摘要
目的 探讨八段锦运动干预在颈肩综合征患者中的应用效果.方法 采用随机抽样法选取2022年10月—2023年10月聊城市中医医院收治的100例颈肩综合征患者,依据组间信息均衡可比原则将纳入患者分为对照组与观察组,各50例.对照组予以常规干预,观察组加施八段锦运动干预.比较2组症状体征积分、颈椎功能、颈椎活动度、颈肩部疼痛评分.结果 干预后,观察组症状体征积分为(13.68±1.72)分,高于对照组的(11.35±1.44)分,差异有统计学意义(P<0.05).干预后,观察组颈椎功能障碍指数(neck disability index,NDI)评分为(6.45±1.22)分,低于对照组的(7.90±1.43)分,差异有统计学意义(P<0.05);颈椎病临床评价量表(clinical assessment scale for cervical spondylosis,CASCS)评分为(86.67±5.47)分,高于对照组的(81.83±4.26)分,差异有统计学意义(P<0.05).干预后,观察组前屈、后伸、左旋、右旋4个方向活动度分别为(41.45±5.28)°、(43.15±5.03)°、(73.01±5.33)°、(73.13±5.28)°,大于对照组的(37.79±4.41)°、(40.02±4.36)°、(69.68±4.51)°、(69.75±4.62)°,差异有统计学意义(P<0.05).干预后,观察组颈肩部疼痛视觉模拟量表(visual analogue scale,VAS)评分为(2.33±0.71)分,低于对照组的(3.14±0.83)分,差异有统计学意义(P<0.05).结论 八段锦运动干预对颈肩综合征患者症状体征、颈椎功能、颈椎活动度以及颈肩部疼痛改善等均可产生积极影响.
Abstract
Objective To explore the application effect of Baduanjin exercise intervention in patients with neck shoulder syndrome. Methods A total of 100 patients with neck shoulder syndrome admitted to Liaocheng Traditional Chinese Medicine Hospital from October 2022 to October 2023 were included by random sampling method. According to the principle of balanced and comparable information between groups,the included patients were divided into control group and observation group,with 50 cases in each group. The control group was given routine intervention,and the observation group was given Baduanjin exercise intervention. The symptom and sign scores,cervical function,cervical range of motion,and neck and shoulder pain scores of the two groups were compared. Results After intervention,the symptom and sign scores of the observation group was (13.68±1.72) points,which was higher than (11.35±1.44) points of the control group,the difference was statistically significant (P<0.05). After the intervention,the neck disability index (NDI) score of the observation group was (6.45±1.22) points,which was lower than (7.90±1.43) points of the control group,the difference was statistically significant (P<0.05). The score of clinical assessment scale for cervical spondylosis (CASCS) was (86.67±5.47) points,which was higher than (81.83±4.26) points of the control group,the difference was statistically significant (P<0.05). After the intervention,the motion in the four directions of flexion,extension,left rotation and right rotation in the observation group were (41.45±5.28) °,(43.15±5.03) °,(73.01±5.33) ° and (73.13±5.28) °,respectively,which were higher than (37.79±4.41) °,(40.02±4.36) °,(69.68±4.51) °,(69.75±4.62) ° in the control group,the difference were statistically significant (P<0.05). After intervention,the visual analogue scale (VAS) score of neck and shoulder pain in the observation group was (2.33±0.71) points,which was lower than (3.14±0.83) points in the control group,the difference was statistically significant (P<0.05). Conclusion Baduanjin exercise intervention can have a positive impact on symptoms and signs,cervical function,cervical range of motion,and improvement of neck and shoulder pain in patients with cervical shoulder syndrome.
维普
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