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[1]孫獻(xiàn)武,于香蘭,邵海燕,等.應(yīng)用三維動靜態(tài)平衡康復(fù)模式治療 非脊髓型頸椎病的臨床研究[J].中醫(yī)正骨,2015,27(11):8-12.
　SUN Xianwu,YU Xianglan,SHAO Haiyan,et al.Clinical study on three-dimensional dynamic and static equilibrium rehabilitation modality in the treatment of non-myelopathy type cervical spondylosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):8-12.
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應(yīng)用三維動靜態(tài)平衡康復(fù)模式治療 非脊髓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27卷
期數(shù):
2015年11期
頁碼:
8-12
欄目:
臨床研究
出版日期:
2015-11-30

文章信息/Info

Title:
Clinical study on three-dimensional dynamic and static equilibrium rehabilitation modality in the treatment of non-myelopathy type cervical spondylosis
作者:
孫獻(xiàn)武1; 于香蘭1; 邵海燕1; 孫大為1; 王俊濤2; 于金秀1; 張洪翠1
1.山東省文登整骨醫(yī)院,山東 文登 264400;
2.山東省威海市文登區(qū)人民醫(yī)院,山東 威海 264400
Author(s):
SUN Xianwu1; YU Xianglan1; SHAO Haiyan1; SUN Dawei1; WANG Juntao2; YU Jinxiu1; ZHANG Hongcui1
1.The Wendeng Osteopath Hospital,Wendeng 264400,Shandong,China
2.The People's Hospital of Wendeng district in Weihai City,Weihai 264400,Shandong,China
關(guān)鍵詞:
頸椎病;  牽引術(shù);  抗阻訓(xùn)練;  三維動靜態(tài)平衡;  治療; 臨床研究性
Keywords:
cervical spondylosis;  traction;  resistance training;  three-dimensional dynamic and static equilibrium;  therapies; investigational
摘要:
目的:觀察應(yīng)用三維動靜態(tài)平衡康復(fù)模式治療非脊髓型頸椎病的臨床療效。方法:將符合要求的98例非脊髓型頸椎病患者隨機(jī)分為三維康復(fù)組和傳統(tǒng)治療組,每組49例。三維康復(fù)組采用三維頸椎康復(fù)墊結(jié)合三維頸肌抗阻靜力鍛煉治療,傳統(tǒng)治療組采用枕頜帶牽引、藥物治療和頸肩鍛煉治療,共治療3周。比較2組患者的頸部疼痛視覺模擬評分(visual analogue scale,VAS)、頸部功能殘障指數(shù)(neck disability index,NDI)、頸椎前緣序列線弧弦距及臨床療效。結(jié)果:治療前2組患者的頸部疼痛VAS評分、NDI及頸椎前緣序列線弧弦距比較,組間差異均無統(tǒng)計學(xué)意義[(5.16±1.21)分,(5.21±1.17)分,t=0.168,P=0.829;(28.63±5.07),(28.56±5.11),t=0.131,P=0.896;(7.15±5.68)mm,(7.08±5.77)mm,t=0.156,P=0.863]; 治療3周后三維康復(fù)組的頸部疼痛VAS評分和NDI低于傳統(tǒng)治療組,頸椎前緣序列線弧弦距大于傳統(tǒng)治療組[(2.53±1.05)分,(3.79±1.71)分,t=1.680,P=0.012;(17.21±4.75),(24.15±5.82),t=1.132,P=0.023;(9.83±5.98)mm,(7.69±6.03)mm,t=-3.265,P=0.002]。治療3周后三維康復(fù)組的頸部疼痛VAS評分和NDI均較治療前降低,頸椎前緣序列線弧弦距較治療前增加(t=2.946,P=0.004; t=2.685,P=0.013; t=-3.496,P=0.001); 傳統(tǒng)治療組的VAS評分、NDI及頸椎前緣序列線弧弦距與治療前相比,差異均無統(tǒng)計學(xué)意義(t=0.489,P=0.617; t=0.632,P=0.582; t=0.182,P=0.632)。治療3周后,三維康復(fù)組治愈39例、有效8例、無效2例,傳統(tǒng)治療組治愈18例、有效20例、無效11例,三維康復(fù)組的臨床療效優(yōu)于傳統(tǒng)治療組(R^-三維康復(fù)組=38.51,R^-傳統(tǒng)治療組=60.49,Z=-4.339,P=0.000)。結(jié)論:應(yīng)用三維動靜態(tài)平衡康復(fù)模式可有效減輕非脊髓型頸椎病患者的疼痛癥狀,促進(jìn)頸椎生理曲度和功能恢復(fù),值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the clinical curative effects of three-dimensional dynamic and static equilibrium rehabilitation modality in the treatment of non-myelopathy type cervical spondylosis.Methods:Ninety-eight patients with non-myelopathy type cervical spondylosis enrolled in the study were randomly divided into three-dimensional rehabilitation group and traditional therapy group,49 cases in each group.The patients in three-dimensional rehabilitation group were treated with three-dimensional cervical vertebra rehabilitation cushion combined with three-dimensional neck muscle resistance isometric exercises,while the others in traditional therapy group were treated with jaw-occiput traction combined with drug therapy and neck-shoulder functional exercises.After 3-week treatment,the neck pain visual analogue scale(VAS)scores,neck disability index(NDI),horizontal distance between C2 and C7 plumb lines and clinical curative effects were compared between the 2 groups.Results:There was no statistical difference in neck pain VAS scores,NDI and horizontal distance between C2 and C7 plumb lines between the 2 groups before the treatment(5.16+/-1.21 vs 5.21+/-1.17 points,t=0.168,P=0.829; 28.63+/-5.07 vs 28.56+/-5.11,t=0.131,P=0.896; 7.15+/-5.68 vs 7.08+/-5.77 mm,t=0.156,P=0.863).The neck pain VAS scores and NDI were lower and the horizontal distance between C2 and C7 plumb lines was greater in the three-dimensional rehabilitation group compared to the traditional therapy group after 3-week treatment(2.53+/-1.05 vs 3.79+/-1.71 points,t=1.680,P=0.012; 17.21+/-4.75 vs 24.15+/-5.82,t=1.132,P=0.023; 9.83+/-5.98 vs 7.69+/-6.03 mm,t=-3.265,P=0.002).The neck pain VAS scores and NDI decreased while the horizontal distance between C2 and C7 plumb lines increased after 3-week treatment in three-dimensional rehabilitation group(t=2.946,P=0.004; t=2.685,P=0.013; t=-3.496,P=0.001).However,no statistical difference was found between pretreatment and post-treatment in above parameters in traditional therapy group(t=0.489,P=0.617; t=0.632,P=0.582; t=0.182,P=0.632).After 3-week treatment,39 patients were cured,8 fair and 2 poor in the three-dimensional rehabilitation group; while 18 patients were cured,20 fair and 11 poor in traditional therapy group.The three-dimensional rehabilitation group surpassed the traditional therapy group in the clinical curative effect(R^-three-dimensional rehabilitation group=38.51,R^-traditional therapy group=60.49,Z=-4.339,P=0.000).Conclusion:The three-dimensional dynamic and static equilibrium rehabilitation modality can effectively relieve the neck pain and improve the cervical curve and promote the cervical function recovery in patients with non-myelopathy type cervical spondylosis,so it is worthy of popularizing in clinic.

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備注/Memo

備注/Memo:
2015-07-30收稿 2015-09-02修回
基金項目:山東省威海市科技發(fā)展計劃項目(2014GNS044)
通訊作者:于香蘭 E-mail:[email protected]
更新日期/Last Update: 2015-11-30