Mulligan手法治疗椎动脉型颈椎病的临床研究

关键词：椎动脉型颈椎病  Mulligan手法  Maitland手法

Keywords:vertebral-artery-type cervical spondylosis  Mulligan technique  Maitland technique

摘要：

      目的：探讨Mulligan手法在椎动脉型颈椎病中的应用效果。方法：前瞻性地将72例椎动脉型颈椎病患者进行随机配对设计，分成观察组和对照组，每组36例。两组均采用扩张血管药物、颈椎牵引及短波治疗，观察组加用Mulligan手法，对照组加用Maitland手法，两组均治疗1疗程。采用颈性眩晕评估量表(ESCV)、颈椎病临床评价量表(CASCS)及经颅多普勒超声（TCD），以双盲法在治疗前后进行测评。结果：治疗后的ESCV评分、CASCS评分、椎动脉（VA）和基底动脉（BA）的平均血流速度（Vm）均较治疗前明显提高(P＜0.01)，但观察组明显高于对照组(P＜0.01)。结论：Mulligan手法治疗椎动脉型颈椎病具有较好的效果。

Abstract:

      Objective: To explore the effect of Mulligan technique in the treatment of vertebral-artery-type cervical spondylosis. Method: Seventy-two patients were prospectively randomized pairing and divided into observation group and control group, 36 in each group. Both groups were given drugs for expanding vessels and cervical traction and short wave therapy as a course of treatment. In addition, the observation group was also treated with Mulligan technique, while the control groups was treated by Maitland technique. They were evaluated with evaluation scale for cervical vertigo (ESCV) and clinical assessment scale for cervical spondylosis (CASCS) and transcranial dopple（TCD） with double blind method before and after treatment. Result: The ESCV score， the CASCS score， the mean blood flow velocity(Vm) of vertebral artery(VA) and basilar artery(BA) after treatment were remarkably higher than those before treatment(P<0.01), while compared with control group the therapeutic effect in observation group was significantly elevated(P<0.01). Conclusion: The Mulligan technique provide good effect in treatment of vertebral-artery-type ccervical sponlylosis.