等长抗阻训练联合八段锦对颈型颈椎病患者颈椎功能恢复、生活质量的作用

Effects of isometric resistance training combined with Baduanjin on cervical function recovery and quality of life in patients with cervical spondylosis

目的探讨等长抗阻训练联合八段锦对颈型颈椎病患者颈椎功能恢复、生活质量的作用。方法选择76例颈型颈椎病患者进行研究,随机分为观察组和对照组,各38例。对照组采用常规颈椎牵引治疗,观察组采用等长抗阻训练联合八段锦治疗。比较两组治疗前后颈椎功能活动度、颈椎功能障碍指数(NDI)评分、生活质量评分。结果观察组治疗前前屈、后伸、左旋转、右旋转颈椎功能活动度分别为(44.45±8.73)、(47.73±9.52)、(51.18±10.29)、(50.61±11.15)°,治疗后分别为(59.14±11.58)、(61.02±12.57)、(77.20±12.55)、(75.36±13.31)°;对照组治疗前前屈、后伸、左旋转、右旋转颈椎功能活动度分别为(44.47±8.69)、(47.69±9.50)、(51.20±10.31)、(50.58±11.21)°,治疗后分别为(52.31±10.62)、(53.15±11.63)、(70.09±12.10)、(69.01±12.14)°。治疗后,两组前屈、后伸、左旋转、右旋转颈椎功能活动度均高于治疗前,且观察组高于对照组(P<0.05)。治疗后,两组NDI评分均低于治疗前,且观察组NDI评分(14.50±2.14)分低于对照组的(21.08±3.39)分(P<0.05)。治疗后,两组社会功能、生理功能、生理职能、生命活力、躯体疼痛、总体健康、精神健康、情感职能评分均高于治疗前,且观察组高于对照组(P<0.05)。结论颈型颈椎病患者采用等长抗阻训练联合八段锦治疗能促进颈椎功能恢复,提高生活质量,值得推广。

Objective To explore the effects of isometric resistance training combined with Baduanjin on cervical function recovery and quality of life in patients with cervical spondylosis.Methods A study was conducted on 76 patients with cervical spondylosis.They were randomly divided into an observation group and a control group,with 38 patients in each group.The control group received routine cervical traction treatment,while the observation group received isometric resistance training combined with Baduanjin treatment.The cervical range of motion,neck disability index(NDI)score,and quality of life scores were compared between the two groups before and after treatment.Results In the observation group,the cervical range of motion for antexion,extension,left rotation,and right rotation before treatment were(44.45±8.73),(47.73±9.52),(51.18±10.29),and(50.61±11.15)°;after treatment,they were(59.14±11.58),(61.02±12.57),(77.20±12.55),and(75.36±13.31)°.In the control group,the cervical range of motion for antexion,extension,left rotation,and right rotation before treatment were(44.47±8.69),(47.69±9.50),(51.20±10.31)and(50.58±11.21)°;after treatment,they were(52.31±10.62),(53.15±11.63),(70.09±12.10),and(69.01±12.14)°.After treatment,the the cervical range of motion for antexion,extension,left rotation,and right rotation in both groups was higher than those before treatment,and the observation group was higher than the control group(P<0.05).After treatment,NDI scores in both groups were lower than those before treatment,and NDI score of(14.50±2.14)points in the observation group was lower than(21.08±3.39)points in the control group(P<0.05).After treatment,the scores of social function,physical function,role-physical,vitality,bodily pain,general health,mental health and roleemotional in both groups were higher than those before treatment,and the observation group was higher than the control group(P<0.05).Conclusion The combination of isometric resistance training and Baduanjin treatment can promote the recovery of cervical function and improve the quality of life in patients with cervical spondylosis,and is worth promoting.