文章摘要
孙振双,蔡西国,曹留拴,邹丽丽,高家欢,常进奇,王学锋.颈椎稳定训练对颈型颈椎病患者姿势矫正和功能状态的临床疗效观察[J].中国康复,2023,38(1):34-37
颈椎稳定训练对颈型颈椎病患者姿势矫正和功能状态的临床疗效观察
Clinical effect of cervical stabilization training on posture correction and functional status of patients with cervical spondylosis of cervical type
  
DOI:
中文关键词: 稳定训练  颈椎病  头部前倾  功能  疼痛
英文关键词: Stability training  Cervical spondylopathy  Head forward  Function  Pain
基金项目:
作者单位
孙振双 河南省人民医院(郑州大学人民医院/河南大学人民医院)康复医学科郑州 450003 
蔡西国 河南省人民医院(郑州大学人民医院/河南大学人民医院)康复医学科郑州 450003 
曹留拴 河南省人民医院(郑州大学人民医院/河南大学人民医院)康复医学科郑州 450003 
邹丽丽 河南省人民医院(郑州大学人民医院/河南大学人民医院)康复医学科郑州 450003 
高家欢 河南省人民医院(郑州大学人民医院/河南大学人民医院)康复医学科郑州 450003 
常进奇 河南省人民医院(郑州大学人民医院/河南大学人民医院)康复医学科郑州 450003 
王学锋 河南省人民医院(郑州大学人民医院/河南大学人民医院)康复医学科郑州 450003 
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中文摘要:
  目的:观察颈椎稳定训练对颈型颈椎病患者的疼痛、颈椎功能和姿势矫正的影响。方法:纳入颈型颈椎病患者共40例,随机分为观察组和对照组各20例,对照组给予常规推拿及理疗治疗,观察组在对照组基础上给予颈椎稳定训练。在治疗前和治疗结束后采用颈痛强度评分(VAS)和颈椎残疾指数(NDI)对2组患者的疼痛、颈椎功能障碍程度进行评定;测量颅椎角(CVA)评估头部前倾角度;通过颈头移位试验评估颈椎关节位置感。结果:治疗4周后,2组的VAS、NDI较治疗前显著降低(均P<0.05),CVA显著增加(均P<0.05),观察组颈椎向前、后、左、右运动的复位位置差值较治疗前均降低(均P<0.05),对照组向前、后、右运动的复位位置差值较治疗前减少(均P<0.05);且观察组的VAS、NDI、CVA及颈椎向前、后、右运动的复位位置差与对照组比较具有显著差异(均P<0.05)。结论:颈椎稳定运动训练可改善颈椎病患者的关节位置感,矫正头部前倾姿势,减少疼痛,改善颈椎功能。
英文摘要:
  Objective: To observe the effect of cervical stabilization training on pain, cervical function and posture correction in patients with cervical spondylosis. Methods: A total of 40 patients with cervical spondylosis were randomly divided into cervical stabilization training group (observation group) and routine treatment group (control group). The control group was treated with routine massage and physiotherapy, and the observation group was treated with cervical stabilization training on the basis of the control group. Before and after treatment, the cervical pain and cervical dysfunction of the two groups were evaluated by VAS and NDI. The improvement of abnormal head forward posture was evaluated by measuring cranial vertebral angle (CVA). The cervical joint position was evaluated by cervical head displacement test. Results: After 4 weeks of treatment, VAS score and NDI score in the observation group were significantly lower than those before treatment, CVA was significantly greater, and the reduction position difference of cervical spine in all directions was significantly lower than that before treatment (P<0.05). Compared with the control group, the VAS score, NDI score and CVA of the observation group after treatment were significantly different from those of the control group. At the same time, the position difference of cervical spine flexion, extension and right-handed movement reduction was significantly different from that of the control group (P<0.05). Conclusions: Cervical stabilization exercise training can improve the joint position sense of patients with cervical spondylosis, correct the head forward posture, reduce pain and improve cervical function.
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