颈肩操干预大学生颈型颈椎病效果分析

Effect Analysis of Neck and Shoulder Exercises on College Students with Cervical Spondylosis

目的:探讨颈肩操干预大学生颈型颈椎病的效果。方法:112名患者随机分为颈肩操组和常规组各56例,常规组予以物理治疗,包括颈肩部中低频脉冲治疗及颈椎牵引治疗等常规治疗,颈肩操组在物理治疗基础上加用前俯后仰、左顾右盼、颈项侧弯、翘首望月、旋肩舒颈、顶天压地,点按大椎、风池、百会、合谷、颈肩穴,拿捏颈后肌、肩井穴区等颈肩操治疗,治疗3个疗程后采用颈椎活动度评分、疼痛视觉模拟法(VAS)评分、颈椎功能障碍指数(NDI)评分及《中医病证诊断疗效标准》对2组治疗前后分别进行评估。结果:治疗后2组患者颈椎部活动度评分、颈肩部疼痛评分、颈部椎体功能评分、颈椎病症状及体征均较治疗前有显著改善,颈肩操组总有效率为92.86%显著高于常规组的75.0%,差异有统计学意义(P<0.05)。结论:颈肩操能改善大学生颈椎活动度,并改善大学生颈型颈椎病疼痛症状及颈椎功能障碍,能显著提高物理疗法治疗颈型颈椎病的临床疗效,是防治颈型颈椎病的一种很好的方法。

Objective:To investigate the effect of cervical shoulder exercise on cervical spondylosis in college students.Methods:112 patients were randomly divided into the cervical shoulder exercise group(56 cases)and the routine group(56 cases).The routine group was given physical therapy,including cervical shoulder pulse therapy and cervical traction therapy,on the basis of physical therapy,the neck and shoulder exercise group was added with prostration,glancing left and right,side bend of neck,turning head to look at the moon,twisting shoulder,pressing the top of the sky and pressing the ground,pressing Dazhui,Fengchi,Baihui and Heguacupoints,after 3 courses of treatment,the 2 groups were evaluated by cervical range of motion score、visual analogue scale(VAS)、cervical dysfunction index(NDI)and standard of diagnosis and treatment of TCM Syndrome respectively.Results:After treatment,the cervical range of motion score,neck and shoulder pain score,cervical vertebral body function score,symptoms and signs of cervical spondylosis were significantly improved in the two groups,the effective rate of cervical shoulder exercise group was 92.86%,which was significantly higher than 75.0% that of routine group(P<0.05),the difference was statistically significant(P<0.05).Conclusion:Neck and shoulder exercises can improve the cervical range of motion,the pain symptoms and cervical dysfunction of college students with cervical spondylosis,and can significantly improve the clinical efficacy of physical therapy in the treatment of cervical spondylosis.It is a good method for the prevention and treatment of cervical spondylosis.