颈椎病患者康复疗效评价研究  

Rehabilitation evaluation study on the patients with cervical spondylopathy

作　　者：姜淑云[1] 严隽陶[1] 房敏[1,3] 左亚忠[2] 龚利[1] 孙武权[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海市200437 [2]上海交通大学医学院附属第一人民医院

出　　处：《中国康复医学杂志》2009年第5期433-435,共3页Chinese Journal of Rehabilitation Medicine

基　　金：国家自然科学基金(30472247);国家科技部973计划(2007CB512701);上海市科委(024119022)

摘　　要：目的:通过研究正常人、颈椎病患者的疼痛程度、颈部功能和颈伸肌群力学指标在颈椎病康复过程中的变化情况,探讨颈椎病发生和康复的关键因素。方法:将63例颈椎病患者随机分为推拿组和牵引组,30例正常人对照组,观察疼痛评分、颈部功能评分,以及颈伸肌群峰力矩的变化情况。结果:颈椎病患者与正常组相比,疼痛程度明显升高(P<0.001),颈部残障指数明显减低(P<0.001),肌肉做功能力明显减低(P<0.001)。推拿手法与牵引治疗后,颈椎病患者的疼痛程度明显减低(P<0.001),颈部残障指数得到显著改善(P<0.001),肌力得到显著改善(P<0.05)。结论:颈椎周围肌群,尤其是颈伸肌肌力变化是颈椎病发生和发展的重要因素,作用于颈伸肌群的非手术疗法是颈椎病康复的有效手段。Objective：To investigate the role of cervical muscles in cervical spondylopathy according to the changes of neck pain,neck function and strength of cervical extension muscles between cervical spondylopathy patients and normal people,and to explore the key factors about occurrence and rehabilitation of cervical spondylopathy.Method： Randomized, comparative clinical trial was performed. Sixty-three cervical spondylopathy patients were divided into two groups randomly, one group were treated with Chinese traditional manipulation, the other group were managed with traction, 30 normal people as control group. The differences of neck pain, neck disability index （NDI） and strength of cervical extension muscles between patients and normal people were investigated. Result： （1）Compared with normal subjects,the patients with cervical spondylopathy have significantly higher pain index（P〈0.001）, lower neck function（P〈0.001 ） and weaker muscles strength（P〈0.001）. （2）After Chinese traditional manipulation and traction, pain index （P〈0.001）, NDI （P〈0.001） and peak torque of cervical extension muscles（P〈0.05） improved significantly. Conclusion： The characteristics of cervical extension muscles contributed to the prevalence of cervical spondylopathy. Non-operative therapy on cervical extension muscles is effective treatment for rehabilitation of cervical spondylopathy.

关 键 词：颈椎病 颈伸肌 推拿 生物力学 康复评定 

分 类 号：R681.55[医药卫生—骨科学] R49[医药卫生—外科学]