理筋手法联合颈椎关节调整手法治疗颈椎病30例临床观察

Clinical Observation on Manipulation of Regulating Jingjin and Adjusting Cervical Joints in the Treatment of 30 Patients with Cervical Spondylosis

目的观察理筋手法联合颈椎关节调整手法对颈椎病颈部肌群疲劳程度的影响。方法将60例颈椎病患者随机分为治疗组和对照组各30例,治疗组进行理筋手法和颈椎关节调整手法治疗,隔天1次,每周3次,疗程2周;对照组进行牵引治疗,每天1次,每周5次,疗程2周。治疗前后应用TeleMyo 2400T表面肌电图仪分别测试两组患者颈伸肌群疲劳程度,指标包括积分肌电(IEMG)、平均功率频率(MPF)、中位频率(MF)。结果治疗后两组患者颈部右侧肌群IEMG、MPF、MF及治疗组左侧肌群IEMG均较本组治疗前明显改善(P<0.05);治疗后治疗组颈部、左侧、右侧肌群IEMG、MPF、MF均较对照组改善更为显著(P<0.05)。结论理筋手法联合颈椎关节调整手法可以增加颈椎病患者颈伸肌群运动神经元募集数量和运动单位放电频率,从而缓解颈椎病患者颈部肌群的疲劳程度。

Objective To observe the influence of manipulation of regulating Jingjin-（soft tissue）and adjusting cervical joints on the fatigue severity of cervical muscles in cervical spondylosis patients.Methods Sixty patients with cervical spondylosis were randomized into treatment group and control group with 30 in each.The treatment group was treated with manipulation of regulating Jingjin and adjusting cervical joints,once every other day,three times a week,for 2 weeks.The control group was treated with traction,once everyday,five times a week,for 2 weeks.Before and after treatment,both groups were tested with TeleMyo 2400T Surface EMG to measure the fatigue severity of cervical muscles,including integrated EMG（IEMG）,and mean power frequency（MPF）and middle frequency（MF）.Results After treatment,the IEMG,MPF,and MF of the right side cervical muscles of both groups and the left side cervical muscles of the treatment group were significantly improved（P 0.05）.The IEMG,MPF,and MF of the right side cervical muscles and the IEMG of the left side cervical muscles of the treatment group were more significantly improved than those of the control group（P0.05）.Conclusion Manipulation of regulating Jingjin and adjusting cervical joints can increase the recruitment amount of motor neurons and discharge frequency of motor unit of cervical muscles in cervical spondylosis,thus relieving the fatigue severity of cervical muscles.