两种物理疗法对颈肩综合征222例临床观察

Clinical observations on 222 patients with neck-shoulder syndrome treated by two kinds of physiotherapy

目的:评价物理疗法对颈肩综合征的临床疗效.方法:将患者随机分为治疗组和对照组.治疗组114例,男21例,女93例;年龄41～68岁,平均54.21岁.对照组108例,男20例,女88例;年龄37～69岁,平均54.70岁.治疗组采用温热理疗床治疗8周,对照组采用场效应治疗仪并配合无针针灸按摩仪治疗8周.分别在筛选期(治疗前)及治疗后第18、36、48 d(治疗结束时)各观察记录1次,对比两组对脊柱周围软组织压痛、颈部活动度、颈部体征变化的改善.结果:两组颈部及脊柱周围软组织压痛均有明显改善(P＜0.05),治疗后两组颈前屈、后伸、左右侧屈及左右旋转活动度加大(P＜0.05).结论:物理疗法对颈肩综合征引起的一系列临床症状及体征具有一定程度的改善效果.

Objective: To evaluate the physiotherapy effects on neck-shoulder syndrome.Methods:Patients were randomly divided into treatment group and control group.One hundred and fourteen patients were involved in treatment group,21 male,93 female;the average age was 54.21years (ranged,41 to 68 years).One hundred and eight patients were involved in control group,20 male,88 female;the average age was 54.70 years (ranged,37 to 69 years).Both groups were treated respectively for 8 weeks,treatment group by lukewarm physiotherapy couch,and control group by field-effect therapeutic equipment and needleless electrode massor.The changes of surrounding soft tissues tenderness of spine and signs of neck in two groups were recorded and compared respectively before therapy,at 18,36,48 days during therapy and after therapy.Results:Surrounding soft tissues tenderness of neck and spinal were obviously improved (P<0.05).ROM of neck in both groups after therapy were improved as well(P<0.05).Conclusion:Physiotherapy,to some extent,can improve the clinical symptoms and signs of neck-shoulder syndrome.