颈椎光疗仪改善慢性颈痛患者颈部疼痛及相关功能的作用  

Effect of photon cervical vertebra massage instrument on improving neck pain and related functions in patients with chronic neck pain

作　　者：姚远 张世珍 金磊 杨云霄 于文强 许苑晶 王金武[4] Yao Yuan;Zhang Shizhen;Jin Lei;Yang Yunxiao;Yu Wenqiang;Xu Yuanjing;Wang Jinwu(Department of Rehabilitation,Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;College of Rehabilitation Medicine,Weifang Medical University,Weifang 261053,Shandong Province,China;College of Biomedical Engineering,Shanghai Jiao Tong University,Shanghai 201100,China;Department of Orthopedics,Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院康复科,上海市200011 [2]潍坊医学院康复医学院,山东省潍坊市261053 [3]上海交通大学生物医学工程学院,上海市201100 [4]上海交通大学医学院附属第九人民医院骨科,上海市200011

出　　处：《中国组织工程研究》2024年第30期4876-4880,共5页Chinese Journal of Tissue Engineering Research

基　　金：国家科技部重点研发计划项目(2020YFB1711500),项目负责人:王金武;上海交通大学医学院地高大双百人计划(20152224),项目负责人:王金武;转化医学国家重大科技基础设施(上海)开放课题基金(TMSK-2021-140),项目负责人:王金武;中国工程科技发展战略江苏研究院咨询研究项目(JS2020XZ04),项目负责人:王金武。

摘　　要：背景:红光治疗具有无创、性价比高等特点,在临床上被广泛应用于治疗各种急慢性疼痛,但目前临床上使用的光疗设备成本昂贵、具有一定的场地限制,因此有必要探索更加便捷经济的光疗应用途径。目的:观察居家型颈椎光疗仪对于慢性颈痛的临床疗效。方法:于2022年11月至2023年2月在上海交通大学医学院附属第九人民医院康复医学科招募慢性颈痛患者24例,其中女18例,男6例;年龄(29.67±6.40)岁;体质量指数为(21.39±3.52)kg/m^(2)。每日使用颈椎光疗仪2次,每次20 min,持续4周。观察治疗前、治疗2周及治疗4周后的疼痛目测类比评分、肌肉压痛阈值、颈部主动活动度、颈部功能障碍指数及匹兹堡睡眠质量指数变化情况。结果与结论:①与治疗前相比,治疗4周后目测类比评分、压痛阈值、颈部功能障碍指数及匹兹堡睡眠质量指数均有显著改善(P<0.05),同时部分颈椎部分活动度(后伸及左右旋转)出现改善(P<0.05);②其中双侧目测类比评分、左斜方肌压痛阈值、C_(5)C_(6)压痛阈值及颈部功能障碍指数在治疗2周后即出现改善(P<0.05);③提示该颈椎光疗仪的应用在短期内可以改善慢性颈痛患者的疼痛评分、肌肉压痛、睡眠质量、功能水平及部分主动活动度,是一项便捷有效安全的治疗方法。BACKGROUND:Red light therapy has the non-invasive and cost-effective characteristics,and is widely used in various acute and chronic pains in clinic.However,currently,the phototherapy equipment used in clinic is expensive and has certain site limitations,so it is necessary to explore more convenient and economical phototherapy applications.OBJECTIVE:To observe the clinical efficacy of a self-developed photon cervical vertebra massage instrument for chronic neck pain.METHODS:From November 2022 to February 2023,24 patients with chronic neck pain were recruited from the Department of Rehabilitation Medicine,Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,including 18 females and 6 males,with a mean age of(29.67±6.40)years.The body mass index was(21.39±3.52)kg/m^(2).Photon cervical vertebra massage instrument was used twice a day for 20 minutes each time for four weeks.The changes in visual analog scale score,pressure pain threshold,neck active activity,neck disability index,and Pittsburgh sleep quality index were observed before,after 2 and 4 weeks of treatment.RESULTS AND CONCLUSION:(1)Compared with before treatment,after four weeks of treatment,visual analog scale score,pressure pain threshold,neck disability index,and Pittsburgh sleep quality index were all improved(P<0.05),while some cervical motion(extension,left and right rotation)improved(P<0.05)after 4 weeks of treatment.(2)Bilateral visual analog scale scores,left trapezius muscle pressure pain threshold,C_(5)C_(6) pressure pain threshold,and neck disability index improved after 2 weeks of treatment(P<0.05).(3)It is indicated that the application of photon cervical vertebra massage instrument can improve the pain score,muscle tenderness,sleep quality,functional level,and partial active activity of patients with chronic neck pain in a short period,and is a convenient,effective,and safe treatment method.

关 键 词：慢性颈痛 红光治疗 LED红光 压痛阈值 颈部功能 睡眠质量 

分 类 号：R493[医药卫生—康复医学] R318[医药卫生—临床医学] R454.1