按揉类手法对颈椎病患者关节活动度及等长肌力影响的临床研究

Effect of Foulage Manipulation Therapy on Joint Range of Motion and Isometric Strength of Patients with Cervical Spondylopathy

目的观察按揉类手法治疗颈椎病的临床疗效。方法将72例颈椎病患者随机分为治疗组和对照组。治疗组接受按揉类手法治疗,对照组接受T-600全自动智能牵引仪治疗,两组疗程均为2周。以颈椎多功能测试训练系统进行评价,观察两组治疗前后颈椎关节活动度(前屈、后伸、左旋、右旋、左侧屈、右侧屈)及等长肌力(前屈、后伸、左侧屈、右侧屈)的变化。结果治疗组脱落4例,对照组脱落7例。与治疗前比较,治疗后治疗组前屈、后伸、左旋、右旋、左侧屈、右侧屈运动活动度以及前屈、后伸、左侧屈、右侧屈等长肌力均较治疗前显著提高(P<0.01),治疗后对照组仅前屈、后伸运动活动度及前屈、后伸等长肌力显著提高(P<0.01);两组治疗前后前屈、后伸、左旋、右旋、左侧屈、右侧屈运动活动度的差值以及前屈、后伸、左侧屈、右侧屈运动等长肌力的差值比较,差异均具有统计学意义(P<0.01)。结论按揉类手法有助于改善颈椎病患者的颈椎活动功能及力学性能,按揉类手法在改善颈椎病患者的颈椎活动功能及力学性能方面较T-600型自动牵引机为优。

Objective To observe the clinical efficacy of foulage manipulation therapy for patients with cervical spondylopathy.Methods Seventy-two cases of cervical spondylopathy were randomly divided into the treatment group for foulage manipulation therapy and the control group for T-600 automatic tractor therapy.Both groups underwent two weeks of treatment.A multi-cervical unit was used to measure joint range of motion（flexion,extension,left rotation,right rotation,left lateral,and right lateral）and isometric strength（flexion,extension,left lateral,and right lateral）before and after treatment.Results Four cases in the treatment group and seven cases in the control group dropped out of the treatment.In the treatment group,both joint range of motion（flexion,extension,left rotation,right rotation,left lateral,and right lateral）and isometric strength（flexion,extension,left lateral,and right lateral）were significantly improved after treatment（P〈0.01）.In the control group,joint range of motion（flexion and extension）and isometric strength（flexion and extension）were significantly improved after treatment（P〈0.01）.There were significant differences between the two groups in terms of the improvements in all directions of joint range of motion and isometric strength（P〈0.01）.Conclusion Foulage manipulation therapy can improve the joint range of motion and isometric strength of patients with cervical spondylopathy and its clinical efficacy is better than that of T-600 automatic tractor.