颈部力量练习在男大学生神经根型颈椎病中的干预效果

Effect of neck strength exercise intervention on cervical radiculopathy in male college students

目的 评价以颈部力量练习为主的运动疗法对大学生颈椎病运动干预措施的效果。方法 招募31例确诊为颈椎病非急性期的男大学生患者,采用奇偶数字法分为对照组(以关节运动和肌肉放松为主的运动传统疗法)与研究组(以颈部周围肌肉牵拉的力量练习为主的运动疗法),进行为期18周的干预,并在干预前、后分别观察颈椎病疼痛视觉(VAS)评分、日本骨科学会颈椎病疗效(JOA)评分,进行分析。结果 干预前,2组的JOA、VAS评分差异均无统计学意义(P均>0.05)。18周的运动治疗干预后,研究组的JOA评分为(14.31±0.94)分,与干预前的(10.0±1.26)分比较,差异有统计学意义(t=-9.70,P<0.01);干预后,研究组的JOA评分高于对照组(t=8.15,P<0.01)。干预前,2组的VAS评分差异无统计学意义(P>0.05),干预后,研究组的VAS评分为(2.88±0.95)分,与干预前的(7.75±0.77)分比较,差异有统计学意义(t=14.33,P<0.01);干预后,研究组的VAS评分低于对照组(t=-6.18,P<0.01)。结论 颈部力量练习对16名男大学生神经根型颈椎病的改善效果优于传统的运动疗法。

Objective To evaluate the effect of exercise therapy based on neck strength exercises on exercise intervention for cervical spondylosis in college students.Methods A total of 31 male college students diagnosed with non-acute cervical spondylosis were recruited and randomly divided(by the odd and even number method)into a control group(traditional exercise therapy focusing on joint movement and muscle relaxation)and a study group(exercise therapy focusing on strength exercises for muscle traction around the neck)for 18 weeks.The VAS(visual assessment of pain in cervical spondylosis)and JOA(Japanese Orthopaedic Association)scores were observed before and after the intervention respectively for analysis.Results Before the intervention,there were no significant differences in JOA and VAS scores between the two groups(both P>0.05).After 18 weeks of exercise therapy intervention,the JOA score of the study group was(14.31±0.94),which was significantly higher than that(10.0±1.26)before the intervention(t=-9.70,P<0.001).After the intervention,the JOA score of the study group was higher than that of the control group(t=8.15,P<0.01).Before the intervention,there was no significant difference in VAS scores between the two groups(P>0.05),but after the intervention,the VAS scores in the study group were(2.88±0.95),which was significantly lower than that(7.75±0.77)before the intervention(t=14.33,P<0.01).After the intervention,the VAS score of the study group was lower than that of the control group(t=-6.18,P<0.01).Conclusion The improvement effect of neck strength exercise on cervical radiculopathy in 16 male college students is better than that of traditional exercise therapy.