通督强脊“三步五法”推拿在治疗颈椎病患者中的应用研究

Application research of Tongdu Qiangji"three-step five-method"massage in the treatment of patients with cervical spondylosis

目的探讨通督强脊“三步五法”推拿治疗颈椎病对患者疼痛与功能恢复情况的影响。方法按随机数字表法将2019年10月至2021年10月期间于广水阳光康复医院就医的74例颈椎病患者分为对照组(给予间歇性颈椎牵引治疗)与观察组(给予通督强脊“三步五法”推拿治疗),每组37例,两组均连续治疗2周。比较两组患者治疗后临床疗效,治疗前后上肢电流感觉阈值(CPT)等级、视觉模拟疼痛量表(VAS)、颈椎病临床评价量表(CASCS)评分、颈椎活动度及颈椎等长肌力。结果治疗后对照组与观察组患者的临床总有效率分别为62.16%、89.19%,观察组高于对照组;与治疗前比,治疗后两组患者上肢CPT等级、VAS评分均降低,观察组低于对照组;两组患者CASCS评分(主观症状、临床体征、适应能力)均升高,观察组高于对照组;两组患者颈椎右侧屈、左侧屈、前屈、后伸、右旋转、左旋转的活动度及右侧屈、左侧屈、前屈、后伸的颈椎等长肌力均增大,观察组大于对照组(均P<0.05)。结论通督强脊“三步五法”推拿治疗颈椎病可有效改善患者受累神经的感觉功能和颈椎活动功能,减轻疼痛程度,缓解临床症状,提高颈椎相关肌群的肌力,疗效显著。

Objective To explore the effect of Tongdu Qiangji"three-step five-method"massage on pain and functional recovery of patients with cervical spondylosis.Methods A total of 74 cases patients with cervical spondylosis who were treated in YangGuang Community Health Service Center from October 2019 to October 2021 were divided into the control group(given intermittent cervical traction therapy)and the observation group(given Tongdu Qiangji"three-step five-method"massage therapy)according to the random number table method,37 cases in each group,patients in the both groups received continuous treatment for 2 weeks.The clinical efficacy after treatment,and the upper limb current perception threshold(CPT)grade,visual analog pain scale(VAS)score,clinical assessment scale for cervical spondylosis(CASCS)score,cervical spine mobility and isometric muscle strength of the cervical spine before and after treatment of patients in the two groups were compared.Results The total clinical effective rates of patients in the control group and the observation group were 62.16% and 89.19%,respectively,and the observation group was higher than the control group;compared with before treatment,the upper limb CPT grade and VAS score of patients in the two groups decreased after treatment,and the observation group was lower than the control group;the CASCS scores(subjective symptoms,clinical signs,adaptability)of patients in the two groups increased after treatment,and the observation group was higher than the control group;the range of motion of right flexion,left flexion,forward flexion,posterior extension,right rotation,and left rotation of the cervical spine,the cervical isometric muscle strength of right flexion,left flexion,forward flexion,and posterior extension of patients in the two groups increased,the observation group was greater than the control group(all P<0.05).Conclusion Tongdu Qiangji"three-step five-method"massage in the treatment of cervical spondylosis can effectively improve the sensory function of the affected nerves and cervical spine mobility,reduce pain,relieve clinical symptoms,and improve the muscle strength of cervical spine-related muscle groups,which has significant curative effects.