中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (46): 8691-.doi: 10.3969/j.issn.1673-8225.2010.46.034

• 组织构建临床实践 • 上一篇    下一篇

单次手法和物理治疗颈型颈椎病：疼痛和关节活动的即刻及短期效果比较

麦明泉，伍少玲，马超，陈丽珊   

  1. 中山大学孙逸仙纪念医院康复科，广东省广州市  510120
  • 出版日期:2010-11-12 发布日期:2010-11-12
  • 通讯作者: 伍少玲，博士，副主任医师，中山大学孙逸仙纪念医院康复科，广东省广州市 510120 wushaolinggz@126.com
  • 作者简介:麦明泉，男，1970年生，广东省阳山市人，汉族， 1994年中山大学毕业，主管技师，主要从事颈肩腰腿痛的康复治疗研究。 shepin_good@126.com

Manipulation and physical therapy for patients with chronic mechanical neck pain: Comparisons of immediate and short-term effects in pain and joint motion

Mai Ming-quan, Wu Shao-ling, Ma Chao, Chen Li-shan
  

  1. Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou  510120, Guangdong Province, China
  • Online:2010-11-12 Published:2010-11-12
  • Contact: Wu Shao-ling, Doctor, Associate chief physician, Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, Guangdong Province, China wushaolinggz@126.com
  • About author:Mai Ming-quan, Technician-in-charge, Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, Guangdong Province, China shepin_good@126.com

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摘要：

背景：大量研究表明，手法治疗和物理治疗均可显著改善颈型颈椎病患者的疼痛和关节活动度，但两种治疗方式对颈型颈椎病的即刻和短期疗效比较鲜有报道。
目的：比较单次手法治疗和物理治疗对颈型颈椎病患者疼痛和活动的即刻和短期疗效。
方法：颈型颈椎病患者随机分成2组，手法治疗组和物理治疗组，各接受1次治疗。采用疼痛目测类比评分法、压力疼痛阈值和关节活动范围评定患者治疗前、后10 min(即刻疗效)和治疗后第2天(短期疗效)的情况。
结果与结论：手法治疗组患者在单次治疗后的10 min和第2天疼痛目测类比评分较治疗前下降，压力疼痛阈值增加，颈椎各方向关节活动范围均增加(P < 0.05)；物理治疗组患者在单次治疗后的10 min和第2天疼痛目测类比评分较治疗前均下降(P < 0.05)，在治疗后第2天，颈椎左/右侧屈关节活动范围较治疗前增加(P < 0.05)；在治疗后的10 min和第2天，手法治疗组患者的疼痛目测类比评分均低于物理治疗组，压力疼痛阈值均高于物理治疗组，颈椎前屈/后伸，左/右侧屈关节活动范围均大于物理治疗组(P < 0.05)。结果表明单次手法治疗对改善慢性颈痛患者疼痛目测类比评分，压力疼痛阈值和关节活动范围的即刻效果和短期效果均优于物理治疗。

关键词: 手法治疗, 物理治疗, 颈椎病, 疼痛, 关节活动范围

Abstract:

BACKGROUND: Many researches indicated that both manipulation and physical therapy can predominance improve pain and motion of joint for patient with chronic neck pain. However, there are few studies concerning the comparisons of immediately and short-term results in pain and joint motion between two methods.
OBJECTIVE: To compare the manipulation and physical therapy for the management of patient with chronic neck pain.
METHODS: Patients with chronic mechanical neck pain were randomly divided into 2 groups, the manipulation group and the physical therapy group. The pain and function were assessed with visual analogue scale (VAS), pressure pain threshold (PPT) and range of motion (ROM). All the patients were evaluated three times: before treatment, 10 minutes after treatment (immediate effect) and 1 day after treatment (short term effect). 
RESULTS AND CONCLUSION: After 10 minutes and 1 day after the treatment, the scores of VAS, PPT and ROM were improved in the manipulation group, which compared with those before treatment (P < 0.05). After 10 minutes and 1 day after the treatment, the scores of VAS were improved in the physical therapy group, which compared with those before treatment (P < 0.05). After 10 minutes and 1 day of the treatment, the scores of VAS, PPT and ROM in the manipulation group were better than those in physical therapy group, and there were significant difference between two groups (P < 0.05). A single session of manipulation has good immediate effect and short-term effect on VAS, PPT and ROM for patient with chronic neck pain.

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