摘要
目的:观察基于"筋骨评估"模式指导的筋骨调和手法治疗颈型颈椎病的临床疗效。方法:将60例颈型颈椎病患者随机分为试验组和对照组,每组30例。试验组依据颈椎病"筋骨评估"模式评估结果采用相应的筋骨调和手法,对照组采用传统推拿手法。每周2次,疗程4周。两组患者均于治疗前和治疗4周后进行VAS疼痛评分、颈椎功能障碍指数量表(NDI)、肌肉状态、颈椎活动功能评估。结果:两组患者治疗4周后,VAS和NDI均较治疗前显著改善(P<0.05),但是两组间改善未见显著性差异。治疗后,试验组患者两侧上斜方肌紧张程度差异较对照组显著改善(P<0.05),同时,试验组患者颈部前屈后伸、左右侧屈活动差异也显著小于对照组(P<0.05)。结论:"筋骨评估"模式指导下的筋骨调和手法可有效改善颈型颈椎病患者的疼痛和功能障碍,且在改善患者肌肉张力与运动失衡方面具有更好的疗效。
Objective:This study is based on the ‘muscles and bones assessment’ model to guide the manipulation and observation of its clinical efficacy in the treatment of patients with cervical spondylosis of cervical type.Methods:Sixty patients with cervical spondylosis were randomized into treatment group and control group with 30 cases in each group.The treatment group used the muscle tone adjustment manipulation under the evaluation results of the ‘muscles and bones assessment’ model of cervical spondylosis,and the control group used traditional Chinese manipulation,2 times a week,for 4 weeks.Visual analogue scale (VAS) score,neck disability index (NDI),muscle state assessment,and cervical vertebra activity evaluation were used before and after 4 weeks of 2 groups.Results:After 4 weeks of treatment in both groups,VAS and NDI were significantly improved than before treatment (P<0.05),but there was no significant difference between the two groups.After treatment,the difference in tension of the upper trapezius muscles on both sides of the treatment group was significantly improved compared with the control group (P<0.05).Inaddition,the differences in the flexion and extension of the neck and the lateral flexion of the treatment group were significantly smaller than those in the control group (P<0.05).Conclusion:Muscle tone adjustment manipulation under the guidance of the ‘muscles and bones assessment’ mode can effectively improve the pains and dysfunction of patients with cervical spondylosis.
作者
孔令军
吕智桢
朱清广
孙武权
宋朋飞
吴志伟
徐善达
郭光昕
周鑫
房敏
KONG Ling-jun;LYU Zhi-zhen;ZHU Qing-guang;SUN Wu-quan;SONG Peng-fei;WU Zhi-wei;XU Shan-da;GUO Guang-xin;ZHOU Xin;FANG Min(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Tuina Institute of Shanghai Academy of Traditional Chinese Medicine,Shanghai 200437,China;College of Acumox and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2020年第1期447-451,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
申康三年行动计划“重大疾病临床技能提升项目”(No.16CR1023A)
上海市科学技术委员会科研计划项目(No.16401970200)
上海市进一步加快中医药事业发展三年行动计划[No.ZY(2018-2020)-CCCX-2004-02]
上海市卫生和计划生育委员会中医药科研项目(No.2018LP040)
上海市卫生计生系统优秀青年医学人才(No.2018YQ004)
中华中医药学会青年托举人才项目(No.QNRC2-A01)。
关键词
推拿
筋骨评估
颈型颈椎病
评价
Manipulation
Muscles and bones assessment
Cervical spondylosis type
Assess
