摘要
目的探讨核心稳定训练对颈型颈椎病(neck type cervical spondylopathy,NTCS)患者颈椎疼痛、颈椎功能及平衡能力的影响。方法2018年1月-8月诊治NTCS患者98例,依据住院床位单双号分为观察组、对照组各49例。两组均给予常规干预,包括颈部非甾体抗炎药,神经营养药物,牵引、针灸、推拿,并给予心理疏导及营养支持、纠正坐姿、避免过度劳累等。对照组给予肌内效贴布帖扎。观察组在对照组基础上进行核心稳定训练;分别于干预前、干预4周采用视觉模拟评分法(Visual Analogue Scale,VAS)评估颈椎疼痛,采用颈椎病临床评价量表(Clinical Assessment Scale for Cervical Spondylosis,CASCS)、颈椎功能障碍指数(Neck Disability Index,NDI)、颈椎活动度评估颈椎功能,采用Berg平衡量表(Berg Balance Scale,BBS)评估患者平衡能力;记录干预期间并发症发生情况及干预4周时治疗效果,随访记录干预结束后6个月复发率。结果两组干预前CASCS、NDI、VAS、BBS评分比较差异无统计学意义(P>0.05);干预4周时,两组CASCS、BBS评分均高于干预前,VAS、NDI评分均低于干预前(P<0.05),且观察组干预4周时CASCS、BBS评分均高于对照组,VAS、NDI评分均低于对照组(P<0.05)。两组干预前颈椎各方向活动度比较差异均无统计学意义(P>0.05);干预4周时,两组颈椎各方向活动度均较干预前增大(P<0.05),且观察组较对照组增大(P<0.05)。观察组干预4周有效率(95.92%)高于对照组(81.83%)(P<0.05),干预后6个月复发率(6.38%)低于对照组(22.50%)(P<0.05)。结论核心稳定训练可减轻NTCS患者颈椎疼痛,改善颈椎功能,提高平衡能力,且安全性高,疗效稳定。
Objective To explore the effects of core stable training on cervical vertebrae pain,cervical function and balance ability in patients with neck type cervical spondylopathy(NTCS).Methods From January to August 2018,98 patients with NTCS were treated.According to the odd and even bed numbers,49 patients were enrolled in the observation group and 49 were in the control group.The patients in the control group was given Kinesio tape treatment,and the observation group was given core stability training based on the treatment of the control group.Cervical vertebrae pain was assessed by Visual Analogue Scale(VAS),Clinical Assessment Scale for Cervical Spondylosis(CASCS)and Neck Disability Index(NDI);cervical vertebra activity were used to assess the cervical;the Berg Balance Scale(BBS)was used to assess patients’balance before intervention and at the 4 th week of intervention.The incidence of complications during the intervention and the effective of treatment 4 weeks after intervention were recorded.The recurrence rate 6 months after the intervention was recorded.Results There were no significant difference in CASCS,NDI,VAS,and BBS scores between the two groups before intervention(P>0.05).At the 4 th week of the intervention,the CASCS and BBS scores of the two groups were higher than those before the intervention,and the VAS and NDI scores were lower than those before the intervention(P<0.05);and the CASCS and BBS scores in observation group at the 4 th week of the intervention were higher than that of control group,and VAS and NDI scores were lower than those of the control group(P<0.05).There was no significant difference in the activity of the cervical vertebrae before intervention in both of the two groups(P>0.05).At the 4 th week of the intervention,the activity of the cervical vertebrae in all directions was bigger than that of before the intervention in both of the two groups(P<0.05),and that in observation group were bigger than that of the control group(P<0.05).The effective rate at the 4 th week in the observation group(95.92%)was higher than that in the control group(81.83%)(P<0.05).The recurrence rate 6 months after intervention in the observation group(6.38%)was lower than that in the control group(22.50%)(P<0.05).Conclusion Core stability training can relieve cervical spondylosis in NTCS patients,and improve the cervical function and patients’balance;it has high safety and stable efficacy.
作者
万丽
李颂
夏士新
孙凤伟
WAN Li;LI Song;XIA Shixin;SUN Fengwei(Department of Orthopaedics,the First Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang 150001,P.R.China)
出处
《华西医学》
CAS
2020年第1期35-40,共6页
West China Medical Journal
基金
国家自然科学基金(81472107)
黑龙江省自然科学基金(D00-28)
关键词
颈型颈椎病
核心稳定训练
肌内效贴布帖扎
平衡能力
疼痛
颈椎
Neck type cervical spondylosis
Core stability training
Kinesio tape
Balance ability
Pain
Cervical vertebra
