.05). It is not conclusive that the therapeutic effect in the two groups was significantly different after one treatment course. Conclusion Tuina manipulation therapy can improve the skull spatial offset repositioning ability of the patients. Corresponding author: Fang Min (1965– ), male, chief physician