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[1]陳立,張明月,蘭秀芳,等.仰臥拔伸手法結(jié)合頸肌等長(zhǎng)收縮鍛煉治療 頸型頸椎病的臨床研究[J].中醫(yī)正骨,2013,25(10):17-20.
　Chen Li*,Zhang Mingyue,Lan Xiufang,et al.Clinical study on the curative effect of pulling-extending manipulation in supine position combined with isometric contraction exercise of neck muscles in the treatment of cervical spondylosis of cervical type[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(10):17-20.
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仰臥拔伸手法結(jié)合頸肌等長(zhǎng)收縮鍛煉治療 頸型頸椎病的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年10期
頁(yè)碼:
17-20
欄目:
臨床研究
出版日期:
2013-10-30

文章信息/Info

Title:
Clinical study on the curative effect of pulling-extending manipulation in supine position combined with isometric contraction exercise of neck muscles in the treatment of cervical spondylosis of cervical type
作者:
陳立; 張明月; 蘭秀芳; 葉文雄; 蔣靜
中國(guó)人民解放軍南京軍區(qū)海軍杭州療養(yǎng)院,浙江 杭州 310002
Author(s):
Chen Li*; Zhang Mingyue; Lan Xiufang; Ye Wenxiong; Jiang Jing.*
PLA. Naval Hangzhou Sanatorium of Nanjing Military Region,Hangzhou 310002,Zhejiang,China
關(guān)鍵詞:
頸椎病 推拿; 脊柱 頸肌 等長(zhǎng)收縮 治療; 臨床研究性
Keywords:
Cervical spondylosis;  Manipulation; spinal;  Neck muscles;  Isometric contraction;  Therapies; investigational
摘要:
目的:觀察仰臥拔伸手法結(jié)合頸肌等長(zhǎng)收縮鍛煉治療頸型頸椎病的臨床療效。方法:將符合要求的90例頸型頸椎病患者隨機(jī)分為3組,每組30例。Ⅰ組采用仰臥拔伸手法結(jié)合頸肌等長(zhǎng)收縮鍛煉治療,Ⅱ組采用仰臥拔伸手法治療,Ⅲ組采用電腦中頻治療儀結(jié)合頸肌等長(zhǎng)收縮鍛煉治療,共治療20 d。分別采用VAS評(píng)分法、頸椎功能障礙指數(shù)問(wèn)卷調(diào)查表、關(guān)節(jié)活動(dòng)度測(cè)定尺及Borden氏法,從頸部疼痛、頸椎功能障礙、頸椎活動(dòng)范圍及頸椎曲度4個(gè)方面評(píng)價(jià)各組患者的治療效果。結(jié)果:①頸部疼痛。治療前3組患者頸部疼痛VAS評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(F=0.133,P=0.878); 治療后3組患者的頸部疼痛VAS評(píng)分均較治療前下降(t=16.185,P=0.001; t=12.665,P=0.001; t=8.358,P=0.003),Ⅰ組下降程度大于Ⅱ組和Ⅲ組(P=0.001,P=0.001),Ⅱ組下降程度大于Ⅲ組(P=0.034)。②頸椎功能障礙。治療前3組患者的頸椎功能障礙指數(shù)比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(F=1.082,P=0.351); 治療后3組患者頸椎功能障礙指數(shù)均下降(t=7.837,P=0.001; t=6.085,P=0.001; t=2.623,P=0.014),Ⅰ組下降程度大于Ⅱ組和Ⅲ組(P=0.001,P=0.002),Ⅱ組下降程度與Ⅲ組相比差異無(wú)統(tǒng)計(jì)學(xué)意義(P=0.265)。③頸椎活動(dòng)范圍。治療前3組患者在頸椎屈伸、側(cè)彎和旋轉(zhuǎn)活動(dòng)方面比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(F=0.919,P=0.401; F=1.263,P=0.301; F=0.092,P=0.911)。治療后3組患者的頸椎屈伸活動(dòng)度均較治療前增加(t=7.565,P=0.001; t=2.086,P=0.012; t=3.166,P=0.004),Ⅰ組的增加值大于Ⅱ組和Ⅲ組(P=0.001,P=0.001),Ⅱ組的增加值大于Ⅲ組(P=0.043); 治療后Ⅰ組患者頸椎側(cè)彎活動(dòng)度較治療前增加(t=5.298,P=0.001),其余2組患者無(wú)改善(t=0.626,P=0.536; t=0.140,P=0.401); 治療后3組患者頸椎旋轉(zhuǎn)活動(dòng)度較治療前均無(wú)改善(t=1.222,P=0.232; t=1.399,P=0.172; t=0.154,P=0.879)。④頸椎曲度。治療前3組患者頸椎曲度比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(F=1.174,P=0.322); 治療后3組患者頸椎曲度較治療前均無(wú)改善(t=1.811,P=0.081; t=0.670,P=0.508; t=2.147,P=0.060)。結(jié)論:仰臥拔伸手法結(jié)合頸肌等長(zhǎng)收縮鍛煉能有效緩解頸型頸椎病患者的頸部疼痛癥狀,改善頸椎活動(dòng)功能,是治療該病的有效方法。
Abstract:
