非特异性颈痛患者肌力评定方法的研究进展

Research Progress of Muscle Strength Assessment Methods in Patients with Non-Specific Neck Pain

非特异性颈痛是指既找不到确切组织结构病理改变,又无法明确病因的颈肩背痛,主要包括颈背部肌肉的劳损、肌筋膜炎、椎间小关节紊乱等。由于现代生活方式的改变,如长期看手机、看电脑、熬夜、缺乏运动等,均会导致颈部肌力异常,从而引发颈痛,造成功能退化或丧失等功能障碍。康复评估是治疗的前提,正所谓“无康复评估,无治疗”,颈部肌力是颈部肌肉生物力学测试的重要方面。而肌力评估可以反映肌力衰弱情况,为制定治疗方案提供依据,同时可以反映肌肉特性的恢复程度。因此,肌力评估对非特异性颈痛患者康复至关重要。本文通过阐述非特异性颈痛的病因及肌力评定意义、肌力评定方法,为临床工作者选取精准、简单、便捷和廉价的肌力评定方法提供参考。

Non-specific neck pain refers to neck,shoulder and back pain that cannot find the exact pathological changes of the tissue structure,and cannot be clear about the cause,mainly including neck and back muscle strain,myofasciitis,intervertebral facet joint disorders.Due to the change of modern lifestyle,such as looking at mobile phones,computers for a long time,staying up late,lack of exercise,will lead to abnormal neck muscle strength,resulting in neck pain,resulting in functional degeneration or loss and other functional disorders.Rehabilitation evaluation is the premise of treatment.As the so-called"no rehabilitation evaluation,no treatment",neck muscle strength is an important aspect of neck muscle biomechanical test.Muscle strength assessment can show the weakness of muscle strength,to provide a basis for the formulation of treatment plan,regularly check the recovery degree of neuromuscular lesions,in order to test the effect of treatment training.Therefore,the assessment of muscle strength is very important for the rehabilitation of patients with nonspecific neck pain.In this paper,the cause of non-specific neck pain and the significance of muscle strength assessment,muscle strength assessment methods,for clinical and scientific research to select objective,reliable,accurate,economic,and high sensitivity of muscle strength assessment methods.