Tendon-regulating and bone-setting manipulation plus endurance resistance exercises for female with chronic neck pain  

理筋正骨手法结合耐力性抗阻运动治疗女性慢性颈痛

作　　者：Zhang Wen-di Chen Zhao-hui Zhang-Hui Li Meng-xing Cheng Lu-lu Zhang Kai-wei 张文娣;陈朝晖;张慧;李梦醒;程露露;张凯维(译)(College of Acupuncture-moxibustion and Tuina,Anhui University of Chinese Medicine,Hefei 230038,China;The First Affiliated Hospital,Anhui University of Chinese Medicine,Hefei 230031,China;不详)

机构地区：[1]College of Acupuncture-moxibustion and Tuina,Anhui University of Chinese Medicine,Hefei 230038,China [2]The First Affiliated Hospital,Anhui University of Chinese Medicine,Hefei 230031,China [3]不详

出　　处：《Journal of Acupuncture and Tuina Science》2021年第5期389-397,共9页针灸推拿医学（英文版）

基　　金：国家自然科学基金面上项目,No.81674076;安徽省教育厅自然基金重点项目.No.KJ2018A0273.

摘　　要：Objective:To observe the clinical efficacy of tendon-regulating and bon e-setting manipulation combined with en dura nee resistance exercises in treating female with chronic neck pain,and explore the mechanism.Methods:A total of 57 female patients with chronic neck pain who met the inclusion criteria were randomly divided into a manipulation group(29 cases)and a medium-frequency electrotherapy group(28 cases).Patients in both groups received the same endura nee exercise therapy,while those in the man ipulation group received additi onalten don-regulating and bone-setting manipulation,and those in the medium-frequency electrotherapy group received additional medium-frequency electrotherapy.Both groups were treated for 5 weeks.Before and after treatment,the neck function of patients was evaluated by visual analog scale(VAS),Analgesy-Meter,Northwick Park questionnaire(NPQ),root mean square(RMS)and median frequency(MF)of surface electromyography of sternocleidomastoid muscle and posterior cervical extensor muscle,and the patients were followed up at a month after treatment.Results:All patients completed the treatment and were followed up.Compared with the same group before treatmerrt,the VAS scores of both groups decreased,the tenderness values increased,the RMS and MF values increased,and the NPQ scores decreased after treatment(all P<0.05).The improvement of manipulation group was more notable than that of medium-frequency electrotherapy group(all P<0.05).At one-month follow-up,the VAS and NPQ scores of the manipulation group were lower than those before and after treatment,and the VAS and NPQ scores of the mediumfreq ue ncy electrotherapy group were only lower than those before treatment;the two scores of the manipulation group were lower than those of the medium-frequency electrotherapy group(both P<0.05).Conclusion:Tendon-regulating and bone-setti ng man ipulati on combi ned with endurance resista nee exe rcises can relieve neck pain and cervical dysfunction in female patients with chronic neck pain.The efficacy目的:观察理筋正骨手法结合耐力性抗阻运动治疗女性慢性颈痛的临床疗效,并探讨其作用机制.方法:将符合纳入标准的57例女性慢性颈痛患者根据随机数字表法分为手法组(29例)和中频电组(28例).两组均进行相同的耐力性运动治疗,手法组加用理筋正骨手法治疗,中频电组加用中频电疗法.两组均治疗5周.治疗前后采用视觉模拟量表(VAS)、压痛仪、Northwick Park颈痛量表(NPQ)以及胸锁乳突肌和颈后伸肌的表面肌电均方根值(RMS)和中位频率值(MF)对患者颈部功能进行评定,并在治疗1月后对患者进行随访.结果:全部患者均完成治疗并获得随访.与本组治疗前相比,两组治疗后VAS评分下降,压痛值增大,RMS和MF值增大,NPQ颈痛量表评分下降(均P<0.05);手法组的各项改善情况均优于中频电组(均P<0.05);1月后随访时,手法组VAS和NPQ评分均低于本组治疗前和治疗后,中频电组VAS和NPQ评分仅低于本组治疗前;手法组两项评分均低于中频电组(均P<0.05).结论:理筋正骨手法结合耐力性抗阻运动可减轻女性慢性颈痛患者的颈部疼痛,降低颈椎功能障碍程度,其疗效优于调制中频电疗法结合耐力性运动,且疗效更持久.

关 键 词：TUINA MASSAGE Science of Tuina(Traditional Chinese Medicine) Neck Muscles Resistance Training Neck Pain Women 

分 类 号：R244.1[医药卫生—针灸推拿学]