远程综合运动治疗对非特异性颈痛患者疼痛和功能的影响

关键词：非特异性颈痛  远程康复  运动治疗  居家运动治疗

Keywords:non-specific neck pain  tele-rehabilitation  exercise therapy  home-based exercise

摘要：

      摘要 目的：探究通过微信小程序提供的远程运动康复与传统的门诊-居家结合运动康复对非特异性颈痛参与者疼痛和功能的影响。 方法：将2021年1月至8月在四川大学华西医院康复医学中心就诊的66例对研究感兴趣的非特异性颈痛参与者随机分为门诊-居家联合康复组（对照组）和基于微信小程序的远程康复组（远程组）。两组参与者均采用统一的颈腰综合运动治疗进行干预，干预持续4周。在基线以及初次干预后4周和8周评估颈椎功能（颈部残疾指数）、疼痛强度（数字疼痛评定量表）和疼痛相关自我效能（疼痛自我效能问卷）。 结果：共有60例参与者完成了整个治疗和评估，远程组30例，对照组30例，两组之间人口统计学信息无显著性差异。在第4周时，两组的NDI，NPRS，PSEQ相较于基线都有改善且差异有显著性意义，但是组间差异没有显著性意义。在第8周时，远程组的以上三个指标相较于第4周都有明显改善，且远程康复组的NDI和NPRS结果优于对照组。 结论：远程运动康复和门诊-居家结合运动康复对非特异性颈痛均显示出积极的短期疗效，但远程康复显示出更持久的疗效，值得在临床上进一步尝试。

Abstract:

      Abstract Objective： To compare the effects of tele-rehabilitation delivered via a WeChat mini-program with traditional outpatient-home combined rehabilitation for non-specific neck pain patients. Method： Individuals with non-specific neck pain were recruited from the Rehabilitation Medicine Department of West China Hospital between January 2021 and August 2021， were randomly assigned to either tele-rehabilitation treatment group （TRG） or outpatient-home combined rehabilitation group. Both groups received comprehensive exercise therapy at home or in the clinic for 4 weeks. Assessments were conducted at baseline， 4 weeks, and 8 weeks post-intervention, using the Neck Disability Index （NDI）， Numeric Pain Rating Scale （NPRS）， and Pain Self-efficacy Questionnaire （PSEQ）. Result： A total of 60 patients completed the intervention， with 30 in each group. There were no significant demographic differences between groups. At the 4-week mark, both groups showed significant improvements in NDI, NPRS and PSEQ scores compared to baseline, but no significant differences were found between groups. By the 8th week， the tele-rehabilitation group showed further improvements in all three metrics, with NDI and NPRS scores significantly better than those of the outpatient-home combined rehabilitation group. Conclusion： Both remote and outpatient-home combined comprehensive exercise therapies demonstrate short-term effects on non-specific neck pain. However, tele-rehabilitation exhibited more sustained improvements, suggesting that it holds promise for further clinical application.