Hatha瑜伽对颈型颈椎病康复的影响

Effect of Hatha Yoga on Rehabilitation of Cervical Spondylopathy

目的:探讨Hatha瑜伽对颈型颈椎病患者康复的影响。方法:将60例颈型颈椎病患者随机均分为实验组和对照组。实验组采用Hatha瑜伽运动康复治疗,对照组采用温针康复治疗。以疼痛程度视觉模拟量尺(VAS)、Northwick Park颈痛量表(NPQ)、颈椎关节活动度(CROM)为测评依据,对患者治疗前、治疗8周、停止治疗6个月后的测定指数进行测评。结果:1)治疗8周后,试验组和对照组NPQ评分和VAS评分较实验前均显著下降(P<0.01),实验组显著低于对照组(P<0.05);实验组颈椎关节活动度较实验前均显著上升(P<0.01),对照组活动度无明显差异(P>0.05)。2)停治6个月后,两组组内各项指标与停训前后比较,实验组差异不显著(P>0.05),对照组VAS和NPQ评分明显上升(P<0.05),关节活动度无明显变化(P>0.05)。3)随访12个月,复发率实验组(10.00%)显著低于对照组(23.33%)(P<0.01)。结论:Hatha瑜伽、温针治疗均能不同程度的减缓颈型颈椎病患者的疼痛。在停治一段时间后,瑜伽练习更能维持疗效,抑制复发。Hatha瑜伽作用优于温针治疗。

Objective: This research aimed to investigate the effect of Hatha Yoga on rehabilitation of cervical spondylopathy( CS) patients. Methods: Sixty CS patients were randomly divided into the exercise group( n = 30) and the control group( n = 30). The patients in exercise group participated in Hatha Yoga training while the patients in control group adopted therapy of warm acupuncture. Used VAS,NPQ,CROM,the patients' recovery state was measured before therapy,eight after weeks therapy,and six months after therapy. Results: 1) The scores of VAS and NPQ were decreased significantly in both groups( P < 0. 01),and there was significantly different between the two groups( P < 0. 05). Patients' CROM in exercise group was increased after Hatha Yoga training( P < 0. 01), but there wasn't change in control group( P > 0. 05). 2) After six-month follow-up,all the indicators didn't change in exercise group( P < 0. 05),and the scores of VAS and NPQ in control group were increased( P < 0. 05) while the patients' CROM in control group had no change( P > 0. 05). 3) After twelve-month follow-up,the reoccurrence rate in training group( 10. 00%) was lower than that in control group( 23. 33%)( P < 0. 01). Conclusion: Both Hatha Yoga exercise and warm acupuncture can relieve pain in CS patients. Hatha Yoga exercise has better effect in preventing the reoccurrence of CS than warm acupuncture. Hatha Yoga can provide longer effect than warm acupuncture after therapy. Hatha Yoga is better than warm acupuncture to cure cervical spondylopathy.