改良太极“云手”对脊髓型颈椎病患者术后平衡功能以及弥散张量成像的影响  

Effects of modified Taiji"Yunshou"on postoperative balance function and diffusion tensor imaging in patients with cervical spondylotic myelopathy

作　　者：覃波[1] 邵晨兰 赵卫卫[1] 肖华[1] 龙华 廖振洪 QIN Bo;SHAO Chen-lan;ZHAO Wei-wei;XIAO Hua;LONG Hua;LIAO Zhen-hong(Department of Rehabilitation Medicine,Deyang People's Hospital,Deyang,Sichuan 618000,China;Department of Radiology,Deyang People's Hospital,Deyang,Sichuan 618000,China)

机构地区：[1]德阳市人民医院康复医学科,四川德阳618000 [2]德阳市人民医院放射科,四川德阳618000

出　　处：《颈腰痛杂志》2020年第6期661-665,共5页The Journal of Cervicodynia and Lumbodynia

基　　金：四川省卫计委普及课题(编号:2018PJ521)。

摘　　要：目的探讨改良太极“云手”对脊髓型颈椎病(cervical spondylotic myelopathy,CSM)患者术后平衡功能以及弥散张量成像(diffusion tensor imaging,DTI)的影响。方法选择2018年2月-2019年2月在德阳市人民医院收治的CSM患者58例,均行经后路单开门椎管扩大成形术治疗,且术后平衡功能恢复较差。将58例随机分为对照组和观察组:对照组进行常规平衡功能训练,观察组在对照组的基础上,进行改良太极“云手”训练,即10 min的常规太极“云手”训练,10 min的闭目“云手”训练,10 min的静坐调息后意念“云手”训练。干预8周,观察两组的平衡功能量表评分(BBS评分和Fugel-Meyer平衡评分)、稳定极限范围(limit of stability,LOS)、其他平衡测试(起立-走测试、强化Romberg测试、闭眼单足站立测试)以及弥散张量成像(DTI)。结果在BBS评分和Fugel-Meyer评分方面,8周后两组均获得显著改善(P<0.05);观察组BBS评分优于对照组,差异有统计学意义(P<0.05)。在LOS平衡测试和DTI方面,8周后两组均获显著改善(P<0.05);观察组的LOS平衡测试与向异性分数结果均优于对照组,差异有统计学意义(P<0.05)。在起立-走测试、强化Romberg测试、闭眼单足站立测试方面,8周后两组获显著改善(P<0.05);观察组在3指标均优于对照组,差异有统计学意义(P<0.05)。结论本次将传统太极“云手”进行改良,运用在CSM患者的术后康复中取得较显著疗效,填补了相关空白,为临床康复提供了新依据,值得今后深入研究。Objective To investigate the effect of modified Taiji"Yunshou"on balance function and diffusion tensor imaging(DTI)in patients with cervical spondylotic myelopathy(CSM).Methods A total of 58 CSM patients who underwent spinal canal enlargement plasty from February 2018 to February 2019 were selected and randomly divided into the control group and the observation group.The control group received routine balance function training,and the observation group was given the modified Taiji"Yunshou"training on the basis of the control group,that is,10 min conventional Taiji"Yunshou"training,10 min closed eye"Yunshou"training,and 10 min"Yunshou"training after sitting and breathing.After 8 weeks of intervention,the scores of balance function scale(BBS score and Fugel-Meyer score),limit of stability(LOS),other balance tests(stand-walk test,enhanced Romberg test,stand-up test with closed eyes and one foot)and DTI were observed.Results The BBS score and Fugel-Meyer score were significantly improved in the two groups after treatment for 8 weeks compared with before treatment(P<0.05);while the BBS score of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).The LOS balance test and DTI were significantly improved in the two groups after treatment for 8 weeks compared with before treatment(P<0.05),while the results of LOS balance test and anisotropy score(FA)in the observation group were better than those in the control group,with significant differences(P<0.05).After treatment for 8 weeks,the stand-walk test,enhanced Romberg test,stand-up test with closed eyes and one foot in the two groups were significantly improved compared with before treatment(P<0.05),and those in the observation group were better than the control group(P<0.05).Conclusion Based on the pathological characteristics of CSM patients,this study improved the traditional Taiji"Yunshou"and applied it to CSM patients,filling the relevant gaps and finding more significant results,providing a new basis fo

关 键 词：太极“云手” 平衡功能障碍 脊髓型颈椎病 弥散张量成像 

分 类 号：R681.5[医药卫生—骨科学]