压力生物反馈训练治疗颈椎病

Pressure biofeedback training for treating cervical spondylosis

背景:压力生物反馈作为肌肉训练的测量和治疗是一种新颖而客观的方法,其配合颈部深层肌肉锻炼使用,能提供实时反馈以有利于提高患者训练的精准性和有效性,但目前结合颈部深层肌肉锻炼的相关临床研究国内甚少报道。目的:探讨压力生物反馈结合颈深屈肌锻炼治疗慢性颈痛的临床疗效。方法:选取2021年4-10月于广西中医药大学第一附属医院门诊和骨科病房治疗的慢性颈痛患者60例,将患者分为试验组和对照组。前者应用压力生物反馈进行颈深屈肌锻炼,后者进行常规的颈深屈肌锻炼。主要观察指标为治疗后1,2,3个月随访两组患者应用压力生物反馈测量的峰值压力;次要观察指标为压力生物反馈测量的峰值压力维持时间及Northwick Park颈痛量表评分(Neck Pain Questionnaire,NPQ)。结果与结论:①两组患者各随访时间节点压力生物反馈测量的压力峰值、峰值维持时间与锻炼前比较均显著增加(P<0.05);同一时间点试验组测得的气囊压力峰值和峰值维持时间均显著大于对照组(P<0.05);②两组患者各随访时间节点NPQ评分均显著低于锻炼前(P<0.05);试验组在锻炼后2个月和3个月NPQ评分均明显低于同期对照组(P<0.05);③结果说明,压力生物反馈结合颈深屈肌锻炼治疗能有效减轻慢性颈痛症状,为患者反馈实时的锻炼效果增加了功能锻炼的可持续性,且符合简、便、廉原则,可以成为社区防治颈部疼痛再教育方案中的一环。

BACKGROUND:As a new and objective method for the measurement and treatment of muscle training,pressure biofeedback can provide real-time feedback to improve the accuracy and effectiveness of deep neck flexor exercises.However,there are few reports on clinical studies related to pressure biofeedback and neck deep muscle exercise in China.OBJECTIVE:To investigate the clinical efficacy of pressure biofeedback training combined with deep neck flexor exercises in patients with chronic neck pain.METHODS:A total of 60 patients with chronic neck pain treated in the Out-Patient Department and Orthopedic Ward of the First Affiliated Hospital of Guangxi University of Chinese Medicine from April to October 2021 were enrolled in this study.These patients were selected and divided into experimental group and control group.The former group used pressure biofeedback to perform deep neck flexor exercises,while the latter group performed regular deep neck flexor exercises.The primary outcome was the peak pressure measured by pressure biofeedback at each follow-up point(1,2,and 3 months after treatment)and the secondary outcomes were peak pressure maintenance time as well as the Northwick Park Neck Pain Questionnaire score.RESULTS AND CONCLUSION:(1)There were significant differences in peak pressure value and peak pressure maintenance time before and after exercises in the two groups(P<0.05).Compared with the control group,the peak pressure value and maintenance time were significantly higher in the experimental group at each time point(P<0.05).(2)The Northwick Park Neck Pain Questionnaire score in each group was significantly lowered at each time point after exercises(P<0.05),and the score in the experimental group was significantly lower than that in the control group at 2 and 3 months after exercises(P<0.05).(3)To conclude,pressure biofeedback combined with deep neck flexor exercises can effectively alleviate the symptoms of chronic neck pain,feedback real-time exercise results for patients,and increase the sustainability of functional exercises,which is a simple,convenient,and low-cost treatment for neck pain and can be a part of the community re-education program for prophylaxis and treatment.