调衡手法联合康复训练对颈型颈椎病飞行员Borden值及功能指数的影响

Effect of balance adjustment manipulation combined with rehabilitation training on Borden value and functional index of pilots with cervical spondylosis

目的 研究调衡手法联合康复训练对颈型颈椎病飞行员Borden值及功能指数的影响。方法 选取2018年2月至2021年8月来某康复中心诊治的颈型颈椎病飞行员186例采用均衡顺序随机法分为两组,对照组(93例)采用康复训练联合基础手法,观察组(93例)采用康复训练联合调衡手法,比较两组治疗前后及治疗后3个月、半年的Borden生理曲度测量值、疼痛视觉模拟评分(VAS)、颈椎功能障碍(NDI)指数。结果 观察组治疗后、治疗后3个月、治疗后半年的Borden值(5.73±2.41)mm、(5.84±1.48)mm、(5.87±1.03)mm均高于对照组(3.92±1.81)mm、(3.62±2.68)mm、(3.75±1.41)mm,P<0.05。观察组治疗后、治疗后3个月、治疗后半年的VAS评分(1.32±0.79)分、(1.22±0.68)分、(1.21±0.73)分均低于对照组(2.77±0.79)分、(2.89±0.76)分、(2.96±0.58)分,P<0.05。观察组治疗后、治疗后3个月、治疗后半年的NDI指数(17.14±0.73)%、(15.35±1.35)%、(15.23±0.89)%均低于对照组(22.25±2.26)%、(21.86±2.54)%、(21.47±2.76)%,P<0.05。结论 调衡手法联合康复训练在改善飞行员颈椎生理曲度,减轻颈、肩、背部疼痛不适症状及改善颈椎功能活动方面优于单纯采用基础手法联合康复训练治疗,其疗效稳定,近期、中期效果均佳,对颈型颈椎病的治疗与康复有重要作用。

Objective To study the effect of balance adjustment manipulation combined with rehabilitation training on Borden value and functional index of pilots with cervical spondylosis. Methods 186 pilots with cervical spondylosis diagnosed and treated in a rehabilitation center from February 2018 to August 2021 were selected and randomly divided into two groups by balanced sequential random method.The control group(93 cases) used rehabilitation training combined with basic manipulation,and the observation group(93 cases) used rehabilitation training combined with balance adjustment manipulation.Borden physiological curvature measurement value,pain visual analog score(VAS),and neck disability index(NDI) before and after treatment,3 months and half a year after treatment were compared between the two groups.Results The Borden values of(5.73±2.41)mm,(5.84±1.48) mm and(5.87±1.03)mm in the observation group after treatment,3 months after treatment and half a year after treatment were higher than those of(3.92 ±1.81)mm,(3.62 ±2.68)mm and(3.75 ±1.41)mm in the control group(P <0.05).The VAS scores(1.32 ±0.79),(1.22 ±0.68) and(1.21 ±0.73) in the observation group after treatment,3 months after treatment and half a year after treatment were lower than those in the control group(2.77 ±0.79),(2.89±0.76)and(2.96±0.58),P<0.05.The NDI indexes(17.14±0.73)%,(15.35±1.35)% and(15.23± 0.89)% in the observation group after treatment,3 months after treatment and half a year after treatment were lower than those in the control group(22.25 ±2.26)%,(21.86 ±2.54)% and(21.47 ±2.76)%(P <0.05).Conclusion The balance adjustment manipulation combined with rehabilitation training is superior to the simple basic manipulation combined with rehabilitation training in improving the physiological curvature of the pilots’ cervical spine,relieving the pain and discomfort symptoms of the neck,shoulder and back,and improving the functional activities of the cervical spine.The curative effect is stable,and the short-term and medium-term effects are good.It plays an important role in the treatment and rehabilitation of cervical spondylosis.