Effects of Acupuncture Treatment to Reduced Pain in Elderly Patients with Cervical Spondylotic Myelopathy
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Abstract
Background: Cervical spondylotic myelopathy (CSM) was the most common cause of spinal cord dysfunction in elderly patients that may be asymptomatic or may present with severe symptoms. The manifestations were chronic pain in the neck, shoulder, arms and impacted on quality of life. Therefore, acupuncture treatment was used for relief pain and can be reduced all types of chronic pain.
Objective: To study effects of acupuncture treatment to reduce pain on the elderly patients with cervical spondylotic myelopathy.
Methods: A retrospective studyin cervical spondylotic myelopathy on elderly patients in Chaiyaphum Hospital Between October 1st, 2015 - April 30th, 2020, 180 cases were analyzed using Chi-square test, Fisher exact test and odds ratio with 95% confidence interval. Continuous data was used Independent sample t-test (p-value<0.05) and independent pair t-test were used to test the mean difference of scores from pain assessment (Pain scale) before and after intra-treatment group at p-value<0.05.
Result: 70 patients with Cervical spondylotic myelopathy and Magnetic Resonance Imaging (MRI) were included the study, male(54.3%), mean age 67.2±6.3 years, mean duration of illness 13.5±13.8 months, agriculture career(30%), average body mass index 23.3±4.0 kg/m.2. The most commonly of symptoms were Neck pain (61.4%), Weakness of arms or hands (61.4%), Headache (45.7%), Stiffness neck (42.9%) and Ataxia (4.3%). Comorbidity diseases were diabetes mellitus (32.9%), rheumatoid. arthritis (24.3%), andhypertension (12.9%). We used nurick's scale for classified severity of disease and found that Grade II (31.4%), Grade III (28.6%).Comparison of the mean pain score before and after of acupuncture treatment with statistics. Test from the Thai Short-form McGill Pain Questionnaire (TH-SF-MPQ) pain assessment questionnaire (TH-SF-MPQ) found that the pain symptoms before and after treatment were significantly different (p-value 0.05).
Conclusion: Acupuncture treatment were used to reduce neck, shoulder, and arm pain on elderly patients with the cervical spondylotic myelopathy (CSM) and can reduced chronic pain symptoms more effectively.
Keywords: Cervical SpondyloticMyelopathy, elderly, Acupuncture Treatment
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References
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