主动抗阻运动疗法治疗颈性眩晕的临床研究

Clinical Research of Active Resistant Kinesitherapy on Cervical Vertigo

目的 研究主动抗阻运动疗法对颈性眩晕患者的临床治疗效果。方法 门诊收集50例颈性眩晕患者,所有患者均采用主动抗阻运动专用器械进行锻炼,运动处方为每次顶压10~30s,向后锻炼每天100~200次,向前锻炼每天30~50次,向两侧锻炼每天30~50次。在患者治疗前和治疗后的2月、4月、6月、12月分别进行眩晕评分及颈椎功能丧失指数评分;治疗前及治疗后1年给予颈椎正侧位及过伸过屈侧位片检查,测量患者颈椎Cobb角以及颈椎角度位移和水平位移的变化。结果 治疗后2月、4月、6月、12月的眩晕评分样本中位数(M=8,M=11.00,M=15,M=17.50)明显高于治疗前(M=6.5),与治疗前比较有统计学差异,P<0.05。治疗后2月、4月、6月、12月颈椎功能丧失指数评分样本中位数(M=14.75,M=9.50,M=6.50,M=4.50)分别明显低于治疗前(M=16.50),与治疗前比较有明显统计学差异(P<0.05)。治疗后1年颈椎Cobb角样本中位数明显高于治疗前(M_(后)>M_(前)),与治疗前比较有统计学差异(P<0.05)。治疗后1年的颈椎角度位移程度低于治疗前(M_(后)<M_(前)),与治疗前比较存在统计学差异(P<0.05)。结论 主动抗阻运动疗法可以缓解颈椎病患者的眩晕症状,改善颈椎病患者的颈椎功能,改善颈椎的生理曲度,可以提高颈椎稳定性。

Objective Study on cervical vertigo with active resistant kinesitherapy.Methods Fifty cervical vertigo patients were selected.All the patients were exercised with the patent active resistant kinesitherapy appliance according to the same exercise prescription:backward 100~200 times,forward 50~100 times,bilateral 50~100 times respectively everyday and keep 10~30 seconds every time.These patients were followed up and their cervical vertigo point and functional disable index were assessed after 0,2months,4months,6months and 12 months respectively.Cervical anterior,lateral and dynamic X-ray were followed up after one year,with cervical Cobb angle,angle instability and horizontal instability reexamined.Results The vertigo assessment of post-treatment 2months,4months,6months and 12months median(M=8,M=11.00,M=15,M=17.50)were higher than pre-treatment(M=6.5).Compared with pre-treatment,there was a significant statistic difference(P<0.05).The cervical functional index of post-treatment 2months,4months,6months and 12months median(M=12.00,M=9.50,M=6.50,M=4.50)were obviously lower than pre-treatment(M=14.00).Compared with pre-treatment,there was a significant statistic difference(P<0.05).The one year post-treatment Cobb angle median were obviously higher than pre-treatment(M_(post)>M_(pre)).Compared with pre-treatment,there was a significant statistic difference(P<0.05).The one year post-treatment angle instability median were obviously lower than pre-treatment(M_(post)<M_(pre)).Compared with pre-treatment,there was a significant statistic difference(P<0.05).Conclusion Active Resistant Kinesitherapy can alleviate vertigo from cervical spondylosis,improve cervical function of cervical spondylosis,improve cervical physiological curvature,improve cervical stability.