悬吊运动疗法结合推拿改善神经根型颈椎病上肢神经传导的效果

doi:10.3969/j.issn.1006-9771.2022.01.014

Abstract

Abstract:

Objective To observe the effect sling exercise therapy (SET) and Tuina on radicular cervical spondylosis. Methods From August, 2015 to December, 2016, 72 patients with radicular cervical spondylosis were randomly divided into control group (n = 36) and trial group (n = 36), who accepted traction and SET+Tuina, respectively, for four weeks. They were measured F-wave conduction velocity with electromyogram from median nerve and ulnar nerve, somatosensory evoked potential (SEP), and current perception threshold (CPT) before and after treatment. The clinical ratio of improvement was calculated. Results The ratio of improvement was 83.33% in the trial group more than 58.33% in the control group (Z = 2.093, P < 0.05). F-wave conduction velocity increased in both groups after treatment (t > 12.059, P < 0.001), and increased more in the trial group than in the control group (t > 3.266, P < 0.01); while the latency of SEP decreased in N9 and N13 in both groups (t > 7.061, P < 0.001), and decreased more in the trial group than in the control group (t > 8.033, P < 0.001); the grade of CPT decreased in both groups (t > 8.895, P < 0.001), and decreased more in the trial group than in the control group (t = 8.913, P < 0.001). Conclusion The combination of SET and Tuina can promote the repair of nerve conduction of cervical spondylotic radiculopathy.

Key words: radicular cervical spondylosis, sling exercise therapy, Tuina, nerve conduction, upper extremities, somatosensory evoked potential, current perception threshold

CLC Number:

R681.5

YIN Tao,ZHENG Zuncheng,GAO Qiang. Effect of sling exercise therapy combined with Tuina on nerve conduction of upper extremities after radicular cervical spondylosis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(1): 95-99.

Figures/Tables 7

References 26

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组别	n	性别 (男/女)/n	年龄/岁	病程/月
对照组	36	11/25	44.08±8.88	22.17±14.96
试验组	36	9/27	45.19±10.09	24.94±18.07
χ²/t值		0.276	0.496	0.709
P值		0.599	0.621	0.481

组别	n	治愈	显效	有效	无效
对照组	36	1	20	13	2
试验组	36	3	27	6	0

组别	n	治疗前	治疗后	t值	P值
对照组	36	42.13±3.80	53.83±4.41	12.059	< 0.001
试验组	36	41.73±4.51	58.76±6.07	13.512	< 0.001
t值		0.407	3.943
P值		0.685	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	36	38.50±4.41	53.34±4.69	13.831	< 0.001
试验组	36	38.73±4.87	57.27±5.49	15.158	< 0.001
t值		0.210	3.266
P值		0.834	0.002

组别	n	治疗前	治疗后	t值	P值
对照组	36	13.08±0.71	11.83±0.79	7.061	< 0.001
试验组	36	13.14±0.68	9.96±0.53	22.131	< 0.001
t值		0.366	11.794
P值		0.715	< 0.001

Effect of sling exercise therapy combined with Tuina on nerve conduction of upper extremities after radicular cervical spondylosis

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组别	n	治疗前	治疗后	t值	P值
对照组	36	15.22±0.68	13.97±0.80	7.143	< 0.001
试验组	36	15.37±0.81	12.59±0.65	16.061	< 0.001
t值		0.851	8.033
P值		0.398	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	36	7.27±1.63	4.71±0.57	8.895	< 0.001
试验组	36	7.32±1.25	3.38±0.69	16.557	< 0.001
t值		0.146	8.916
P值		0.884	< 0.001

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