Tuina and Yijinjing Exercise for Chronic Neck Pain
Editorial Staff
| DIGITAL EXCLUSIVE
Evidence suggests a high percentage of neck pain cases to not resolve completely or become chronic. Pain medication remains a primary option for managing neck pain, but new research suggests tuina and yijinjing exercise are an effective combination to provide symptomatic relief.
The 12-week randomized, clinical trial (eight weeks of treatment, followed by four weeks of observation / follow-up) divided 102 adult patients (average age: 36.5 years at baseline) with nonspecific chronic neck pain into two groups for comparison.
One group received three weekly tuina sessions for eight weeks (24 total sessions); the second group received three weekly yijinjing sessions for eight weeks in addition to tuina (same frequency as group #1). The three weekly yijinjing sessions included one instructor-guided exercise session and two self-practice exercise sessions at home.
Tuina sessions consisted of three components: 1) soft-tissue manipulation, 2) clicking acupoint manipulation, and 3) and spinal manipulation. The five-step yijinjing exercise protocol featured "Third Aspect of Wei-tuo, taking away a star and changing the dipper for it, nine demons drawing their swords, bowing in salutation, and wagging the tail."
The primary outcome measure assessed: change in visual analog scale (VAS) score from baseline to week eight; secondary outcomes included changes in Neck Disability Index (NDI) scores, active range of motion, anxiety and neck tissue hardness.
After eight weeks of treatment, VAS scores improved in both groups, with the combination tuina plus yijinjing exercise protocol proving more effective than the tuina protocol alone (-1.2 difference from baseline; -4.1 vs. -5.4). Secondary outcome measures also improved to a greater degree in the combination treatment group. This superiority was observed at week-12 follow-up as well.
Consequences for HIPAA violations can often be quite harsh. If someone has breached the HIPAA privacy regulations – even without any malicious intent, civil penalties are applicable: $100 per violation for unawareness, a minimum of $1,000 for reasonable cause, a minimum of $10,000 if willful neglect is present and then rectified, and finally, a minimum of $50,000 for individuals who act with willful neglect and ignore the issue.
The luo vessels are important in the treatment of mental health issues. They are conduits of “ying qi”: blood and fluids. We believe that the shen is “housed” in the heart and circulated through the blood, making a channel system that “conducts” ying qi ideal for treatment of the mind and emotions.
As our health care ecosystem continues to evolve, I’ve found an increased emphasis being placed on an integrative approach to patient care. As an acupuncturist, you are an essential part of this collaborative system and health care team, cooperating with a range of other professionals including medical doctors, chiropractors, massage therapists, and others.
