综述

挥鞭样损伤的研究进展

  • 蔡亚飞 ,
  • 洪毅 ,
  • 王方永 ,
  • 任伟靖 ,
  • 宋明洁
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  • 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脊柱外科,北京市 100068
蔡亚飞(1993-),女,汉族,河北保定市人,硕士研究生,主要研究方向:脊髓损伤与康复。通讯作者:洪毅,男,汉族,主任医师,教授,硕士研究生导师,主要研究方向:脊柱外科与康复。王方永,男,汉族,主任医师,副教授,硕士研究生导师,主要研究方向:脊柱外科与康复。

收稿日期: 2018-09-04

  修回日期: 2018-11-26

  网络出版日期: 2019-04-02

基金资助

中国康复研究中心项目(No. 2017ZX-23; No. 2017ZX-02; No. 2015ZX-1)

Advance in Whiplash-associated Disorders (review)

  • CAI Ya-fei ,
  • HONG Yi ,
  • WANG Fang-yong ,
  • REN Wei-jing ,
  • SONG Ming-jie
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  • 1.Capital Medical University School of Rehabilitation, Beijing 100068, China
    2.Department of Spine Surgery, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received date: 2018-09-04

  Revised date: 2018-11-26

  Online published: 2019-04-02

Supported by

China Rehabilitation Research Center Project (No. 2017ZX-23; No. 2017ZX-02; No. 2015ZX-1)

摘要

挥鞭样损伤临床表现多种多样,常见症状为颈痛、头痛、颈椎活动受限等。其机制复杂,不仅与突然的加速-减速机制传导至颈椎关节面、相关韧带、肌肉和神经等造成一系列症状相关,最近发现还可能与脑脊液低容量、纤维肌痛以及中枢神经系统上行网状系统损伤有关。对于不伴有神经功能损伤的患者,进行针对颈部腹侧深层肌肉的等长收缩以及耐力的运动训练可显著改善患者症状,经超声可实时动态检测运动训练组与保守观察组深层与浅层肌肉形变以及形变速率模式不同。运动训练可改善肌肉运动模式,同时修复受损的颈部肌肉。

本文引用格式

蔡亚飞 , 洪毅 , 王方永 , 任伟靖 , 宋明洁 . 挥鞭样损伤的研究进展[J]. 中国康复理论与实践, 2019 , 25(3) : 324 -329 . DOI: 10.3969/j.issn.1006-9771.2019.00.005

Abstract

Whiplash-associated disorders usually appear as symptoms of neck pain, headache, and limited cervical spine activities, etc. Its mechanism is complicated, which is related with the sudden acceleration-deceleration mechanism conducted to the cervical vertebral joint, ligaments, muscles and nerves. Recently, it was found that low capacity of cerebrospinal fluid, fibromyalgia, and injury of central nervous system are also associated with those symptoms. The focus of exercise on equal length contraction and endurance of neck deep muscles can significantly improve the symptoms of patients without neurological injury. Ultrasound can be used to dynamically detect deformation and deformation rate patterns of both deep and shallow muscle in the exercise group and the conservative observation group. It is suggested that exercise can improve muscle movement patterns and repair damaged neck muscles at the same time.

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