麦肯基诊疗技术对神经根型颈椎病患者疼痛和颈椎活动受限的改善效应  

Ameliorative effect of McKenzie technique on pain and limitation of motion in cervical vertebra in patients with cervicalspondylotic radiculopathy

作　　者：徐晖[1] 王宁华[1] 

机构地区：[1]北京大学第一医院物理医学康复科,北京市100034

出　　处：《中国临床康复》2006年第24期58-59,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:观察麦肯基(Mekenzie)诊疗技术对神经根型颈椎病患者疼痛和颈椎活动度的影响,并与Maitland技术治疗效果相比较。方法:选择北京大学第一医院2003-06/2004-12月门诊收治神经根型颈椎病患者68例,根据医生接诊情况分为2组:麦肯基组,使用麦肯基诊疗技术,1次/d,38例;Maitlandzu组,使用Maitland方法,1次/d,30例,所有患者均治疗6次。治疗前及治疗5次后由专人采用目测类比评分评估患者的疼痛,并计算疼痛评分的差值和疼痛好转率;治疗前及每次治疗后对麦肯基组患者的颈部活动度进行检查。结果:68例进入结果分析。①目测类比评分:两组治疗5次后均较治疗前显著降低(P<0.001)。②麦肯基组目测类比评分治疗前后差值和疼痛好转率显著大于Maitland组6.47±1.79,2.71±2.10;(92±11)%,(42±29)%,P<0.001。③麦肯基组随着治疗次数的增加,颈椎活动度受限情况逐渐好转(P<0.01),治疗2,3,4次后颈椎活动度分别与治疗前比较有统计学意义(P均<0.05).结论:麦肯基诊疗技术和Maitland技术都是十分有效的治疗颈椎病的方法,但麦肯基技术对疼痛的改善比Maitland技术效果明显,且对改善颈部活动受限有效。AIM： To explore the effect of McKenzie technique on the pain and activity of cervical vertebra in patients with cervicalspondylotic radiculopathy, and compare the therapeutic efficacy with Maitland technique. METHODS： The 68 patients with cervicalspondylotic radiculopathy were enrolled from out-patient clinic of First Hospital of Peking University from June 2003 to December 2004. According to the doctors＇ reception, they were assigned into McKenzie group with 38 cases received McKenzie technique, once a day, and Maitlandzu group with 30 cases received Maitland technique, once a day, all the patients were diagnosed for 6 times. Pain of patients was evaluated with Visual Analog Scale （VAS） by special persons before treatment and 5 times after treatment. The difference value of pain and the improvement rate of pain were calculated. Range of motion （ROM） of cervical part was examined in patients of the McKenzie group before treatment and after treatment. RESULTS： A total of 68 patients were involved in the result analysis.① VAS score： It was significantly decreased after 5-time treatment in the two groups than that before treatment （P 〈 0.001 ）. ②The difference value of pain and the improvement rate of VAS in the McKenzie group were larger than that of the Maitland group before and after treatment [6.47±1.79, 2.71±2.10; （92±11 ）%, （42±29）%,P 〈 0.001]. ③Limited range of motion of cervical vertebra was improved gradually with the therapeutic times in the McKenzie group （P 〈 0.01 ）. After treatment for 2, 3 and 4 times, there was statistical significance in ROM of cervical vertebra as compared with that before treatment, respectively （P 〈 0.05）. CONCLUSION： The McKenzie technique and Maitland technique are quite effective method in the treatment of cervical syndrome, but the McKenzie technique can received more evident effect in amelioration of pain as compared with the Maitland technique, and effectively improves the limitation of motion of cervical part.

关 键 词：颈椎 疼痛 康复 活动范围 关节 

分 类 号：R441.1[医药卫生—诊断学]