量身定制颈椎枕对颈椎病患者颈部肌力平衡的影响

目的探讨量身定制颈椎枕对颈椎病患者颈部肌力平衡的影响。方法选择颈椎病患者60例随机分成实验组和对照组，每组各30例，两组患者均接受康复科常规治疗和护理，实验组在此基础上使用量身定制的颈椎枕，每日使用8h，疗程为1个月，两组分别采用症状和功能评估表评分、临床疗效评定及多功能颈椎康复治疗系统（MCU）进行等长肌肌力和颈椎活动度评定。结果干预后1个月实验组症状和功能评估总分为（24．84±2．341）分，对照组为（20．65±2．134）分，差异有统计学意义（t=3．024，P〈0．05）；实验组临床痊愈率为60．0％，对照组为30．0％，差异有统计学意义（χ2=5．455，P〈0．05）；实验组等长肌肌力和颈椎活动度改善均优于对照组（P〈0．05）。结论量身定制颈椎枕能促进颈椎病患者颈部肌力平衡、加强颈椎稳定性，改善症状，是颈椎病的一种具有较大应用价值的辅助治疗方法。

Effect of tailored cervical pillow on the neck muscle strength balance of cervical spondyiosis patients

Objective To study the effect of tailored cervical pillow on the neck muscle strength balance of patients with cervical spondylosis. Methods Totals of 60 cases of cervical spondylosis patients were randomly divided into experimental group and control group, with 30 cases each group, the patients of the two groups were treated with conventional treatment and nursing, while experimental group used the tailored cervical pillow for 8 hours every day and one month （1 course ）. Two groups were being respectively received the isometric muscle strength and movement of the cervical spine assessment with the symptoms and functional assessment scales, clinical assessment and multifunctional cervical vertebra rehabilitation system （MCU）. Results Experimental group were significantly improved than that of the control group in symptoms and functional assessment scale score[ （24.84 ± 2. 341 ） vs （ 20.65 ± 2. 134 ） ; t = 3. 024, P 〈 0.05 ] , The overall clinical curative effect, difference has statistical significance [ 60.0% vs 30.0% ; χ2 = 5. 455, P 〈 0.05 ] ; the position of each isometric muscle strength and movement of the cervical spine were statistically significant（ P 〈 0.05）. Conclusions The tailored cervical pillow can promote the neck muscle balance of patients with cervical spondylosis, strengthen the stability of cervical spine and improve symptoms, which is one of value auxiliary treatment for cervical spendylosis.