Enhanced external counterpulsation and traction therapy ameliorates rotational vertebral artery flow insufficiency resulting from cervical spondylosis

Wang Xin, Fangjian Guo, Wang Hua, Xie Jiangtao, Wang Shouyi, Zhao Yingchun, Li Xiong

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Study Design. Clinical trial of patients with rotational vertebrobasilar insufficiency (VBI) resulting from cervical spondylosis. Objective. To investigate the effectiveness of enhanced external counterpulsation (EECP) and traction therapy for these patients. Summary of Background Data. EECP would reduce arterial stiffness and vascular resistance, and increase regional blood flow of vertebral arteries, thus may ameliorate symptoms in these patients. Methods. One hundred sixty-three patients who were clinically suspected rotational VBI caused by cervical spondylosis were enrolled in this study. They were randomly allocated into 3 groups: EECP + traction, EECP, and traction group. All patients and 50 healthy volunteers received transcranial color Doppler examination of the vertebral artery and basilar artery in both a neutral cervical spine position and a rotational position. Results. Within 3 days after treatment, 47 (84%) patients in EECP + traction group, 32 (61%) patients in EECP group, and 8 (15%) patients in traction group achieved successful outcomes, while at 3 months follow-up, 45 (80%) patients in EECP + traction group, 34 (64%) in EECP group, and 3 (6%) in traction group achieved successful outcomes. With head rotation, the percentage of reduction of blood flow velocities of the vertebrobasilar artery (VBA) in patients was much greater than that of the healthy volunteers (P <0.01). After treatment, rotational blood flow velocity reduction percentage of VBA in each treatment group was much lower than that of each group before treatment. EECP + traction group experienced the greatest decrease of rotational blood flow velocity reduction percentage of VBA, while EECP group experienced second greatest. Conclusion. EECP and traction therapy can relieve the symptoms of rotational VBI, improve the rotational reduction of vertebrobasilar blood flow, and reduce the increased arterial impedance.

Original languageEnglish (US)
Pages (from-to)1415-1422
Number of pages8
JournalSpine
Volume35
Issue number15
DOIs
StatePublished - Jul 1 2010
Externally publishedYes

Fingerprint

Vertebrobasilar Insufficiency
Counterpulsation
Spondylosis
Traction
Blood Flow Velocity
Therapeutics
Vertebral Artery
Arteries
Healthy Volunteers
Vascular Stiffness
Basilar Artery
Regional Blood Flow
Electric Impedance
Vascular Resistance
Spine
Color

Keywords

  • Basilar artery
  • Enhanced external counterpulsation
  • Head rotation
  • Transcranial color Doppler
  • Vertebral artery
  • Vertebrobasilar insufficiency

ASJC Scopus subject areas

  • Clinical Neurology
  • Orthopedics and Sports Medicine
  • Medicine(all)

Cite this

Enhanced external counterpulsation and traction therapy ameliorates rotational vertebral artery flow insufficiency resulting from cervical spondylosis. / Xin, Wang; Guo, Fangjian; Hua, Wang; Jiangtao, Xie; Shouyi, Wang; Yingchun, Zhao; Xiong, Li.

In: Spine, Vol. 35, No. 15, 01.07.2010, p. 1415-1422.

Research output: Contribution to journalArticle

Xin, Wang ; Guo, Fangjian ; Hua, Wang ; Jiangtao, Xie ; Shouyi, Wang ; Yingchun, Zhao ; Xiong, Li. / Enhanced external counterpulsation and traction therapy ameliorates rotational vertebral artery flow insufficiency resulting from cervical spondylosis. In: Spine. 2010 ; Vol. 35, No. 15. pp. 1415-1422.
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abstract = "Study Design. Clinical trial of patients with rotational vertebrobasilar insufficiency (VBI) resulting from cervical spondylosis. Objective. To investigate the effectiveness of enhanced external counterpulsation (EECP) and traction therapy for these patients. Summary of Background Data. EECP would reduce arterial stiffness and vascular resistance, and increase regional blood flow of vertebral arteries, thus may ameliorate symptoms in these patients. Methods. One hundred sixty-three patients who were clinically suspected rotational VBI caused by cervical spondylosis were enrolled in this study. They were randomly allocated into 3 groups: EECP + traction, EECP, and traction group. All patients and 50 healthy volunteers received transcranial color Doppler examination of the vertebral artery and basilar artery in both a neutral cervical spine position and a rotational position. Results. Within 3 days after treatment, 47 (84{\%}) patients in EECP + traction group, 32 (61{\%}) patients in EECP group, and 8 (15{\%}) patients in traction group achieved successful outcomes, while at 3 months follow-up, 45 (80{\%}) patients in EECP + traction group, 34 (64{\%}) in EECP group, and 3 (6{\%}) in traction group achieved successful outcomes. With head rotation, the percentage of reduction of blood flow velocities of the vertebrobasilar artery (VBA) in patients was much greater than that of the healthy volunteers (P <0.01). After treatment, rotational blood flow velocity reduction percentage of VBA in each treatment group was much lower than that of each group before treatment. EECP + traction group experienced the greatest decrease of rotational blood flow velocity reduction percentage of VBA, while EECP group experienced second greatest. Conclusion. EECP and traction therapy can relieve the symptoms of rotational VBI, improve the rotational reduction of vertebrobasilar blood flow, and reduce the increased arterial impedance.",
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T1 - Enhanced external counterpulsation and traction therapy ameliorates rotational vertebral artery flow insufficiency resulting from cervical spondylosis

AU - Xin, Wang

AU - Guo, Fangjian

AU - Hua, Wang

AU - Jiangtao, Xie

AU - Shouyi, Wang

AU - Yingchun, Zhao

AU - Xiong, Li

PY - 2010/7/1

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AB - Study Design. Clinical trial of patients with rotational vertebrobasilar insufficiency (VBI) resulting from cervical spondylosis. Objective. To investigate the effectiveness of enhanced external counterpulsation (EECP) and traction therapy for these patients. Summary of Background Data. EECP would reduce arterial stiffness and vascular resistance, and increase regional blood flow of vertebral arteries, thus may ameliorate symptoms in these patients. Methods. One hundred sixty-three patients who were clinically suspected rotational VBI caused by cervical spondylosis were enrolled in this study. They were randomly allocated into 3 groups: EECP + traction, EECP, and traction group. All patients and 50 healthy volunteers received transcranial color Doppler examination of the vertebral artery and basilar artery in both a neutral cervical spine position and a rotational position. Results. Within 3 days after treatment, 47 (84%) patients in EECP + traction group, 32 (61%) patients in EECP group, and 8 (15%) patients in traction group achieved successful outcomes, while at 3 months follow-up, 45 (80%) patients in EECP + traction group, 34 (64%) in EECP group, and 3 (6%) in traction group achieved successful outcomes. With head rotation, the percentage of reduction of blood flow velocities of the vertebrobasilar artery (VBA) in patients was much greater than that of the healthy volunteers (P <0.01). After treatment, rotational blood flow velocity reduction percentage of VBA in each treatment group was much lower than that of each group before treatment. EECP + traction group experienced the greatest decrease of rotational blood flow velocity reduction percentage of VBA, while EECP group experienced second greatest. Conclusion. EECP and traction therapy can relieve the symptoms of rotational VBI, improve the rotational reduction of vertebrobasilar blood flow, and reduce the increased arterial impedance.

KW - Basilar artery

KW - Enhanced external counterpulsation

KW - Head rotation

KW - Transcranial color Doppler

KW - Vertebral artery

KW - Vertebrobasilar insufficiency

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