《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (7): 649-653.

• 论文 • 上一篇    下一篇

主动抗阻运动疗法治疗慢性颈部疼痛的临床研究

DU Liang-jie, LI Jian-jun.   

  1. 1.中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科，北京市 100068；2.首都医科大学康复医学院，北京市 100068。
  • 收稿日期:2011-04-20 修回日期:1900-01-01 出版日期:2011-07-25 发布日期:2011-07-25

Effect of Active Resistance Exercise Therapy on Chronic Neck Pain

杜良杰，李建军   

  1. Department of Spinal and Neural Function Reconstruction, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2011-04-20 Revised:1900-01-01 Published:2011-07-25 Online:2011-07-25

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被引次数

24

摘要： 目的观察主动抗阻运动疗法对于慢性颈部疼痛患者的治疗效果。方法门诊选择39 例病程超过6 个月的女性慢性颈部疼痛的患者作为治疗组；选择21 例正常女性作为对照组。对照组不进行功能锻炼。治疗组应用主动抗阻运动疗法进行功能锻炼。治疗前、治疗后12 个月，观察颈椎生理曲度、项背肌肌肉CT 值、项背肌肌力和耐力、颈部疼痛视觉模拟评分。结果与对照组相比，治疗组治疗前颈椎生理曲度降低(P<0.05)，治疗前后无显著性差异(P>0.05)。年长对照组的颈椎后部肌肉总体平均CT值较年轻对照组降低(P<0.05)；治疗组项背肌肌肉总体平均CT 值比对照组降低(P<0.05)；治疗组治疗前后项背肌肌肉总体平均CT值无显著性差异(P>0.05)。治疗组较对照组项背肌肌肉的肌力和耐力降低(P<0.05)；治疗后治疗组项背肌肌力和耐力都较治疗前提高(P<0.05)。治疗组在治疗后1 个月疼痛评分改善(P<0.05)，治疗后1 年所有患者疼痛完全消失。结论主动抗阻运动疗法能够提高项背肌肌力和耐力，消除疼痛。

关键词: 颈椎病, 慢性颈部疼痛, 主动抗阻运动疗法, 颈椎康复器

Abstract: Objective To explore the effect of active resistance exercise therapy on patients with chronic neck pain. Methods 39 femalepatients with neck pain more than 6 months were recruited in treatment group and received active resistance exercise therapy. 21 healthywomen were recruited in control group without any treatment. They were assessed with cervical curve (C2-7 Cobb's angle), CT attenuationvalue of cervical back muscle, neck muscular strength and endurance and visual analog scale (VAS) before and 12 months after treatment.Results Compared with the control group, the cervical curve of the treatment group was obviously less (P<0.05) and there was no significantdifference pre- and post-treatment P>0.05). The CT attenuation value of cervical back muscle was obviously less in the elder controlsthan in the middle aged ones (P<0.05); and was obviously less in the treatment group than in the controls (P<0.05), and not improved aftertreatment (P>0.05). Compared with the control group, neck muscular strength and endurance of the treatment group were obviously less (P<0.05), and improved after treatment (P<0.05). The score of VAS lowered 1 and 12 months after treatment (P<0.05). Conclusion Active resistanceexercise therapy can obviously improve neck muscular strength and endurance and relieve neck pain.

Key words: cervical spondylosis, chronic neck pain, active resistance exercise therapy, cervical rehabilitation apparatus