首页|小角度旋牵推顶正骨手法治疗青少年颈椎生理曲度异常的临床效果

小角度旋牵推顶正骨手法治疗青少年颈椎生理曲度异常的临床效果

扫码查看
目的 观察小角度旋牵推顶正骨手法治疗青少年颈椎生理曲度异常在临床中的效果.方法 选取 2022 年9月至 2023年 6月于河北省中医院就诊的青少年颈椎生理曲度异常患者 81例作为研究对象,按照随机数字表法将其分为治疗组与对照组,治疗组 41 例,对照组 40 例.对照组单纯进行功能锻炼,治疗组在对照组的基础上采用小角度旋牵推顶正骨手法结合功能锻炼的方法进行治疗,两组疗程均为 4 周.治疗前后分别测量两组颈椎曲度弧弦距、视觉模拟评分法(VAS)评分、颈椎功能障碍指数(NDI)并进行统计分析,比较两组中医疗效.结果 研究过程中治疗组脱落 1例.治疗后,两组颈椎曲度弧弦距高于治疗前,且治疗组高于对照组,差异有统计学意义(P<0.05).治疗后,两组VAS评分、NDI均低于治疗前,且治疗组低于对照组,差异有统计学意义(P<0.05).治疗组中医病证疗效优于对照组,差异有统计学意义(P<0.05).结论 小角度旋牵推顶正骨手法治疗青少年颈椎生理曲度异常效果较为明显,能够缓解青少年患者颈椎生理曲度异常的情况.
Clinical effect of small angle rotation traction pushing bone setting mani-pulation in the treatment of teenagers with abnormal cervical physiologi-cal curvature
Objective To observe the clinical effect of small angle rotation traction pushing bone setting manipulation in the treatment of teenagers with abnormal cervical physiological curvature.Methods A total of 81 teenagers patients with abnormal cervical curvature in Hebei Provincial Hospital of Traditional Chinese Medicine from September 2022 to June 2023 were selected as the research objects.According to the random number table method,they were divided into the treatment group and the control group,with 41 cases in the treatment group and 40 cases in the control group.The control group was only treated with functional exercise,and the treatment group was treated with small angle rotation traction pushing bone setting manipulation combined with functional exercise based on the control group.The course of treatment was four weeks in both groups.Before and after treatment,the arc-chord distance of cervical curvature,visual analogue scale(VAS)score,and neck disability index(NDI)were measured and statistically analyzed in the two groups,and the therapeutic effect of traditional Chinese medicine was compared between the two groups.Results During the study,one case dropped out of the treatment group.After treatment,the arc-chord distance of cervical curvature in the two groups were higher than those before treatment,and those of treatment group were higher than those of control group,the differences were statistically significant(P<0.05).After treatment,VAS score and NDI of the two groups were lower than those before treatment,and those of the treatment group were lower than those of the control group,and the differences were statistically significant(P<0.05).The traditional Chinese medicine syndrome effect of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of small angle rotation traction pushing bone setting manipulation in the treatment of abnormal cervical physiological curvature in teenagers is obvious,which can alleviate the abnormal cervical physiological curvature in teenagers.

Small angle rotation traction pushing bone setting manipulationFunctional exerciseTeenagersAbnormal cervical physiological curvatureClinical research

高阳、张微、杜双庆、刘路、焦永伟、顾川川、左广

展开 >

河北省中医院健康管理部,河北石家庄 050011

河北省中医院骨伤三科,河北石家庄 050011

河北中医药大学针灸推拿学院,河北石家庄 050011

小角度旋牵推顶正骨手法 功能锻炼 青少年 颈椎生理曲度异常 临床研究

河北省中医药管理局科研计划项目

2023053

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(3)
  • 28