核心肌力训练在神经根型颈椎病治疗中的应用研究

A study on application of core muscle training in cervical spondylotic radiculopathy

目的探讨核心肌力训练对于治疗神经根型颈椎病(cervical spondylotic radiculopathy,CSR)的临床疗效。方法选择2018年1月至2019年10月收治的70例CSR患者为研究对象,根据随机数字表分为对照组与观察组,各35例。对照组给予常规康复治疗,观察组基于常规康复治疗加行核心肌力训练,观察两组治疗后的临床疗效,比较两组治疗前后的临床症状评分及疼痛改善效果。结果治疗后观察组的总有效率显著高于对照组(P<0.05)。两组治疗前颈椎临床评价量表(CASCS)评分和疼痛程度VAS评分比较均无统计学意义(P>0.05)。治疗后,两组CASCS评分均较治疗前显著提高,且观察组治疗后CASCS评分显著高于对照组治疗后的CASCS评分(P<0.001);两组VAS评分均较治疗前显著降低,且观察组治疗后VAS评分显著低于对照组治疗后的VAS评分(P<0.05)。结论核心肌力训练可显著提高CSR的疗效,与单纯采用常规康复治疗CSR相比较,联合核心肌力训练后治疗效果更佳。

Objective To explore the clinical efficacy of core muscle training in the treatment of cervical spondylotic radiculopathy(CSR).Methods A total of 70 CSR patients admitted to our hospital from January 2018 to October 2019 were selected as research subjects.They were divided into control group and observation group according to random number table,with 35 cases in each group.The control group were given conventional rehabilitation therapy,and the observation group was given core muscle training based on conventional rehabilitation therapy.And then,the clinical effects of the two groups after treatment were observed,and the clinical symptom scores and pain improvement effects of the two groups were compared before and after treatment.Results After treatment,the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).Before treatment,there was no significant difference in CASCS score and VAS score between the control group and the observation group(P>0.05).After treatment,the CASCS score of the two groups were significantly higher than those before treatment,and the CASCS score of the observation group was significantly higher than that of the control group(P<0.001).The VAS scores of the two groups were significantly lower than those before treatment,and the VAS score of the observation group was significantly lower than that of the control group(P<0.05).Conclusion Core muscle training can significantly improve the curative effect of CSR.Compared with conventional rehabilitation treatment of CSR,the combination of core strength training and conventional rehabilitation is more effective.