颈部肌群等长抗阻训练配合针刺及牵引疗法治疗颈型颈椎病的临床研究  

Clinical study on the effect of isometric resistance training combined with acupuncture plus traction on cervical spondylosis

作　　者：郑旭[1] 邱玲[1] 张敏[1] 张吉[1] 李川雄 李媛[2] 何流[1] 曾帅[1] 刘波[1] 罗丹[1] 

机构地区：[1]成都市第一人民医院,成都610041 [2]成都中医药大学针灸推拿学院,成都610041

出　　处：《中国康复》2017年第1期17-19,共3页Chinese Journal of Rehabilitation

基　　金：成都市卫生局科学研究基金;局重大联合攻关科技项目课题(1015)

摘　　要：目的:探讨颈部肌群等长抗阻训练配合针刺加牵引疗法治疗颈型颈椎病生理曲度异常的临床疗效。方法:将符合纳入标准的84例颈型颈椎病患者按照随机化原则平均分为2组,2组均给予针刺、牵引治疗,观察组另外给予颈部肌群等长抗阻训练。结果:治疗10次、20次后,2组症状体征积分、VAS、NDI评分均较治疗前明显降低(P<0.01),观察组治疗10次、20次后状体征积分、NDI评分更低于对照组(P<0.05,0.01),治疗10次后,2组VAS评分差异无统计学意义,治疗20次后,观察组VAS评分更低于对照组(P<0.05)。2组颈椎生理曲度测量值较治疗前均明显增加(P<0.05),观察组更大于对照组(P<0.05)。2组临床疗效比较,观察组临床愈显率明显优于对照组(P<0.05)。结论:颈部肌群等长抗阻训练有利于颈椎生理曲度异常的恢复或纠正。Objective：To investigate the clinical efficacy of neck muscle isometric resistance training with acupuncture plus traction therapy in the treatment of the neck type of cervical spondylosis with abnormal physiological curvature.Methods：All 84 cases of cervical spondylosis chosen by the inclusion criteria were randomly divided into two groups.The test group was given the neck muscle isometric resistance training with acupuncture plus traction,and the control group was subjected to the therapy of the acupuncture plus traction.Results：After treating for 10 and 20times,the scores of cervical spondylosis symptoms,VAS and NDI were significantly reduced in both two group as compared with those before treatment（P〈0.01）,more significant in the test group than in the control group（P〈0.05）in scores of symptoms and NDI after treating for 10 times.The VAS scores in the test group were lower than in the control group after treating for 20 times.The measurements of cervical physiological curve in both two groups were significantly increased as compared with those before treatment（P〈0.05）,more significantly in the test group（P〈0.05）.The clinical efficacy in the test group was obviously better than in the control group（P〈0.05）.Conclusions：Two kinds of therapy in the treatment of neck type of cervical spondylosis were effective,but the neck muscle isometric resistance training with acupuncture plus traction was better at improving the neck extensor activity limitation and maintaining curative effect.Isometric resistance training is conducive to the recovery or correction of cervical curvature abnormality.

关 键 词：颈型颈椎病 等长抗阻 生理曲度 

分 类 号：R49[医药卫生—康复医学] R681.55[医药卫生—临床医学]