《中国康复理论与实践》

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (10): 1204-1215.doi: 10.3969/j.issn.1006-9771.2026.10.009

• 应用研究 • 上一篇    下一篇

本体感觉刺激联合肩关节力量训练对健康男青年颈部功能的效果

梁一雄1,2, 黄秋晨2, 于丽丽1,2, 叶淼1,2, 李建军1()   

  1. 1 首都医科大学康复医学院， 北京市 100068
    2 中国康复研究中心北京博爱医院运动疗法二科， 北京市 100068
  • 收稿日期:2026-08-25 修回日期:2026-09-18 接受日期:2026-09-28 出版日期:2026-10-25 发布日期:2026-10-23
  • 通讯作者: 李建军(1962-)，男，汉族，山东威海市人，主任医师，博士研究生导师，主要研究方向：脊髓损伤与骨科的临床治疗与康复。E-mail： crrc100@163.com
  • 作者简介:梁一雄(1994-)，男，汉族，天津市人，硕士研究生，主管技师，主要研究方向：脊髓损伤和骨关节疾病的物理治疗。

Effect of proprioceptive stimulation combined with shoulder strength training on cervical function in healthy young males

Liang Yixiong1,2, Huang Qiuchen2, Yu Lili1,2, Ye Miao1,2, Li Jianjun1()   

  1. 1 School of Rehabilitation, Capital Medical University, Beijing 100068, China
    2 The Second Department of Physical Therapy, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2026-08-25 Revised:2026-09-18 Accepted:2026-09-28 Published:2026-10-25 Online:2026-10-23

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摘要：

目的 探讨本体感觉刺激联合肩关节等长力量训练对健康男青年颈部肌肉形态、椎动脉血流动力学、本体感觉和运动功能的影响。

方法 2022年1月至2024年6月在北京博爱医院招募健康男青年30名，采用随机数字表法分为本体感觉刺激组(PS组)、力量训练组(ST组)和联合训练组(CT组)，每组各10名。PS组接受悬吊振动颈椎本体感觉刺激，ST组接受右侧肩关节6个方向的等长力量训练，CT组同时接受两种干预，连续4周。干预前后测量右侧颈多裂肌横截面积(CSA)、椎动脉舒张末期流速(EDV)和收缩期峰值流速(PSV)、颈椎关节活动度(ROM)、等长收缩峰值扭矩(IPT)和颈椎关节位置误差(CJPE)。

结果 30名受试者均完成研究，未报告明显不良事件。CSA的时间×组别交互效应显著(F = 10.183, P = 0.001, 偏η2 = 0.430)，CT组CSA高于PS组和ST组(P < 0.05)。EDV和PSV的时间×组别交互效应显著(F > 4.036, P < 0.05, 偏η2 > 0.230)，CT组PSV显著高于PS组和ST组(P < 0.001)。伸展ROM的时间×组别交互效应显著(F = 54.277, P < 0.001, 偏η2 = 0.801)，CT组伸展ROM显著高于PS组和ST组(P < 0.001)。屈曲、伸展和侧屈IPT的时间×组别交互效应显著(F > 14.251, P < 0.001; 偏η2 > 0.514)，CT组屈曲IPT高于PS组和ST组(P < 0.05)。

结论 在健康男青年中，本体感觉刺激联合肩关节力量训练可改善颈部肌力、血流和运动功能。

关键词: 本体感觉刺激, 力量训练, 颈部多裂肌, 运动功能

Abstract:

Objective To investigate the effect of proprioceptive stimulation combined with shoulder strength training on cervical muscle morphology, vertebral artery hemodynamics, proprioception and motor function in healthy young men.

Methods Thirty healthy young men recruited from Beijing Bo'ai Hospital between January, 2022 and June, 2024 were randomly divided into a proprioceptive stimulation (PS) group, a strength training (ST) group and a combined training (CT) group, with ten participants in each group. PS group received proprioceptive stimulation using suspension vibration, ST group received isometric contraction of the right shoulder joint in six directions, and CT group received both interventions concurrently, for four weeks. Before and after intervention, the cross-sectional area (CSA) of the right cervical multifidus, the end diastolic velocity (EDV) and peak systolic velocity (PSV) of the vertebral artery, cervical range of motion (ROM), isometric peak torque (IPT) and cervical joint position error (CJPE) were measured.

Results All 30 subjects completed the study, and no serious adverse events were reported. The time-by-group interaction in CSA was significant (F = 10.183, P = 0.001, partial η2 = 0.430); CSA was higher in CT group than in PS group and ST group (P < 0.05). The time-by-group interactions in EDV and PSV were significant (F > 4.036, P < 0.05, partial η2 > 0.230); PSV was significantly higher in CT group than in PS group and ST group (P < 0.001). The time-by-group interaction in extension ROM was significant (F = 54.277, P < 0.001, partial η2 = 0.801); extension ROM was significantly higher in CT group than in PS group and ST group (P < 0.001). The time-by-group interactions in flexion, extension and lateral flexion IPT were significant (F > 14.251, P < 0.001; partial η2 > 0.514); flexion IPT was higher in CT group than in PS group and ST group (P < 0.05).

Conclusion In healthy young men, proprioceptive stimulation combined with shoulder strength training can improve neck muscle strength, blood flow and motor function.

Key words: proprioception stimulation, strength training, cervical multifidus muscle, motor function

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