Objective:To observe the clinical curative effect of pulling-extending manipulation in supine position combined with isometric contraction exercise of neck muscles in the treatment of cervical type cervical spondylosis(CTCS).Methods:Ninety CTCS patients met the requirements were randomly divided into 3 groups,30 cases in each group.Patients in groupⅠwere administrated with pulling-extending manipulation in supine position combined with isometric contraction exercise of neck muscles,patients in groupⅡwere administrated with pulling-extending manipulation in supine position,while the rest in group Ⅲ were administrated with computerized intermediate frequency therapy apparatus combined with isometric contraction exercise of neck muscles,for 20 days.The curative effects were evaluated from the 4 aspects of pain,dysfunction,range of motion(ROM)and curvature of cervical vertebra,using VAS scores,cervical dysfunction index questionnaires,and ROM measurement scale and Borden's method respectively.Results:①Cervical pain:There was no statistical difference in VAS scores of cervical pain among the 3 groups before the treatment(F=0.133,P=0.878).VAS scores of cervical pain decreased in all of the 3 groups after the treatment(t=16.185,P=0.001; t=12.665,P=0.001; t=8.358,P=0.003),and decline degree of groupⅠwas greater than that of groupⅡand group Ⅲ respectively(P=0.001,P=0.001),while decline degree of groupⅡwas greater than that of groupⅢ(P=0.034).②Cervical dysfunction:There was no statistical difference in cervical dysfunction index among the 3 groups before the treatment(F=1.082,P=0.351).The cervical dysfunction indexes of patients in the 3 groups decreased after the treatment(t=7.837,P=0.001; t=6.085,P=0.001; t=2.623,P=0.014),and decline degree of groupⅠwas greater than that of groupⅡand groupⅢrespectively(P=0.001,P=0.002),while there was no statistical difference in decline degree between groupⅡand groupⅢ(P=0.265).③ROM:There was no statistical difference in the ROM of flexion-extention,lateral bending and rotation of cervital vetebrae among the 3 groups before the treatment(F=0.919,P=0.401; F=1.263,P=0.301; F=0.092,P=0.911).After the treatment,the ROM of flexion-extention of cervital vertebrae increased in all of the 3 groups(t=7.565,P=0.001; t=2.086,P=0.012; t=3.166,P=0.004),and the increased value of groupⅠwas greater than that of groupⅡand group Ⅲ respectively(P=0.001,P=0.001),while increased value of groupⅡwas greater than that of group Ⅲ(P=0.043).After the treatment,the ROM of cervical lateral bending of groupⅠincreased compared with that before the treatment(t=5.298,P=0.001),while no improvements were found in the rest 2 groups(t=0.626,P=0.536; t=0.140,P=0.401).After the treatment,no improvements were found in the ROM of cervical rotation in the 3 groups(t=1.222,P=0.232; t=1.399,P=0.172; t=0.154,P=0.879).④Cervical vertebra curvature:There was no statistical difference in cervical vertebra curvature among the 3 groups before the treatment(F=1.174,P=0.322).After the treatment,no improvement were found in cervical vertebra curve for the 3 groups(t=1.811,P=0.081; t=0.670,P=0.508; t=2.147,P=0.060).Conclusion:The therapy of pulling-extending manipulation in supine position combined with isometric contraction exercise of neck muscles can effectively relieve cervical pain and improve cervical ROM,so it is an effective method in the treatment of cervical spondylosis of cervical type.

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備注/Memo

備注/Memo:
2012-06-13收稿 2012-10-19修回
基金項(xiàng)目:中國(guó)人民解放軍總后衛(wèi)生部中醫(yī)藥專(zhuān)項(xiàng)課題(10ZYZ215)
更新日期/Last Update: 2013-10-30