颈部肌肉等长收缩训练对颈椎管扩大成形术后颈部轴性症状的影响

Effect of neck muscle isometric contraction training on axial symptom postoperative of laminoplasty

目的探讨颈部肌肉等长收缩训练对颈椎管扩大成型术后轴性症状的影响作用。方法2011年7月至2013年7月收治符合纳入标准条件的患者100例，随机分组A、B组，均采用椎管扩大成型术式，术后3dB组开始实施颈部肌肉等长收缩训练3个月，分两个阶段进行。术后随访1.5年，记录术后3个月、6个月、1年、1．5年4个时间点患者轴性症状的罹患率及疼痛程度VAS评分，并进行统计分析。结果术后随访3个月、6个月、1年、1．5年4个时间点，A、B两组患者轴性症状疼痛VAS评分及轴性症状发生率比较差异有统计学意义（P〈0．05）。结论早期肌肉等长收缩训练能够促进颈椎椎管扩大成型术后轴性症状的恢复，是预防治疗颈椎管扩大成型术后轴性症状的一种有效方法，值得在临床上推广应用。

Objective To investigate the effect of neck muscle isometric contraction training on axial symptom postoperative of laminoplasty. Methods One hundred patients from July 2011 to July 2013 were selected, they were randomly divided into group A and group B, both adopted laminoplasty. Three days after surgery, patients in group B began to implement neck muscle isometric contraction training for three months in two stages. Patients were all followed up for 1.5 years. The axial pain VAS and the attack rate after 3 months, 6 months, 1 years and 1.5 years of the two groups were recorded and analyzed. Results After followed up for 3 months, 6 months, 1 year, 1.5 years, the difference of axial pain VAS and the attack rate between the two groups had significant difference（ P 〈 0.05 ）. Conclusions Neck muscle isometric contraction training in early stage can promote the recovery of axial symptoms postoperative of laminoplaty, is an effective method to prevent and treat axial pain after cervical laminoplasty, it should be widely applied in clinical practice.