title: [Effect of vertebral manipulation therapy on vertebro-basilar artery blood flow in cervical spondylosis of vertebral artery type].
abstract: OBJECTIVE
  To observe the effect of vertebral manipulation (VM) therapy on vertebro-basilar artery (VBA) blood flow in patients with cervical spondylosis of vertebral artery type (CS-VAT) by transcranial Doppler (TCD) ultrasonic examination.
  
  
  METHODS
  One hundred and fifty patients with CS-VAT were randomized into the VM group (n = 100) and the acupuncture group (n = 50), and treated for ten times as one therapeutic course. Changes of the contraction peak, the end-diastolic and average blood flow velocity of VBA before and after treatment in the two groups were observed and compared by TCD.
  
  
  RESULTS
  Vp, Vd, Vm of LVA, RVA and BA in the two groups after treatment were all lowered, showing significant difference, excepting Vp of VBA in the acupuncture group, when compared with before treatment (P< 0.05 or P <0.01). Comparison between the two groups after treatment showed significant difference in Vp and Vm of LVA, Vp, Vd and Vm of RVA, Vp and Vm of VBA respectively (P<0.05, P <0.01).
  
  
  CONCLUSIONS
  VM therapy in treating patients with CS-VAT shows therapeutic effect superior to VA therapy, which could significantly improve VBA blood flow.
authors.affiliation: Department of Acupuncture and Rehahilitation, Affiliated Hospital of Jiangxi Colloge of Traditional Chinese Medicine, Nanchang.
authors.forename: En-Si
authors.initials: ES
authors.lastname: Hong
authors.forename: Ming-Ying
authors.initials: MY
authors.lastname: Deng
authors.forename: Li-Hong
authors.initials: LH
authors.lastname: Cheng
authors.forename: Shanling
authors.initials: S
authors.lastname: Zhou
authors.forename: Baiyang
authors.initials: B
authors.lastname: Wang
authors.forename: Anli
authors.initials: A
authors.lastname: Zhang
authors.forename: Yuanqin
authors.initials: Y
authors.lastname: Li
authors.forename: Hong
authors.initials: H
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D001488:Basilar Artery / Q000503:physiopathology*; D001783:Blood Flow Velocity; D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D008297:Male; D020393:Manipulation, Spinal / Q000379:methods*; D008875:Middle Aged; D013128:Spinal Osteophytosis / Q000150:complications / Q000628:therapy*; D014711:Vertebral Artery / Q000503:physiopathology; D014715:Vertebrobasilar Insufficiency / Q000209:etiology / Q000628:therapy*