摘要
目的观察红外偏振光结合手法治疗中青年非特异性颈痛(nonspecific neck pain,NNP)的临床疗效,以期为中青年NNP的治疗提供新方法。方法选取2021年10月至2022年10月在广西医科大学第二附属医院康复科就诊的中青年NNP患者70例,根据诊疗卡号按随机数字表将其分为研究组和对照组,各35例。对照组给予单纯手法治疗,研究组在对照组基础上联合红外偏振光。治疗1个疗程后,比较两组患者的肌肉硬度、肌张力、疼痛程度及日常生活功能障碍评分。结果研究结束时,研究组和对照组各有35、34例患者获取了有效的研究数据。研究结束后,对照组视觉模拟评分量表(VAS)评分为(3.13±1.21)分,颈部功能障碍指数(NDI)为(27.16±10.25)分,研究组VAS评分为(2.60±0.72)分,NDI指数为(16.36±8.56)分,两组患者的疼痛程度、日常生活功能障碍程度均较治疗前改善(P<0.05),且研究组优于对照组(P<0.05)。两组患者双侧上斜方肌、头夹肌硬度及张力数值均较治疗前降低(P<0.05);对照组除右侧头夹肌的肌张力治疗前后差异有统计学意义(P<0.05),其余均差异无统计学意义(P>0.05)。结论与单纯手法治疗比较,采用红外偏振光结合手法治疗中青年NNP患者,能更好地降低颈部肌肉硬度和肌张力、缓解疼痛,改善日常生活功能障碍。
Objective To observe the clinical efficacy of infrared polarized light combined with manipulation in the treatment of nonspecific neck pain(NNP)in young and middle-aged people,in order to provide a new method for the treatment of NNP in young and middle-aged people.Methods A total of 70 young and middle-aged NNP patients admitted to the Rehabilitation Department of the Second Affiliated Hospital of Guangxi Medical University from October 2021 to October 2022 were selected,and they were divided into study group and control group according to the treatment card number and random number table,with 35 cases in each group.The control group was given simple manipulation treatment,and the research group combined with infrared polarized light on the basis of the control group.After one course of treatment,muscle hardness,muscle tension,pain degree and dysfunction score of daily life were compared between the two groups.Results At the end of the study,35 and 34 patients in the study group and control group had valid study data.After the study,visual analog scale(VAS)score and neck disability index(NDI)score were(3.13±1.21)and(27.16±10.25)respectively in the control group,and(2.60±0.72)and(16.36±8.56)respectively in the study group.The degree of pain and dysfunction of daily life in 2 groups were improved compared with before treatment(P<0.05),and the study group was better than the control group(P<0.05).The hardness and tension values of bilateral superior trapezius muscle and cephalocinis muscle in 2 groups were lower than before treatment(P<0.05).In the control group,there was no significant difference except the muscle tension of the right biceps muscle before and after treatment(P<0.05),and there was no significant difference in the others(P>0.05).Conclusion Compared with manipulation alone,the treatment of young and middle-aged NNP patients with infrared polarized light combined with manipulation can better reduce neck muscle hardness and muscle tension,relieve pain,and improve the dysfunction of daily life.
作者
陆绍勇
杨小连
盛艺璇
韩松
叶森林
Lu Shaoyong;Yang Xiaoliang;Sheng Yixuan;Han Song;Ye Senlin
出处
《中国疗养医学》
2022年第9期920-924,共5页
Chinese Journal of Convalescent Medicine
关键词
非特异性颈痛
偏振光
手法治疗
中青年
Nonspecific neck pain(NNP)
Polarized light
Manipulation therapy
Young and middle-aged
