Clinical observation on the efficacy of ringheaded thumb-tack needle therapy combined with tuina and active functional exercise in the treatment of neck-type cervical spondylosis
Bibliographic record
Abstract
ObjectiveTo explore the clinical efficacy of acupressure therapy combined with Tuina and active functional exercise in the treatment of neck-type cervical spondylosis.MethodsSixty patients with cervical spondylosis were randomly divided into a control group and an experimental group， with 30 cases in each group. The control group was treated with Tuina and active functional exercise. Tuina therapy lasted 10–15 min per session， twice a week for 4 weeks. Functional exercises were performed once in the morning and once in the evening， each session lasting about 10 min， for a total of 4 weeks. The experimental group received the same treatment as the control group combined with ringheaded thumb-tack needle therapy which was applied to 5 Ashi points， with needle retention for 3 days followed by 1 day of rest， for a total of 4 weeks. The neck disability index （NDI） and the short-form of McGill pain questionnaire （SF-MPQ） including visual analog scale （VAS）， present pain intensity （PPI） and pain rating index （PRI） were used before treatment， after 2 weeks and after 4 weeks of treatment. The modified Macnab efficacy evaluation criteria were used to assess treatment outcomes， and safety was also evaluated.ResultsCompared with baseline， both groups showed significant reductions in NDI， VAS， PPI， and PRI scores after 2 and 4 weeks of treatment （P<0.01）. The improvement in the experimental group was significantly greater than that in the control group （P<0.05）. The clinical efficacy rate （excellent and good） was 60.0% （18/30） in the experimental group， compared to 30.0% （9/30） in the control group， with the experimental group showing better clinical outcomes （P< 0.05）. No adverse reactions were reported during the study.ConclusionAcupressure therapy combined with Tuina and active functional exercise can effectively improve symptoms such as neck dysfunction and pain in patients with cervical spondylosis with neck syndrome. The addition of acupressure therapy significantly enhances the clinical efficacy of Tuina and functional exercise， with confirmed therapeutic benefits and good safety.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".