旋顶手法恢复颈型颈椎病患者颈椎曲度的有效性研究

Efficacy of Imbalanced Vertebral Evaluation Combined withRotation-Thrust Manipulation to Restore CervicalCurvature in Patients with Cervical Spondylosis

目的:研究失衡椎评估结合旋顶手法恢复颈型颈椎病患者颈椎曲度及缓解临床症状的有效性。方法:选取颈型颈椎病伴颈椎曲度异常的患者61例,采用随机对照的差异性研究方法,随机分为治疗组(旋顶手法)32例和对照组(旋提手法)29例,于治疗前、治疗1个月内拍摄颈椎X线片,评估颈椎曲度分型的变化,采用NRS评分评定患者的临床疗效,评估治疗前、治疗1个月后NRS评分变化。结果:治疗后两组患者颈椎曲度恢复比例分别为40.63%和3.57%,治疗组患者治疗前后颈椎曲度分型差异有统计学意义(P<0.01),两组患者治疗后颈椎曲度分型差异有统计学意义(P<0.01)。两组患者治疗前后的NRS评分差异有统计学意义(P<0.01),治疗后两组患者NRS评分差异无统计学意义(P>0.05)。结论:旋顶手法可以恢复颈型颈椎病患者的颈椎曲度,改善临床症状。

Objective: To evaluate the efficacy of imbalanced vertebral combined with rotation-thrust manipulation to restore cervical curvature in patients with cervical spondylosis.Methods: A randomized controlled differential study design was adopted for 61 patients with cervical spondylopathy accompanied by abnormal cervical curvature.The patients were randomly divided into the treatment group 32 cases and the control group 29 cases.Cervical X-ray were taken before treatment and 1 month after treatment to evaluate the change of cervical curvature classification.NRS scores was used to evaluate the change of clinical curative efficacy.Results: After treatment, the proportion of cervical curvature recovery in the two groups were 40.63% and 3.57% respectively.The difference of cervical curvature classification before and after treatment in the treatment group was statistically significant(P<0.01),while the difference of cervical curvature classification after treatment in the two groups was statistically significant(P<0.01).The difference in NRS scores before and after treatment was statistically significant in the two groups(P<0.01).There was no statistically significant difference in NRS scores between the two groups after treatment(P>0.05).Conclusion: The evaluation of imbalanced vertebral combined with the manipulation of rotation-thrust manipulation can effectively restore the curvature and relief the pain of cervical vertebra in patients with cervical spondylopathy.