[Effect of vertebral manipulation therapy on vertebro-basilar artery blood flow in cervical spondylosis of vertebral artery type].
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.
Hong
En-Si
ES
Department of Acupuncture and Rehahilitation, Affiliated Hospital of Jiangxi Colloge of Traditional Chinese Medicine, Nanchang.
Deng
Ming-Ying
MY
Cheng
Li-Hong
LH
Zhou
Shanling
S
Wang
Baiyang
B
Zhang
Anli
A
Li
Yuanqin
Y
Wang
Hong
H
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*