首页|徒手抗阻练习联合舒筋整复手法治疗颈型颈椎病的效果观察

徒手抗阻练习联合舒筋整复手法治疗颈型颈椎病的效果观察

Observation on the Effect of Freehand Anti-resistance Exercises Combined with Relaxation of Tendons and Rectification in the Treatment of Cervical Spondylosis

扫码查看
目的 探讨徒手抗阻练习结合舒筋整复手法治疗颈型颈椎病的效果.方法 选取2021 年4 月至2023年10 月收治的颈型颈椎病患者98 例,按随机数字表法分为观察组和对照组各49 例.观察组给予徒手抗阻练习联合舒筋整复手法治疗,对照组给予徒手抗阻练习治疗,2 组均治疗 4 周.治疗后比较 2 组临床疗效,治疗前后症状体征评分、颈椎功能障碍指数(NDI)评分、Spitzer生活质量指数(SQOL)评分、颈椎曲度、颈椎病临床评价量表(CASCS)评分、颈椎活动度及椎-基底动脉血流动力学情况.结果 治疗 4 周后,观察组总有效率为 95.92%(47/49)高于对照组的81.63%(40/49),差异有统计学意义(P<0.05);治疗2 周、治疗4 周观察组颈部疼痛、颈部压痛、颈部活动度评分及NDI评分低于对照组,Borden值、CASCS评分高于对照组(P<0.05).治疗2 周、治疗4 周观察组颈部右侧屈、前屈、左旋、左侧屈、右旋、后伸活动度高于对照组(P<0.05).治疗 2 周、治疗 4 周观察组左侧椎动脉、基底动脉、右侧椎动脉平均血流速度高于对照组(P<0.05).治疗4 周观察组SQOL评分高于对照组(P<0.01).结论 徒手抗阻练习联合舒筋整复手法治疗颈型颈椎病可提升患者颈椎活动度,恢复颈椎正常曲度及功能,还能调节血流动力学,减轻临床症状,从而改善生活质量.
Objective To explore the effect of freehand anti-resistance exercises combined with relaxation of tendons and rectification techniques in the treatment of cervical spondylosis.Methods In total,98 patients with cervical spondylosis treated from April 2021 to October 2023 were selected and divided into observation group(n=49)and control group(n=49)according to random number table method.The control group was given freehand resistance exercise,and the observation group was given freehand resistance exercise combined with relaxation of tendons and rectification techniques.Both groups were treated for 4 weeks.After treatment,the clinical effects of the two groups were compared,including symptoms and signs score,neck disability index(NDI)score,Spitzer Quality of Life index(SQOL)score,cervical curvature,Clinical Assess-ment Scale of Cervical spondylosis(CASCS)score,cervical motion and hemodynamics before and after treatment.Results The total effective rate of the observation group was 95.92%(47/49),which was higher than that of the control group[81.63%(40/49)],suggesting significant difference(P<0.05).At 2 weeks and 4 weeks after treatment,the scores of neck pain,neck tenderness and neck motion in observation group were lower than those in control group,while Borden value and CASCS scores were higher than those in control group(P<0.05).At 2 weeks and 4 weeks after treatment,range of mo-tion of the right flexion,forward flexion,left flexion,right flexion and posterior extension of the observation group was higher than that of the control group(P<0.05).The average blood flow velocity of left vertebral artery,basilar artery and right ver-tebral artery in observation group was higher than that in control group at 2 weeks and 4 weeks after treatment(P<0.05).The SQOL score of the observation group was higher than that of the control group at 4 weeks after treatment(P<0.05,P<0.01).Conclusion Freehand anti-resistance exercises combined with relaxation of tendons and rectification techniques in the treatment of cervical spondylosis can improve cervical motion,restore normal curvature and function of cervical spine,ad-just hemodynamics,reduce clinical symptoms,and improve quality of life.

Cervical spondylosisFreehand resistance exerciseRelaxation of tendons and rectification techniquesNeck disability indexCervical spine functionHemodynamicsQuality of life

刘硕、袁雷、范长海

展开 >

063000 河北 唐山,唐山市开滦总医院康复医学科

056000 河北 邯郸,邯郸市中西医结合医院内科

053000 河北 衡水,衡水市中医医院骨科

颈型颈椎病 徒手抗阻练习 舒筋整复手法 颈椎功能障碍指数 颈椎功能 血流动力学 生活质量

2025

临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

影响因子:0.914
ISSN:1002-3429
年,卷(期):2025.38(2)