《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (3): 269-271.

• 论文 • 上一篇    下一篇

等长收缩训练治疗下颈椎失稳交感神经症状的效果

郄淑燕，张夏琳，潘钰，马全胜，张丽华，丁永红   

  1. 1.北京康复中心，a.康复部；b.心肺功能科，北京市100144。
  • 收稿日期:2012-08-13 修回日期:2012-10-02 出版日期:2013-03-25 发布日期:2013-03-25
  • 通讯作者: 潘钰

Effect of Isometric Contraction on Sympathetic Nervous Symptoms Followed Subaxial Cervical Instability

QIE Shu-yan, ZHANG Xia-lin, PAN Yu, et al.   

  1. Department of Rehabilitation Medicine, Beijing Rehabilitation Center, Beijing 100144, China
  • Received:2012-08-13 Revised:2012-10-02 Published:2013-03-25 Online:2013-03-25

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摘要：

目的探讨颈部肌群等长收缩训练对下颈椎失稳交感神经症状的临床疗效。方法41 例下颈椎失稳并发交感神经症状的患者分为试验组(n=21)和对照组(n=20)。两组均接受为期3 周的手法治疗，试验组同时行颈部肌群等长收缩训练。治疗前后采用视觉模拟评分法(VAS)评价临床症状，采用短程频谱分析法检测心率变异性，包括总功率(TP)、低频成分(LF)、高频成分(HF)、低频高频比(LF/HF)。结果治疗后，两组VAS 评分、LF、LF/HF 均下降(P<0.05)；试验组VAS 评分、LF、LF/HF 均低于对照组(P<0.05)。结论等长收缩训练可改善下颈椎失稳患者交感神经症状。

关键词: 下颈椎失稳, 交感神经症状, 心率变异性, 等长收缩

Abstract: Objective To study the effect of isometric contraction on subaxial cervical instability with sympathetic nervous symptoms.Methods 41 subaxial cervical instability patients with sympathetic nervous symptoms were assigned to experimental group (n=21) and control group (n=20). Both groups received manipulation therapy. Experimental group received isometric contraction in addition. They were assessed with Visual Analogue Scale (VAS) and heart rate variability (HRV), including total power (TP), low frequency power (LF), high frequency power (HF), and LF/HF before and 3 weeks after treatment. Results The scores of VAS, LF and LF/HF decreased in both groups after treatment (P<0.05), which decreased more in the experiement group than in the control group (P<0.05). Conclusion Isometric contraction can release the sympathetic nervous symptoms post subaxial cervical instability.

Key words: subaxial cervical instability, sympathetic nervous symptoms, heart rate variability, isometric contraction