84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]裴帥,俞鵬飛,沈曉峰,等.頸椎后伸位扳法干預(yù)下頸椎生理曲度與頸椎矢狀位參數(shù)變化的相關(guān)性分析[J].中醫(yī)正骨,2021,33(11):36-40.
　PEI Shuai,YU Pengfei,SHEN Xiaofeng,et al.An analysis of the correlation between cervical physiological curvature and cervical sagittal parameters variation under the intervention of cervical pulling manipulation in backward-extension position[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(11):36-40.
點擊復(fù)制

頸椎后伸位扳法干預(yù)下頸椎生理曲度與頸椎矢狀位參數(shù)變化的相關(guān)性分析()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年11期
頁碼:
36-40
欄目:
臨床研究
出版日期:
2021-11-20

文章信息/Info

Title:
An analysis of the correlation between cervical physiological curvature and cervical sagittal parameters variation under the intervention of cervical pulling manipulation in backward-extension position
作者:
裴帥; 俞鵬飛; 沈曉峰; 姜宏; 李宇衛(wèi)
(南京中醫(yī)藥大學(xué)附屬蘇州市中醫(yī)醫(yī)院,江蘇 蘇州 215009)
Author(s):
PEI Shuai; YU Pengfei; SHEN Xiaofeng; JIANG Hong; LI Yuwei
Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Suzhou 215009,Jiangsu,China
關(guān)鍵詞:
頸椎病;  推拿; 脊柱;  頸椎曲度
Keywords:
cervical spondylosis;  manipulation; spinal;  cervical curvature
摘要:
目的:探討頸椎后伸位扳法干預(yù)下頸椎生理曲度與頸椎矢狀位參數(shù)變化的相關(guān)性。方法:以2018年7月至2020年8月收治的頸型頸椎病患者為研究對象。所有患者均采用頸椎后伸位扳法治療,治療前后在頸椎側(cè)位X線片上測量C2～C7Cobb角、C2～C7矢狀面垂直軸(sagittal vertical axis,SVA)、T1傾斜角(T1 slope,T1S)、弧弦距,并比較這些參數(shù)治療前后的變化,同時分析其與頸椎生理曲度的相關(guān)性。結(jié)果:研究共納入12例患者,男3例、女9例; 年齡18～47歲,中位數(shù)31.5歲。治療后,8例患者的頸椎由S型變?yōu)榍巴剐?4例患者的頸椎由后凸型變?yōu)榍巴剐汀Ｖ委熀驝2～C7Cobb角、T1S、弧弦距均大于治療前[(2.0°±15.0°),(21.5°±4.2°),Z=-3.061,P=0.002;(10.5°±8.0°),(19.0°±14.6°),Z=-3.064,P=0.002;(-2.2±8.5)mm,(8.9±2.2)mm,Z=-3.059,P=0.002]; 治療前后C2～C7SVA比較,差異無統(tǒng)計學(xué)意義[(21.7±10.6)mm,(17.2±10.4)mm,Z=-1.336,P=0.182]。C2～C7Cobb角、T1S、弧弦距與頸椎生理曲度均呈正相關(guān)(r=0.820,P=0.000; r=0.719,P=0.000; r=0.855,P=0.000),C2～C7SVA與頸椎生理曲度無相關(guān)性(P=0.282)。結(jié)論:在頸椎后伸位扳法干預(yù)下,頸型頸椎病患者的C2～C7Cobb角、T1S、弧弦距均可恢復(fù); C2～C7Cobb角、T1S、弧弦距與頸椎生理曲度均呈正相關(guān),可作為評估頸椎生理曲度是否恢復(fù)的有效參數(shù)。
Abstract:
Objective:To explore the correlation between cervical physiological curvature and cervical sagittal parameters variation under the intervention of cervical pulling manipulation in backward-extension position.Methods:The patients with neck-type cervical spondylopathy recruited from July 2018 to August 2020 were selected as the subjects.All patients were treated with cervical pulling manipulation in backward-extension position.The C2-C7 Cobb angle,C2-C7 sagittal vertical axis(SVA),T1 slope(T1S)and arc-chord distance(ACD)were measured on cervical lateral X-ray films before and after the treatment,and the variations of these parameters were compared between pre-treatment and post-treatment,followed by analysis on the correlation between the parameters and cervical physiological curvature.Results:Twelve patients(3 males and 9 females)between the ages of 18 and 47(Median=31.5 yrs)were included in the study.After the treatment,the cervical vertebrae changed from S-shaped curvature to lordosis in 8 patients and from kyphosis to lordosis in 4 patients.The C2-C7 Cobb angle,T1S and ACD were greater after the treatment compared to pre-treatment(2.0±15.0 vs 21.5±4.2 degrees,Z=-3.061,P=0.002; 10.5±8.0 vs 19.0±14.6 degrees,Z=-3.064,P=0.002; -2.2±8.5 vs 8.9±2.2 mm,Z=-3.059,P=0.002).There was no statistical difference in C2-C7 SVA between pre-treatment and post-treatment(21.7±10.6 vs 17.2±10.4 mm,Z=-1.336,P=0.182).The results of correlation analysis showed that C2-C7 Cobb angle,T1S and ACD were positively correlated with cervical physiological curvature(r=0.820,P=0.000; r=0.719,P=0.000; r=0.855,P=0.000),while there was no correlation between C2-C7 SVA and cervical physiological curvature(P=0.282).Conclusion:The C2-C7 Cobb angle,T1S and ACD can be recovered with the intervention of cervical pulling manipulation in backward-extension position in patients with neck-type cervical spondylopathy,and they are positively correlated with cervical physiological curvature,so they can be considered as the effective parameters for evaluating whether the cervical physiological curvature is recovered.

