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张 斌,檀亚军,何本祥,咸 杰,王 跃.颈部伸屈肌群静力增强训练对颈椎病的临床疗效[J].中国康复医学杂志,2016,(9):964~968
颈部伸屈肌群静力增强训练对颈椎病的临床疗效    点此下载全文
张 斌  檀亚军  何本祥  咸 杰  王 跃
四川省医学科学院,四川省人民医院,成都,610072
基金项目:国家科技支撑计划(2012BAK21B00);四川省教育厅资助项目(10ZA107)
DOI:
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摘要:
      摘要 目的:观察颈部伸屈肌群静力增强训练治疗颈椎病的临床疗效,并建立防治颈椎病的基础运动处方。 方法:2010年6月—2014年5月,治疗颈椎病168例,其中男61例,女107例;年龄18—70岁;病程1个月—26年。随机分为两组,治疗组84例,男25例,女59例;年龄18—70岁,平均(48.25±12.06)岁;病程1个月—23年,平均(3.73±4.53)年;颈型10例,神经根型27例,脊髓型5例,椎动脉型15例,交感型4例,混合型23例;给予常规治疗加颈部伸屈肌群静力增强训练治疗。对照组84例,男36例,女48例;年龄18岁—70岁,平均(46.15±11.59)岁,病程1个月—26年,平均(3.90±4.32)年;颈型8例,神经根型32例,脊髓型7例,椎动脉型14例,交感型5例,混合型18例;给予常规治疗。分别观察两组患者自觉症状、临床检查、日常生活动作等指标,比较临床疗效。 结果:168例均获随访,随访时间平均约18个月。参照疗效评价方法:治疗组治愈29例,显效41例,有效10例,无效4例;对照组治愈19例,显效35例,有效23例,无效7例,治疗组疗效优于对照组。治疗组累计复发8例(1年内复发5例,1年后复发3例),对照组累计复发38例(1年内复发24例,1年后复发14例),治疗组复发率低于对照组。 结论:颈部伸屈肌群静力增强训练在治疗颈椎病中具有缓解症状、改善体征及增强或重建颈椎稳定性的作用,近、远期疗效肯定,能有效预防颈椎病的复发,可作为颈椎病防治的基础运动处方在临床推广应用。
关键词:颈椎病  运动干预  病例对照研究  静力训练  颈部肌群
The influence of clinical curative effect about cervical flexor and extensor muscle group static exercises treating cervical spondylosis    Download Fulltext
The People's Hospital of Sichuan Province, Chengdu, 610072
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Abstract:
      Abstract Objective: To study the clinical curative effect of the cervical core muscle group static exercises treating cervical spondylosis, and to establish the basic exercise prescription of the prevention and treatment of the cervical spondylosis. Method: A total of 168 cases (male 61 and female 107) of cervical spondylosis have been treated from June 2010 to May 2014. The age ranged from 18 to 70 years old and the disease course was from 1 month to 26 years. The cases were randomly divided into 2 groups, 84 cases in the treatment group with 10 cases of neck type cervical spondylosis, 27 cases of nerve root cervical spondylosis , 5 cases of cervical myelopathy, 15 cases of vertebral artery type cervical spondylosis, 4 cases of sympathetic nervous cervical spondylosis and 23 cases of mixed cervical spondylosis (male 25 and female 59 cases; age from 18y to 70y, the average age (48.25±12.06); course from 1 month to 23 years, the average course (3.73±4.53) years), which was given conventional treatment and the cervical core muscle group static strengthen exercise therapy. 84 cases in the control group consisted of 8 cases of neck type cervical spondylosis, 32 cases of nerve root cervical spondylosis , 7 cases of cervical myelopathy, 14 cases of vertebral artery type cervical spondylosis, 5 cases of sympathetic nervous cervical spondylosis and 18 cases of mixed cervical spondylosis, which included 36 male and 48 female, age from 18 to 70s, the average age (46.15±11.59), course from 1 month to 26 years, the average course (3.90±4.32) years The control group was given the conventional treatment. We compared the curative effects between the two groups by observing the patients’ clinical indicators, such as self-conscious symptoms, clinical examination and daily life. Result: 168 cases were followed up for 1 to 2 years, with an average time of 18 months. According to evaluation method of curative effect, there were 29 clinical cure, 41 markedly effective, 10 effective and 4 ineffective in the treatment group .Meanwhile, 19 clinical cure, 35 markedly effective, 23 effective and 7 ineffective were in the control group. The curative effect in the treatment group is better than that in the control group. 8 cases recurred in the treatment group (5 cases of recurrence within 1 year, 3 cases 1 year later) with 38 cases recurred in the control group(24 cases of recurrence within 1 year, 14 cases 1 years later). Thus, the rate of recurrence in the treatment group is lower than that in the control group. Conclusion: The cervical flexor and extensor muscle group static strengthen practice for the treatment of cervical spondylosis has obvious effects in relieving symptoms, improving the clinical signs of bodies and enhancing the stability of the cervical spine. It can effectively prevent relapse with the definite recent effect and long-term effect. In view of this, it can be recommended as a basic exercise prescription for preventing the cervical spondylosis to be applied and promoted in clinical treatment.
Keywords:cervical spondylosis  exercise intervention  a case-control study  static exercise  cervical muscle group
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