摘要
目的 评价神经根型颈椎病(CSR)患者采用压力生物反馈介导的颅颈屈曲训练联合颈椎牵引的干预效果。方法选择于2020—2021年在浙江医院康复医学中心就诊的60例CSR患者为研究对象,随机分配至对照组和干预组各30例,均予以颈椎牵引治疗,干预组同时实施压力生物反馈介导的颅颈屈曲训练,连续干预4周。采用视觉模拟量表(VAS)、颈椎功能障碍指数(NDI)和颈部屈曲无痛范围主动活动度(AROM)评价干预效果;采用重复测量资料的方差分析比较两组患者干预前后差异。结果 干预组男性15例,年龄为(49.47±5.33)岁,病程为(5.53±2.89)个月,干预前VAS评分为(4.73±1.39)分;两组患者的性别、年龄、病程和干预前VAS评分比较,差异均无统计学意义(P>0.05)。干预4周后,干预组和对照组的VAS评分(2.13±1.01、2.93±1.11)和NDI评分(12.17±2.12、15.23±2.39)均较干预前(4.73±1.39、4.90±1.21、20.20±3.78、19.60±3.30)降低,颈部屈曲AROM (42.87°±2.99°、41.80°±3.61°)较干预前(37.50°±2.80°、38.07°±2.99°)增大;时间与组间均存在交互作用,干预组的改善效果均优于对照组(FVAS=5.119,P=0.027;FNDI=15.473,P<0.001;FAROM=11.443,P<0.001)。结论 压力生物反馈介导的颅颈屈曲训练联合颈椎牵引可有效缓解CSR患者颈部疼痛,改善AROM,对患者颈椎功能的改善较单纯颈椎牵引更为明显。
Objective To evaluate the effectiveness of craniocervical flexion training using pressure biofeedback combined with cervical traction among patients with cervical spondylotic radiculopathy (CSR).Methods Sixty patients with CSR receiving treatment in Center of Rehabilitation,Zhejiang Hospital from January 2020 to December 2021 were enrolled and randomly assigned into the control and treatment groups,of 30 patients in each group.All patients were given cervical traction,and patients in the treatment group were given additional craniocervical flexion training using pressure biofeedback for successive four weeks.The effectiveness of craniocervical flexion training combined with cervical traction was evaluated using Visual Analogue Scale (VAS),Neck Disability Index (NDI) and the active range of motion(AROM) of cervical flexion,and the neck pain and cervical functions were compared between the two groups before and after treatments using repeated-measures analysis of variance.Results Fifteen men were included in the treatment group,with a mean age of (49.47±5.33) years,mean disease course of (5.53±2.89) months,and mean VAS score of(4.73±1.39) points,and there were no significant differences between the control and treatment groups in terms of gender,age,course of disease or VAS score (P>0.05).The VAS score and NDI were lower 4 weeks post-treatment than pretreatment in both the treatment[VAS score:(2.13±1.01) vs.(4.73±1.39);NDI:(12.17±2.12) vs.(20.20±3.78)]and control groups[VAS score:(2.93±1.11) vs.(4.90±1.21);NDI:(15.23±2.39) vs.(19.60±3.30)],and the AROM of cervical flexion was significantly higher 4 weeks post-treatment than pretreatment in both the treatment[(42.87°±2.99°) vs.(37.50°±2.80°)]and control groups[(41.80°±3.61°) vs.(38.07°±2.99°)];there was an interaction between time and group,and a higher improvement for cervical functions was seen in the treatment group than in the control group (FVAS=5.119,P=0.027;FNDI=15.473,P<0.001;FAROM=11.443,P<0.001).Conclusion Craniocervical flexion training using pressure biofeedback combined with cervical traction may effectively alleviate the neck pain and increase the AROM among patients with CRS,which is more effective to improve patients’cervical functions than cervical traction alone.
作者
刘阳
林坚
李海龙
季一超
胡镕镕
李斐斐
LIU Yang;LIN Jian;LI Hailong;JI Yichao;HU Rongrong;LI Feifei(Center of Rehabilitation,Zhejiang Hospital,Hangzhou,Zhejiang 310013,China;Zhejiang Traditional Chinese Medical University,Hangzhou,Zhejiang 310053,China)
出处
《预防医学》
2023年第2期104-107,共4页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
浙江省中医药科学研究基金项目(2021ZB013)
浙江省中医药科学研究基金项目(2021ZA002)。
关键词
神经根型颈椎病
颅颈屈曲训练
颈椎牵引
cervical spondylotic radiculopathy
craniocervical flexion training
cervical traction
