不同姿势颈部抗阻训练对慢性非特异性颈痛的干预研究
The intervention of neck resistance training in different postures for chronic nonspecific neck pain
罗予 1范永召 2马天 3王梁 4吴昊2
作者信息
- 1. 首都体育学院运动科学与健康学院,北京市,100191;赣南医学院康复学院
- 2. 首都体育学院运动科学与健康学院,北京市,100191
- 3. 雅安市第四人民医院康复医学科
- 4. 赣南医学院康复学院
- 折叠
摘要
目的:比较不同姿势颈部抗阻训练对慢性非特异性颈痛(chronic non-specific neck pain,CNSNP)的干预效果,为CNSNP探寻一种更高效的运动疗法.方法:51例CNSNP患者(年龄41.0±5.0岁)随机分为3组:俯卧姿颈部抗阻训练组(A组,n=17)、坐姿颈部抗阻训练组(B组,n=17)和俯卧姿对照组(C组,n=17).测试指标包括视觉模拟评分(visual analog score,VAS)、颈椎功能障碍指数(neck disability index,NDI)、颅颈角(craniocervical angle,CVA)、颈椎活动度(range of motion,ROM)和均方根振幅(root mean square,RMS).所有指标均在干预前和干预4周后进行测量.结果:A组的干预效果优于B组和C组.A组的颈部疼痛评分(VAS)、颈椎功能障碍指数(NDI)、颅颈角(CVA)、颈椎屈曲活动度(ROM)、颈椎伸展活动度(ROM)、RMS(斜方肌上束,屈曲;胸锁乳突肌,静息;胸锁乳突肌,伸展)较B组和C组均存在显著性差异(P＜0.05).A组的RMS(斜方肌上束,静息)较B组无显著性差异(P＞0.05)、较C组存在显著性差异(P＜0.05).结论:俯卧姿颈部抗阻训练能更有效地降低颈部肌肉的VAS和RMS,增加颈部ROM和CVA.
Abstract
Objective:To compare the intervention effects of neck resistance training in different postures on chronic non-specific neck pain(CNSNP)and explore a more efficient exercise therapy for CNSNP.Method:Fifty-one CNSNP patients(age 41.0±5.0 years)were randomly divided into three groups:prone neck resistance training group(group A,n=17),sitting neck resistance training group(group B,n=17)and prone control group(group C,n=17).The test measures included visual analog score(VAS),Neck Disability Index(NDI),craniocervical Angle(CVA),cervical range of motion(ROM),and Root Mean Square(RMS)of neck muscles.All measures were measured before intervention and 4 weeks after intervention.Result:The intervention effect of group A was better than that of group B and group C.Neck pain score(VAS),Neck Disability Index(NDI),craniocervical Angle(CVA),cervical flexion range of motion(ROM),cervical extension range of motion(ROM),RMS(superior tract of the trapezius muscle,flexion;Sternocleido-mastoid muscle,resting;Stemocleidomastoid muscle,extension)were significantly different from those in groups B and C(P＜0.05).There was no significant difference in RMS(upper tract of the trapezius muscle,resting)between Group A and Group B(P＞0.05),but there was a significant difference from Group C(P＜0.05).Conclusion:Neck resistance training in the prone position can more effectively reduce the VAS and RMS of neck muscles and increase the ROM and CVA of neck muscles.
关键词
慢性非特异性颈痛/抗阻训练/运动疗法Key words
chronic non-specific neck pain/resistance training/exercise therapy引用本文复制引用
基金项目
国家重点研发计划(2018YFF0300603)
出版年
2024
NETL
NSTL
万方数据