參考文獻(xiàn)/References:

[1] 葛寶豐,胥少汀,徐印坎.實用骨科學(xué)[M].北京:人民軍醫(yī)出版社,1999:462-465.
[2] 葉國棟,王艷國.頸椎曲度異常與頸椎病的相關(guān)性[J].頸腰痛雜志,2014,35(2):154-156.
[3] MIYAZAKI M,HYMANSON H J,MORSHITA Y,et al.Kinematic analysis of the relationship between sagittal alignment and discdegeneration in the cervical spine[J].Spine,2008,33(23):E870-E876.
[4] KELLER T S,COLLOCA C J,HARRISON D E,et al.Influence of spine morphology on intervertebral disc loads and stresses in asymptomatic adults:implications for the ideal spine[J].Spine J,2005,5(3):297-309.
[5] HARRISON D E,COLLOCAC J,HARRISON D D,et al.Anterior thoracic posture increases thoracolumbar disc loading[J].Eur Spine J,2005,14(3):234-242.
[6] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標(biāo)準(zhǔn)[M].南京:南京大學(xué)出版社,1994:186.
[7] 楊子明,李放,陳華江.頸椎病的分型、診斷及非手術(shù)治療專家共識(2018)[J].中華外科雜志,2018,56(6):401-402.
[8] OHARA A,MIYAMOTO K,NAGANWA T,et al.Reliabilities of and correlations among fifive standard methods of assessing the sagittal alignment of the cervical spine[J].Spine,2006,31(22):2585-2591.
[9] YU M,ZHAO W K,LI M,et al.Analysis of cervical and global spine alignment under roussouly sagittal classification in Chinese cervical spondyloticpatientsand asymptomatic subjects[J].Eur Spine J,2015,24(6):1265-1273.
[10] 裴帥,姜宏,劉錦濤,等.頸椎曲度與頸椎病嚴(yán)重程度相關(guān)性的研究進(jìn)展[J].中醫(yī)正骨,2020,32(3):35-38.
[11] LING F P,CHEVILLOTTE T,LEGLISE A,et al.Which parameters are relevant in sagittal balance analysis of the cervical spine.A literature review[J].Eur Spine J,2018,27(Suppl 1):8-15.
[12] MIZUTANI J,VERMA K,ENDO K,et al.Global spinal alignment in cervical kyphotic deformity:the importance of head position and thoracolumbar alignment in the compensatory mechanism[J].Neurosurgery,2018,82(5):686-694.
[13] MIZUTANI J,STROM R,ABUMI K,et al.How cervical reconstruction surgery affects global spinal alignment[J].Neurosurgery,2019,84(4):898-907.
[14] LEE S H,SON E S,SEO E M,et al.Factors determining cervical spine sagittal balance in asymptomatic adults:correlation with spinopelvic balance and thoracic inlet alignment[J].Spine J,2015,15(4):705-712.
[15] PROTOPSALTIS T S,RAMCHANDRAN S,TISHELMAN J S,et al.The importance of C2 slope,a singular marker of cervical deformity,correlates with patient-reported outcomes[J].Spine(Phila Pa 1976),2019,45(3):184-192.
[16] JANUSZ P,TYRAKOWSKI M,KOTWICKI T,et al.Cervical sagittal alignment in scheuermann disease[J].Spine(Phila Pa 1976),2015,40(23):1226-1232.
[17] LEE J H,PARKY K,KIM J H.Chronic neck pain in young adults:perspectives on anatomic difference[J].Spine J,2014,14(11):2628-2638.
[18] IYER S,NEMANI V M,NGUYEN J,et al.Impact of cervical sagittal alignment parameters on neck disability[J].Spine(Phila Pa 1976),2016,41(5):371-377.
[19] HEY H W D,LAU E T,WONG G C,et al.Cervical alignment variations in different postures and predictors of normal cervical kyphosis:a new understanding[J].Spine(Phila Pa 1976),2017,42(21):1614-1621.
[20] KIM S W,KIM T H,BOK D H,et al.Analysis of cervical spine alignment in currently asymptomatic individuals:pre-valence of kyphotic posture and its relationship with other spinopelvic parameters[J].Spine J,2018,18(5):797-810.
[21] JALAI C M,PASSIAS P G,LAFAGE V,et al.A comparative analysis of the prevalece and characteristics of cervical malalignment in adults presenting with thoracolumbar spine deformity based on variations in treatment approach over 2 years[J].Eur Spine J,2016,25(8):2423-2432.
[22] KHALIL N,BIZDIKIAN A J,BAKOUNY Z,et al.Cervical and postural strategies for maintaining horizontal gaze in asymptomatic adults[J].Eur Spine J,2018,27(11):2700-2709.

