多自由度控制牵引治疗神经根型颈椎病的临床研究

Treatment of cervical spondylotic radiculopathy with multi-degree freedom control traction

目的评估多自由度控制牵引治疗神经根型颈椎病(cervical spondylotic radiculopathy,CSR)的临床疗效。方法将60例CSR患者随机分为治疗组(多自由度控制牵引)和对照组(普通枕颌带牵引),比较两组首次牵引治疗后、1个疗程治疗结束后的治疗效果。结果首次牵引治疗后:两组表面肌电图(sEMG)指标平均功率频率(MPF)均有所升高,且治疗组MPF改变明显高于对照组(P<0.05)。1个疗程治疗结束后:两组VAS评分、颈椎功能障碍指数(NDI)、田中靖久颈椎病症状量表、MPF均改善,组内差异具有统计学意义(P<0.05);且NDI、田中靖久颈椎病症状量表、MPF值的改变治疗组明显优于对照组(P<0.05)。结论多自由度控制牵引的治疗CSR效果明显优于普通枕颌带牵引,且颈椎牵引治疗具有即刻效应。

Objective To evaluate the clinical effect of cervical spondylotic radiculopathy ( CRS) treatment by multi-degree freedom control traction. Methods Sixty cases of CRS were collected and randomly divided into treatment group ( multi-degree of freedom control traction) and control group ( occipital belt traction). The two groups were both treated with one course, and the overall effects of treatment were compared. Results After the first traction treatment: MPF were both increased,and in the treatment group,the change of RMS were obviously more than control group ( P < 0. 05). After one courses of treatment: VAS,NDI,Tanaka cervical symptom scale,and MPF were all improved in both groups,there was statistical significance of intra group differences ( P < 0. 05 );After treatment,the change of NDI,Tanaka cervical symptom scale,MPF in the treatment group were significanly better than control group ( P < 0. 05). Conclusion The clinical effect of the CSR treatment by multi-degree freedom control traction is better than by occipital belt traction,and there is immediate effect of the cervical traction therapy.