颈部肌肉四方抗阻静力功能锻炼预防CSM初步观察

Initial Observation of Preventing CSM by the Noncurrent Force Functional Exercise at Quadratic

目的:了解四方抗阻静力功能锻炼预防脊髓型颈椎病的效果。方法:在医院门诊或病房随机选取有椎管骨性狭窄且颈肩部不适的脊髓型颈椎病的高危人群60例,并根据患者的就诊顺序随机分为治疗组和对照组。治疗组采用健康宣教加四方抗阻静力功能锻炼,对照组仅进行健康宣教,2组定期随访并记录入组时和入组后2年的JOA评分、前凸角、颈段中立位MRI和颈段动态MRI进行对比。结果:四方抗阻静力功能锻炼加健康宣教对出现颈椎病的症状、体征(JOA评分)和维持颈椎生理曲度方面均有一定的预防作用,较单纯的健康宣教预防作用好,两者相比差异有统计学意义(P<0.05)。同时,四方抗阻静力功能锻炼加健康宣教对预防患者出现在MRI上脊髓受压和脊髓变性方面有明显作用,较单纯的健康宣教预防作用好,两者相比差异有统计学意义(P<0.05)。结论:在健康宣教的基础上加四方抗阻静力功能锻炼的方法,简单、有效且不增加患者的经济负担,是一种值得在城市社区及农村大力推广的预防脊髓型颈椎病的方法。

Objective：To investigate the effect of preventing CSM by the noncurrent force functional exercise at quadratic.Methods：The high-risk group（60 men） of CSM comes from out-patient clinic and patients＇ rooms;they were randomly divided two groups.The men in the control group were propaganda-educated on the right way in work or living and did the noncurrent force functional exercise at quadratic.The men in the experimental group were propaganda-educated about the right way in work or living only.The score of JOA,anterior lobe of cervical spinal and MRI of cervical spinal were recorded at starting and the second year after admission.Results：The score of JOA,anterior lobe of cervical spinal and MRI of cervical spinal were prevented by educating the right way in work or living and doing the noncurrent force functional exercise at quadratic.The score of JOA,anterior lobe of cervical spinal and MRI of cervical spinal（P0.05）in control group were better than in the experimental group.Conclusion：Propaganda-educated about the right way in work or living and the noncurrent force functional exercise at quadratic is a simple,economics and effective method to prevent CSM.