推拿对颈型颈椎病患者颈部肌肉协调性的影响

The Effect of Tuina on Neck Muscles of Synergy Function of Cervical Spondylosis of Cervical Type's patients

目的:探讨推拿对颈型颈椎病患者颈部肌肉协调性的影响。方法:选取符合标准的颈型颈椎病患者60例,随机分为试验组和对照组各30例。试验组采用推拿治疗,对照组进行牵引治疗,每周5次,每次25分钟,共2周;分别于干预前后检测颈部前屈、后伸、左右侧屈时等长收缩肌力,以及双侧胸锁乳突肌、头夹肌、上斜方肌的同步均方根的值,分析其协同激活比的比值。结果:组内比较:试验组前屈时左右SPL协同激活比存在统计学差异(P<0.05);对照组前屈时左SPL协同激活比存在统计学差异(P<0.05);组间比较:前屈时左右SPL协同激活比存在统计学差异(P<0.05);差值比较:试验组与对照组前屈时左右SPL协同激活比的前后差值存在显著性差异(P<0.05)。结论:推拿能提高颈部部分肌肉的协调性,其效果优于颈椎间歇牵引。

Objective： To study the effect of Tuina on neck muscles of synergy function of cervical spondylosis of cervical type. Methods： 60 cases patients of neck type cervical spondylosis which compliance with this subject inclusion criteria,60 patients were randomly divided into experimental and control groups,30 cases in each group. The experimental group to give Tuina intrevention, control group adopts traction intervention; Each treatment group treatment 5 times a week for 2 weeks, 25 minute every time; And in the beginning and end of the intervention to evaluation the neck flexion,extension, lateral flexion of isometric muscle strength, and test the synchronization electrical values about the RMS on bilateral Sternocleidomastoid, splenius capitis, the Upper trapezius muscle. And analysis of the synergistic activation ratio.Results： group comparison： the experimental group were significant differences in the left and right SPL synergistic activation ratio during neck flexion（all P〈0.05）; the control group in flexion of left SPL synergistic activation than the existence of statistical difference（P〈0.05）; comparison between groups： the left and right SPL synergistic activation ratio during neck flexion were significant differences（all P〈0.05）; The comparative analysis of difference value between groups： the left and right SPL synergistic activation ratio during neck flexion were significant differences（all P〈 0.05）.Conclusion： To a certain extent, Tuina can improve the strengthening the antagonistic muscle collaborative the neck muscle; the effect of Tuina is better than the traction therapy.