{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T12:01:40Z","timestamp":1768824100767,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,4,13]],"date-time":"2021-04-13T00:00:00Z","timestamp":1618272000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Cooperative Project of Guangdong Provincial and Education Ministry through Industry and University Research","award":["2012B091100314"],"award-info":[{"award-number":["2012B091100314"]}]},{"name":"Cooperative Project of Guangdong Provincial and Education Ministry through Industry and University Research","award":["201704020129"],"award-info":[{"award-number":["201704020129"]}]},{"name":"Guangzhou Science and Technology Project","award":["2012B091100314"],"award-info":[{"award-number":["2012B091100314"]}]},{"name":"Guangzhou Science and Technology Project","award":["201704020129"],"award-info":[{"award-number":["201704020129"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evidence-Based Complementary and Alternative Medicine"],"published-print":{"date-parts":[[2021,4,13]]},"abstract":"<jats:p>Traction of cervical spine is an effective method for the treatment of cervical spondylotic radiculopathy (CSR). In this study, a cervical tractor named traction exercise neck brace (TENB) was used to evaluate its effect on the patients with CSR. Forty CSR volunteers were recruited and randomly divided into two groups. One group was subjected to cervical muscle exercise with TENB under static traction condition. Another group was subjected to (JOBT) as controls. Symptoms of CSR were evaluated by the visual analogue scale (VAS) and neck disability index (NDI). Imaging characteristics were assessed by curvature of the cervical spine and size of the intervertebral foramen. A finite element (FE) analysis model of cervical spine was established by 3D reconstruction to simulate the TENB traction, which evaluates the biomechanical performance. Results showed that TENB significantly reduced scores of VAS and NDI in subjects, and this improved effect on symptoms of pain and radiculopathy is better than that of JOBT. TENB also improved the cervical curvature and enlarged intervertebral foramen at the C4\u2013C6 level. Moreover, FE analysis found that simulated TENB traction increased the spacing of intervertebral foramen, intervertebral disc, and zygapophyseal and uncovertebral joints and changed the stress distribution on the facet joints and nucleus pulposus. This study demonstrates that TENB relieves the symptoms of CSR by adjusting structure of cervical vertebra and restoring its biomechanical performance, which may be a promising instrument in the treatment of CSR.<\/jats:p>","DOI":"10.1155\/2021\/8825150","type":"journal-article","created":{"date-parts":[[2021,4,14]],"date-time":"2021-04-14T19:37:51Z","timestamp":1618429071000},"page":"1-10","source":"Crossref","is-referenced-by-count":9,"title":["Effect of a Traction Exercise Neck Brace on Cervical Spondylopathy Radiculopathy: A Clinical Study and Finite Element Analysis"],"prefix":"10.1155","volume":"2021","author":[{"given":"Liang-Xing","family":"Xiao","sequence":"first","affiliation":[{"name":"School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, China"},{"name":"Foshan Yitai Medical Supplies Co., Ltd, Foshan 528200, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang-Shun","family":"Liu","sequence":"additional","affiliation":[{"name":"Foshan Yitai Medical Supplies Co., Ltd, Foshan 528200, China"},{"name":"School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi-Zhen","family":"Zhong","sequence":"additional","affiliation":[{"name":"School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1270-2590","authenticated-orcid":true,"given":"Wen-Hua","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/bsd.0000000000000284"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-016-1644-2"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1056\/nejmcp043887"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2010.10.001"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pny249"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2018.07.054"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pny196"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-029052"},{"key":"9","article-title":"Acupotomy therapy for chronic nonspecific neck pain: a systematic review and meta-analysis","volume":"2017","author":"F. Liu","year":"2017","journal-title":"Evid Based Complement Alternat Med"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2017.6914"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.rvw.m.00108"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199901000-00008"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0000000000002874"},{"key":"14","first-page":"D6408","article-title":"Mechanical traction for neck pain with or without radiculopathy","volume":"3","author":"N. Graham","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-004-0352-7"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1097\/cm9.0000000000000490"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2017.01.005"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.12965\/jer.1734956.478"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200112150-00012"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2004.11.014"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-013-2992-1"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9113389"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4467-7"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.977"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2007.04.016"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0b013e3181a9c304"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1016\/s0894-1130(00)80039-3"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.3171\/2011.2.spine10601"}],"container-title":["Evidence-Based Complementary and Alternative Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ecam\/2021\/8825150.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ecam\/2021\/8825150.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ecam\/2021\/8825150.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,14]],"date-time":"2021-04-14T19:38:00Z","timestamp":1618429080000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/ecam\/2021\/8825150\/"}},"subtitle":[],"editor":[{"given":"Francesca","family":"Mancianti","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,4,13]]},"references-count":28,"alternative-id":["8825150","8825150"],"URL":"https:\/\/doi.org\/10.1155\/2021\/8825150","relation":{},"ISSN":["1741-4288","1741-427X"],"issn-type":[{"value":"1741-4288","type":"electronic"},{"value":"1741-427X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,4,13]]}}}