器具辅助软组织松解技术治疗颈型颈椎病疗效观察

Clinical efficacy of instrument-assisted soft tissue mobilization in the treatment of patients with cervical spondylosis

目的探讨器具辅助软组织松解技术(IASTM)治疗颈型颈椎病患者的疗效。方法选择2017年8月23日至2018年3月1日在宝安区人民医院康复科就诊的20例颈型颈椎病患者,按照电脑生成的随机数字码随机分为观察组和对照组,每组10例。观察组患者予以器具辅助软组织松解技术治疗,对照组予以常规手法筋膜松解技术治疗,所有患者每天接受一次治疗,每次治疗时间20 min,共治疗5 d。治疗前后分别使用颈部失能量表(NDI)、简化麦吉尔疼痛调查问卷(SMPQ)和改良Barthel指数(modified barthel index,MBI)评估患者的治疗效果。结果观察组和对照组各有1例因个人原因中止治疗退出研究。观察组和治疗组各有9例患者纳入统计分析。治疗后,观察组患者的NDI评分和SMPQ评分分别为(12.11±1.62)分、(19.33±1.41)分,明显低于对照组的(15.00±2.45)分、(22.44±2.96)分,而MBI评分为(95.11±1.17)分,明显高于对照组的(92.00±1.94)分,差异均有统计学意义(P<0.05)。结论相较于传统手法松解术,IASTM治疗颈型颈椎病的效果更佳。

Objective To explore the effect of instrument-assisted soft tissue mobilization(IASTM)in the treatment of patients with cervical spondylopathy.Methods Twenty patients with cervical spondylosis treated in the Department of Rehabilitation Medicine,Baoan District People’s Hospital from August 23,2017 to March 1,2018 were randomly divided into an observation group and a control group according to the random number code generated by the computer,each with 10 patients.Patients in the observation group were treated with instrument-assisted soft tissue mobi-lization,and the control group was treated with conventional manual fascia-loosening therapy.All patients received treat-ment once a day for 20 minutes each time for a total of 5 days.Before and after treatment,NDI,Simplified McGill Pain Questionnaire(SMPQ),and modified Barthel Index(MBI)were used to evaluate the clinical efficacy.Results There was one case in the observation group and one case in the control group who discontinued the treatment due to personal rea-sons.Nine patients in the observation group and 9 patients in the control group were included in the statistical analysis.Af-ter treatment,the NDI score and SMPQ score of the observation group were(12.11±1.62)points and(19.33±1.41)points,which were significantly lower than(15.00±2.45)points and(22.44±2.96)points of the control group,and the MBI score was(95.11±1.17)points,which was significantly higher than(92.00±1.94)points of the control group,with statistically significant differences(P<0.05).Conclusion Compared with conventional manual fascia-loosening therapy,IASTM is more effective in the treatment of cervical spondylosis.