悬吊推拿运动治疗颈型颈椎病的持续疗效

doi:10.3969/j.issn.1006-9771.2021.07.016

Abstract

Abstract:

Objective To explore the effect of sling-massage exercise on neck type cervical spondylopathy (NTCS).

Methods From June, 2020 to February, 2021, 68 patients with NTCS from the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine were randomly divided into control group (n= 34) and observation group (n= 34). The control group accepted routine massage, while the observation group accepted sling exercise and massage based on weak link test, for four weeks. They were assessed with McGill Pain Qusetionnaire (MPQ) and Neck Disability Index (NDI) before and after treatment, and measured median frequency (MF) of the upper trapezius muscle on the affected side with electromyography biofeedback before treatment, after treatment, two weeks after treatment and 4 weeks after treatment.

Results Four cases in the control group and three cases in the observation group dropped down. The scores of MPQ and NDI decreased in both groups after treatment (|Z| > 4.879, P < 0.001), while MF increased (P < 0.001). There was no significant difference in scores of MPQ and NDI between the two groups after treatment (|Z| < 1.100, P >0.05), while MF was less in the control group than in the observation group (t = 2.184, P <0.05). MF decreased more in the control group than in the observation group, and was continually less in the control group than in the observation group after treatment (t > 3.770, P <0.001).

Conclusion Sling-massage exercise is as effective as massage on NTCS immediately, and for more time.

Key words: neck type cervical spondylopathy, sling exercise, massage, long-term effect

CLC Number:

R681.5

LI Jian-fei,LI Qian,LI Jia-lu,WANG Jian,LIU Li,LI Li. Long-term Effect of Sling-massage Exercise on Cervical Spondylopathy[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 834-839.

Figures/Tables 4

References 35

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组别	n	性别(男/女, n)	年龄(岁)	病程(月)	体质量指数(kg/m²)	患侧(左/右, n)
健康组	10	5/5	43.60±10.09	-	22.53±1.57	-
对照组	30	14/16	43.23±10.70	32.67±14.21	22.73±1.89	12/18
观察组	31	14/17	44.45±10.44	33.29±13.16	23.32±1.85	13/18
χ²/t值		0.778	-0.450	-0.178	-1.229	1.984
P值		0.378	0.654	0.859	0.631	0.159

组别	n	治疗前	治疗后	Z值	P值
对照组	30	20.94±2.73	6.29±2.25^a	-5.026	< 0.001
观察组	31	20.29±3.40	6.71±2.41^c	-4.879	< 0.001
Z值		-0.370	-1.100
P值		0.711	0.271

组别	n	治疗前	治疗后	Z值	P值
对照组	30	11.71±2.12	3.26±1.21	-4.898	< 0.001
观察组	31	11.68±2.14	3.42±1.39	-4.896	< 0.001
Z值		-0.175	-0.666
P值		0.861	0.506

组别	n	治疗前	治疗后即刻	治疗后2周	治疗后4周
对照组	30	59.27±9.58	75.26±7.03^a	70.75±7.87^a,b	61.68±9.84^b
观察组	31	58.45±7.97	79.40±7.76^a	78.47±8.12^a	74.67±9.01^a,b,c
t值		-0.362	2.184	3.770	5.373
P值		0.719	0.033	< 0.001	< 0.001

Long-term Effect of Sling-massage Exercise on Cervical Spondylopathy

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