悬吊运动疗法结合推拿理筋手法对神经根型颈椎病患者上肢感觉功能的影响  

Effects of Suspension Exercise Therapy Combined with Soft Tissue Manipulation on Upper Limb Sensory Function in Patients with Radicular Cervical Spondylosis

作　　者：阴涛 罗彬 高强[1] 王琰 张杰锋[1] YIN Tao;LUO Bin;GAO Qiang;WANG Yan;ZHANG Jiefeng(Department of Rehabilitation Medicine,Taian City Central Hospital,Taian 271000,Shandong,China;Department of Rehabilitation Medicine,Wuxi County People’s Hospital,Chongqing 405800,China)

机构地区：[1]泰安市中心医院康复医学科,山东泰安271000 [2]巫溪县人民医院康复医学科,重庆405800

出　　处：《医用生物力学》2022年第1期169-173,共5页Journal of Medical Biomechanics

基　　金：山东省泰安市科技发展引导计划项目(2017 NS0172)。

摘　　要：目的采用悬吊运动疗法(suspension exercise therapy,SET)结合推拿理筋手法的治疗方案,观察神经根型颈椎病患者上肢感觉功能的变化,并评估疗效。方法采用简单随机方法,将72例神经根型颈椎病患者随机分为观察组(SET疗法结合推拿理筋手法组)与对照组(单纯颈椎牵引治疗组),每周治疗6次,疗程4周。检测治疗前后正中神经、尺神经的体感诱发电位(somatosensory evoked potential,SEP)的峰潜伏期(peak latency,PL)、上肢电流感觉阈值(current perception threshold,CPT),并观察患肢视觉模拟评分法(visual analogue scale,VAS)变化,判定治疗有效率。结果治疗后,观察组、对照组臂丛电位N9、颈髓电位N13的SEP峰潜伏期均较治疗前缩短(P<0.05),CPT等级、VAS疼痛评分均有降低(P<0.01),且观察组疗效优于对照组(P<0.01)。结论SET加推拿理筋手法可有效促进神经根型颈椎病神经感觉功能的修复。Objective To observe the changes of upper extremity sensory function in patients with radicular cervical spondylosis and evaluate the treatment effect,by using the method of suspension exercise therapy(SET)and soft tissue manipulation.Methods A total of 72 patients with cervical spondylosis were divided into observation group(treated by SET combined with manipulation)and control group(treated by purely cervical traction)by simple random method.Both groups received 4-week continuous treatment for 6 times per week.The somatosensory evoked potential(SEP),current perception threshold(CPT)before and after the treatment in two groups were separatedly tested,and changes in visual analogue scale(VAS)pain scores of the affected limbs were examined,so as to determine the effective rate of treatment.Results After treatment,the latency of SEP was shortened mainly in brachial plexus potential N9 and cervical spinal potential N13 in two groups(P<0.05).The CPT levels and the VAS pain scores of the affected limbs were reduced in two groups(P<0.01),and the treatment effect in observation group was better that in control group(P<0.01).Conclusion SET combined with soft tissue manipulation can effectively promote the repair of nerve sense function of cervical spondylotic radiculopathy.

关 键 词：神经根型颈椎病 悬吊运动疗法 体感诱发电位 电流感觉阈值 推拿理筋手法 

分 类 号：R318.01[医药卫生—生物医学工程]