三圆桩与康复训练治疗上交叉综合征的对比研究  

A Comparative Study of Three Round Piles and Rehabilitation Training in the Treatment of Upper Cross Syndrome

作　　者：孟乐天 姚由美 门傲雪 柯贤超 姜贤洋 薛卫国[1] MENG Letian;YAO Youmei;MEN Aoxue;KE Xianchao;JIANG Xianyang;XUE Weiguo(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学针灸推拿学院,北京100029

出　　处：《中医药临床杂志》2023年第4期782-788,共7页Clinical Journal of Traditional Chinese Medicine

基　　金：北京中医药新奥奖励基金课题项目(2018027)。

摘　　要：目的:探究三圆桩对比康复训练治疗大学生上交叉综合征的优势与效果。方法:该研究为随机对照试验,招募大学生采用区组随机设计将81例受试者随机分入3组,分别为三圆桩训练组、康复训练组、空白对照组。3组均在健康宣教基础上进行。其中三圆桩训练组、康复训练组同步集中训练5次/周,30mins/次,共训练4周。空白对照组不实施训练。所有组试验完成后2周随访。在治疗前、第2周末、治疗后、第6周末记录VAS计分、矢状面静态姿势评估计分、头前倾角和圆肩角(FHA&FSA)、汉密尔顿焦虑量表(HAMA)评分。对试验前后数据采用SPSS25软件进行统计学分析,对比组间差异。结果:治疗前3组各项指标比较均无统计学差异(P>0.05)。在矢状面静态姿势评估计分治疗前后差值中,三圆桩训练组为3.00(3.00,4.00),康复训练组为3.00(2.00,4.00),空白对照组为2.00(2.00,2.75),3组差值总体分布存在着统计学差异(H=13.992,P=0.001)。其中,空白对照组矢状面静态姿势评估计分治疗前后差值与三圆桩训练组、康复训练组存在统计学差异(adj.P=0.001,adj.P=0.025)。3组VAS、矢状面静态姿势评估计分、FHA数值治疗后均较治疗前降低,差异具有统计学意义(P<0.05)。结论:相较空白对照组,三圆桩与康复训练治疗上交叉综合征都具有良好的改善症状效果,健康宣教是纠正轻度上交叉综合征的有效方法。Objective:To explore the advantages and effects of three round piles compared with rehabilitation training in the treatment of upper cross syndrome in college students.Methods:This study is a randomized controlled trial,recruiting college students and using block random design to randomly divide 81 subjects into 3 groups,namely the three-round pile training group,rehabilitation training group,and blank control group.All three groups were conducted on the basis of health education.Among them,the three-round pile training group and the rehabilitation training group were simultaneously trained intensively 5 times/week,30mins/time,for a total of 4 weeks of training.The blank control group did not perform training.All groups were followed up 2 weeks after the completion of the experiment.Before treatment,at the 2nd week,after treatment,and at the 6th week,VAS scores,sagittal plane static posture assessment scores,head anteversion and rounded shoulder angles(FHA&FSA),and Hamilton Anxiety Scale(HAMA)scores were recorded.The data before and after the experiment were statistically analyzed using SPSS25 software,and the differences between groups were compared.Results:Before treatment,there was no statistical difference in the indexes among the three groups(P>0.05).In the sagittal plane static postural assessment score difference before and after treatment,the three-round pile training group was 3.00(3.00,4.00),the rehabilitation training group was 3.00(2.00,4.00),the blank control group was 2.00(2.00,2.75),There was a statistical difference in the overall distribution of the differences among the three groups(H=13.992,P=0.001).Among them,there were statistical differences in the sagittal plane static posture assessment scores before and after treatment in the blank control group and the three-round pile training group and rehabilitation training group(adj.P=0.001,adj.P=0.025).After treatment,VAS,sagittal plane static posture assessment scores,and FHA values in the three groups were all lower than those before treatment,an

关 键 词：上交叉综合征 三圆桩 康复训练 

分 类 号：R681.5[医药卫生—骨科学]