颈部肌四方抗阻静力功能锻炼和“以头书凰”防治早期CSM疗效对比  

The Efficacy Comparison of Neck Muscle Quartet Resistance Static Functional Exercise and Writing "鳯" with head on the Prevention and Treatment of CSM at Early Stage

作　　者：张家立[1] 王东洋[1] 

机构地区：[1]广西中医药大学第一附属医院

出　　处：《按摩与康复医学》2016年第5期15-17,共3页Chinese Manipulation and Rehabilitation Medicine

基　　金：广西教育厅自然科学基金课题,编号:200911LX240

摘　　要：目的：比较颈部肌四方抗阻功能锻炼和“以头书鳯”对早期脊髓型颈椎病（CSM）的防治效果。方法：将90例早期脊髓型颈椎病患者随机分为A、B、C组各30例。A组采用四方抗阻静力功能锻炼配合健康宣教，B组采用“以头书凰”配合健康宣教，C组则单纯给予健康宣教，观察三组临床疗效。结果：A组JOA改善率及优良率均显著优于B组、c组（P〈0．05）：B组、C组JOA改善率及优良率差异均无统计学意义（P〉0．05）。结论：颈部肌四方抗阻静力功能锻炼配合健康宣教对防治早期脊髓型颈椎病有良好效果，既简便有效，又节约费用，值得临床推广应用。Objective： To compare the prevention and treatment effect of neck muscle quartet resistance static functional exercise and writing ＂鳯＂ with head for the cervical spondylotic myelopathy （CSM） at early stage. Methods： 90 cases of patients with early cervical spondylotic myelopathy were randomly divided into group A （30 cases）, group B （30 cases） and group C （30 cases）, the group A treated by neck muscle quartet resistance static functional exercise combined with health education, group B by writing ＂鳯＂ with head combined with health education, group C by single health education, observed the efficacy of three groups. Results： The JOA improvement rate and excellent rate of group A were both higher than those of group B and group C （P〈0.05）; the JOA improvement rate and excellent rate had no statistical differences between group B and group C （P〉0.05）. Conclusion： Neck muscle quartet resistance static functional exercise combined with health education has a significant curative effect on the prevention and treatment of cervical spondylotic myelopathy at early stage, which is not only convenient and effective, but also can reduce expenses, deserves clinical promotion and application.

关 键 词：脊髓型颈椎病 抗阻静力功能锻炼 颈肌 以头书鳯 健康宣教 JOA评分 疗效 

分 类 号：R681.55[医药卫生—骨科学]