Deep Tissue Massage on Stiff-neck Syndrome
Deep Tissue Massage on Stiff-neck Syndrome
This is a randomized controlled study . The objective is to observe the therapeutic effects
 of dredging three yang meridians of hand with deep tissue massage on stiff-neck syndrome.

 Methods: patients with stiff-neck syndrome were randomly divided into meridian group and
 paste group.The meridian group were treated once a day for 3 days and the paste group therapy
 was a 3 courses therapy（ one course includes 24-hour rest and 24-hour paste）. After 3
 courses, pain was assessed by visual analogue scale (VAS), the therapeutic effects were
 compared between the two groups in every stage of the therapy and the self-controlled
 study.The evaluation criteria on stiff-neck syndrome is based on criteria of diagnostic and
 therapeutic effect of orthopaedic and traumatologic diseases and syndromes in traditional
 Chinese medicine . Cure: Absence of neck-stiff, neck sore and free functional activities.
 Improvement: partially functional activities with light to moderate pain. Failure: No
 improvement or alleviation of neck stiff and agony. All data will be analyzed by SPSS 16.0,
 the statistical difference is considered if the P<0.05 and the significant difference is
 considered if the P<0.01 .
1 Clinical Materials 1.1 Diagnostic criteria Acute onset of severe pain and stiffness in
 one-sided neck after sleep; Mostly because of bad sleep posture or cold in neck, shoulder or
 head; Pain or discomfort can radiate to head, arm and back; Any attempt to move neck can
 obviously exacerbate the pain; The head slants to the affected side; Without neck injury
 history or other relative systematic diseases.; Neck X-ray film has no positive signs such as
 degenerative lesions of cervical spine; Trachelismus and rhomboideus major/ minor, levator
 scapulae accessible lumps or streak in muscle. All criteria conformed to the prescription in
 criteria of diagnostic and therapeutic effect of orthopaedic and traumatologic diseases and
 syndromes in traditional Chinese medicine.

 1.2 Inclusion criteria The onset of symptoms and signs are less than 24 hours; Male or female
 aged from 14 to 60 years; No other therapy before grouped; Be willing to participate the
 study and sign the informed consent.

 1.3 Exclusion criteria Stiff neck patients who had diagnosed cervical vertebra or cervical
 spondylosis; Suffered from systemic collagen immune diseases or other acute or chronic
 infection; Use pain-killer drugs may affect the outcome evaluation; Refuse to join the trial;
 Drop out in follow-up visit; Aggravation of disease or complications during the study.

 1.4 Patients All patients were outpatients and be diagnosed with stiff-neck syndrome
 according to the diagnostic criteria. They were randomly allocated into 2 groups (meridian
 group and paste group) according to the visiting time (with digital random table)and their
 wills.

 2.1 meridian group Patients in the meridian group were treated with dredging the same side
 three yang meridians of hand techniques(include the gliding techniques of deep tissue massage
 on the three yang meridians of back hand (the second, fourth and fifth metacarpal bone);
 pinching and kneading the second, fourth and fifth phalanges of fingers of the affected side
 hand; Encourage the patient to try his best to roll his neck to the most tolerable degree
 during dredging the meridians) and the total time was about 3 to 5 minutes according the
 tolerance of every patient and the smooth of three yang meridians of hand. The massage will
 not stop until the meridian route was relatively smooth, soft and thermal. The sequence of
 massage is Hand Yangming meridian(LI) the first, Hand Taiyang meridian(SI) the second and
 Hand Sanjiao(SJ) the last. The frequency of massage was once a day.

 2.2 paste group Patients in the paste group were treated with Nanxing paste on the affected
 region include shoulder, neck or back and no more than 3 pieces. The paste lasted for 24
 hours and then peeled it rested the pasted region for 24 hours and changed another paste on
 the pain region. The therapy duration was 6 days.

 Pain was assessed by visual analogue scale (VAS), the therapeutic effects were compared
 between the two groups in every stage of the therapy and the self-controlled study.The
 evaluation criteria on stiff-neck syndrome is based on criteria of diagnostic and therapeutic
 effect of orthopaedic and traumatologic diseases and syndromes in traditional Chinese
 medicine . Cure: Absence of neck-stiff, neck sore and free functional activities.
 Improvement: partially functional activities with light to moderate pain. Failure: No
 improvement or alleviation of neck stiff and agony. All data will be analyzed by SPSS 16.0,
 the statistical difference is considered if the P<0.05 and the significant difference is
 considered if the P<0.01 .
Inclusion Criteria:

 -  The onset of symptoms and signs are less than 24 hours

 -  Male or female aged from 14 to 60 years

 -  No other therapy before grouped

 -  Be willing to participate the study and sign the informed consent

 Exclusion Criteria:

 -  Stiff neck patients who had diagnosed cervical vertebra or cervical spondylosis

 -  Suffered from systemic collagen immune diseases or other acute or chronic infection

 -  Use pain-killer drugs may affect the outcome evaluation

 -  Refuse to join the trial; Drop out in follow-up visit

 -  Aggravation of disease or complications during the study