Analysis of Kinematic and Dynamic Characteristics of Neck-Type Cervical Spondylosis Treated with Tuina Manipulation Combined with Baduanjin
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1.Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine;2.Shanghai Research Institute of Tuina;3.Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

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    Abstract:

    Objective: To explore the changes in kinematic and dynamic characteristics of Neck-Type Cervical Spondylosis after intervention with Tuina manipulation combined with Baduanjin, and to preliminarily elucidate the biomechanical mechanisms of Tuina's therapeutic effects. Methods: Thirty subjects were recruited and randomly divided into a Baduanjin group and a combined group of Tuina massage and Baduanjin. The Visual Analog Scale (VAS) was used to assess changes in clinical pain levels. The Vicon three-dimensional motion capture system was used to assess characteristic changes in cervical spine kinematics and dynamics, including peak cervical motion angles, variation coefficients of motion speed, cervical joint torque, flexion/extension torque ratio, and positive/negative work. Results: (1) VAS score comparison: Within-group comparisons before and after intervention showed statistically significant differences (P<0.05) for both groups. Between-group comparison after intervention showed no significant statistical difference (Z=-1.894, P=0.058). (2) Peak cervical motion angles: Both groups showed significant increases in flexion and extension angles compared to before treatment (P<0.05). After 8 weeks of intervention, between-group comparisons showed statistically significant differences in flexion (Z=2.22, P=0.039) and extension (Z=2.62, P=0.017). (3) Fluctuation amplitude of cervical motion speed: Neither group showed statistically significant differences in flexion or extension compared to before treatment (P>0.05). After 8 weeks of intervention, between-group comparisons showed no significant differences in flexion (Z=0.32, P=0.749) or extension (Z=0.18, P=0.859). (4) Cervical flexion/extension joint torque: Both groups showed significant increases in cervical flexion and extension joint torque compared to before treatment (P<0.05). After 8 weeks of intervention, between-group comparisons showed statistically significant differences in flexion (Z=1.13, P=0.045) and extension (Z=2.45, P=0.014). (5) Flexion/extension torque ratio: After 8 weeks of intervention, between-group comparison showed a statistically significant difference (Z=3.81, P<0.001). Within-group comparisons before and after intervention showed no significant difference in the Baduanjin group (Z=2.32, P=0.762), but a significant difference in the combined group (Z=9.94, P<0.001). (6) Cervical flexion/extension positive/negative work ratio: After treatment, between-group comparison showed no significant difference (P=0.071). Within-group comparisons showed no significant differences in either the Baduanjin group (Z=0.24, P=0.819) or the combined group (Z=1.39, P=0.196). Conclusion: The intervention of Baduanjin combined with Tuina manipulation and Baduanjin for Neck-Type Cervical Spondylosis mainly takes effect by increasing the peak range of motion of the cervical spine and improving joint torque. This provides preliminary biomechanical objective evidence for the clinical efficacy of Tuina manipulation and exercise interventions for Neck-Type Cervical Spondylosis.

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History
  • Received:July 08,2025
  • Revised:August 14,2025
  • Adopted:August 25,2025
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