相似文獻(xiàn)/References:

[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.
　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.
[2]徐幫杰,楊楠,白偉杰,等.坐位定點旋轉(zhuǎn)整復(fù)法治療腰椎間盤突出癥的療效觀察[J].中醫(yī)正骨,2015,27(11):17.
　XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):17.
[3]韋英成,董彤,吳肖梅,等.推拿手法治療神經(jīng)根型頸椎病的研究進(jìn)展[J].中醫(yī)正骨,2015,27(10):65.
[4]張莉,秦丹霞,張細(xì)姣.Orem自理理論在前路手術(shù)治療脊髓型頸椎病 圍手術(shù)期護(hù)理中的應(yīng)用[J].中醫(yī)正骨,2015,27(09):75.
[5]邸保林,董國順,林紅猛.俯臥斜扳法治療神經(jīng)根型頸椎病[J].中醫(yī)正骨,2015,27(07):70.
[6]白玉,王愛國.郭春園教授治療頸椎病的學(xué)術(shù)思想探究[J].中醫(yī)正骨,2015,27(02):64.
[7]郝慶英,劉楚吟,付嬋娟,等.Hybrid手術(shù)治療脊髓型頸椎病的護(hù)理[J].中醫(yī)正骨,2015,27(02):78.
[8]王翔,詹紅生,張明才,等.石氏手法治療神經(jīng)根型頸椎病的療效觀察[J].中醫(yī)正骨,2015,27(04):12.
　WANG Xiang,ZHAN Hongsheng,ZHANG Mingcai,et al.Observation on the curative effect of Shi's manipulation in the treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):12.
[9]史俊德,梁舒涵,海淵.毛書歌教授治療寰樞關(guān)節(jié)錯縫的經(jīng)驗[J].中醫(yī)正骨,2015,27(04):76.
[10]王樹強,楊振國,劉文斌,等.董建文教授治療神經(jīng)根型頸椎病的經(jīng)驗[J].中醫(yī)正骨,2015,27(01):69.
[11]江建春.神經(jīng)根型頸椎病的中醫(yī)藥治療研究概況[J].中醫(yī)正骨,2015,27(11):71.
[12]徐創(chuàng)龍,唐春蘭,劉紅平,等.臥位調(diào)衡手法聯(lián)合頸部五禽操治療神經(jīng)根型頸椎病的臨床研究[J].中醫(yī)正骨,2017,29(06):20.
　XU Chuanglong,TANG Chunlan,LIU Hongping,et al.A clinical study of regulating balance manipulation in clinostatism combined with cervical five mimic-animal boxing for treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(11):20.
[13]李義凱.手法治療頸椎病的若干問題[J].中醫(yī)正骨,2018,30(03):4.
[14]李正祥,李秀彬,吳松.脊柱微調(diào)手法聯(lián)合遠(yuǎn)近配穴針刺治療神經(jīng)根型頸椎病的臨床研究[J].中醫(yī)正骨,2020,32(08):1.
　LI Zhengxiang,LI Xiubin,WU Song.A clinical study of spinal fine-tuning manipulation combined with acupuncture at distal and proximal acupoints for treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(11):1.

備注/Memo

備注/Memo:
基金項目:蘇州市姑蘇衛(wèi)生人才計劃項目(〔2020〕126)
通訊作者:俞鵬飛 E-mail:[email protected]
更新日期/Last Update: 1900-01-01