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

doi:10.3969/j.issn.1006-9771.2026.10.009

Abstract

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

CLC Number:

R541

Liang Yixiong, Huang Qiuchen, Yu Lili, Ye Miao, Li Jianjun. Effect of proprioceptive stimulation combined with shoulder strength training on cervical function in healthy young males[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(10): 1204-1215.

Figures/Tables 16

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References 41

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组别	n	年龄/岁	身高/m	体质量/kg	BMI/(kg·m^-2)
PS组	10	22.80±1.69	1.75±0.09	72.36±10.92	23.70±3.09
ST组	10	24.70±2.00	1.76±0.06	74.30±8.85	24.05±2.97
CT组	10	23.80±2.10	1.75±0.08	72.26±8.28	23.70±3.12
F值		2.408	0.046	0.149	0.147
P值		0.109	0.955	0.862	0.864

组别	n	干预前		干预后
组别	n	均值	标准差	均值	标准差
PS组	10	0.84	0.08	0.85	0.07
ST组	10	0.80	0.09	0.82	0.08
CT组	10	0.79	0.08	0.87	0.10

效应	平方和	自由度	均方	F值	P值	偏η²
组内	0.017	1	0.017	34.420	< 0.001	0.560
组间	0.011	2	0.005	0.435	0.654	0.031
时间×组别	0.011	2	0.004	10.183	0.001	0.430

组别		平均值差	P值	95%CI
组别		平均值差	P值	下限	上限
PS组	ST组	-0.014	0.153	-0.043	0.015
PS组	CT组	-0.066	0.001	-0.101	-0.029
ST组	CT组	-0.051	0.010	-0.088	-0.014

变量	组别	n	干预前		干预后
变量	组别	n	均值	标准差	均值	标准差
EDV	PS组	10	18.12	2.77	20.08	3.11
	ST组	10	18.78	3.31	21.39	3.01
	CT组	10	17.34	3.31	19.43	3.13
PSV	PS组	10	38.82	5.67	43.00	6.22
	ST组	10	40.00	5.32	43.97	3.31
	CT组	10	38.31	4.60	46.52	6.32

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

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变量	效应	平方和	自由度	均方	F值	P值	偏η²
EDV	组内	51.529	1	51.529	59.567	< 0.001	0.688
	组间	17.301	2	8.650	0.621	0.550	0.044
	组内×组间	8.464	2	4.232	4.036	0.029	0.230
PSV	组内	244.524	1	244.524	31.248	< 0.001	0.536
	组间	20.645	2	10.322	0.132	0.877	0.010
	组内×组间	111.549	2	55.774	15.099	< 0.001	0.528

变量	效应	平方和	自由度	均方	F值	P值	偏η²
屈曲	组内	151.350	1	151.350	20.320	< 0.001	0.431
	组间	75.340	2	37.670	4.110	0.028	0.234
	组内×组间	46.170	2	23.085	3.120	0.060	0.188
伸展	组内	498.074	1	498.074	144.408	< 0.001	0.843
	组间	246.037	2	123.019	3.547	0.053	0.208
	组内×组间	225.148	2	112.574	54.277	< 0.001	0.801
侧屈	组内	106.963	1	106.963	127.646	< 0.001	0.825
	组间	68.481	2	34.241	1.293	0.302	0.087
	组内×组间	16.926	2	8.463	3.27	0.065	0.195
旋转	组内	101.407	1	101.407	14.681	0.005	0.352
	组间	240.259	2	120.130	2.826	0.089	0.173
	组内×组间	1.815	2	0.907	0.257	0.776	0.019

变量	效应	平方和	自由度	均方	F值	P值	偏η²
屈曲	组内	895.521	1	895.521	167.714	< 0.001	0.861
	组间	400.075	2	200.038	3.985	0.037	0.228
	组内×组间	477.808	2	238.904	34.776	< 0.001	0.720
伸展	组内	386.588	1	386.588	53.284	< 0.001	0.664
	组间	54.546	2	27.273	0.194	0.825	0.014
	组内×组间	200.946	2	100.473	14.251	< 0.001	0.514
侧屈	组内	1811.701	1	1811.701	97.233	< 0.001	0.783
	组间	989.096	2	494.548	3.143	0.068	0.189
	组内×组间	941.983	2	470.992	21.376	< 0.001	0.613

效应	平方和	自由度	均方	F值	P值	偏η²
组内	11.947	1	11.947	20.354	< 0.001	0.430
组间	5.890	2	2.945	0.944	0.410	0.065
组内×组间	1.056	2	0.528	1.576	0.237	0.105

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变量	组别	n	干预前		干预后
变量	组别	n	均值	标准差	均值	标准差
屈曲	PS组	10	40.67	4.20	42.44	3.00
	ST组	10	42.11	3.59	44.22	2.49
	CT组	10	41.46	3.63	47.11	2.64
伸展	PS组	10	40.22	4.89	41.22	4.66
	ST组	10	42.11	3.02	48.33	2.45
	CT组	10	39.78	5.02	50.78	4.63
侧屈	PS组	10	38.78	4.71	40.44	4.82
	ST组	10	39.11	4.01	41.56	3.47
	CT组	10	40.11	3.22	44.44	1.94
旋转	PS组	10	72.56	7.80	75.56	6.13
	ST组	10	68.21	9.21	71.01	8.43
	CT组	10	72.78	9.48	75.43	9.41

变量	组别		平均值差	P值	95%CI
变量	组别		平均值差	P值	下限	上限
屈曲	PS组	ST组	-0.333	0.781	-2.837	2.171
	PS组	CT组	-3.883	< 0.001	-6.944	-0.822
	ST组	CT组	-3.540	0.003	-6.525	-0.555
伸展	PS组	ST组	-5.222	0.021	-7.451	-2.994
	PS组	CT组	-10.000	< 0.001	-12.235	-7.765
	ST组	CT组	-4.778	< 0.001	-7.062	-2.494
侧屈	PS组	ST组	-0.778	0.392	-2.651	1.096
	PS组	CT组	-2.667	0.017	-4.787	-0.420
	ST组	CT组	-1.889	0.063	-3.891	0.113
旋转	PS组	ST组	0.200	1.000	-3.370	3.370
	PS组	CT组	0.350	0.627	-2.551	4.107
	ST组	CT组	0.150	0.491	-1.560	3.116

变量	组别	n	干预前		干预后
变量	组别	n	均值	标准差	均值	标准差
屈曲	PS组	10	63.34	8.76	63.50	7.91
	ST组	10	61.89	9.63	71.20	10.84
	CT组	10	62.89	9.63	76.60	8.06
伸展	PS组	10	70.75	11.45	71.20	11.22
	ST组	10	70.62	10.74	76.24	10.24
	CT组	10	67.40	9.20	76.80	8.75
侧屈	PS组	10	68.03	14.64	68.40	14.68
	ST组	10	69.80	6.43	83.01	4.74
	CT组	10	67.50	10.44	86.90	3.28

组别	n	干预前		干预后
组别	n	均值	标准差	均值	标准差
PS组	10	6.57	1.29	5.36	1.48
ST组	10	6.92	1.22	6.37	1.48
CT组	10	6.46	1.17	5.40	1.43