仰头缩颈扩胸锻炼法治疗项背部肌筋膜炎临床研究

目的：探索一种治疗项背筋膜炎的运动锻炼方法。方法：2009年4月—2010年5月在本院门诊就诊的项背部筋膜炎患者120例,随机分为治疗组、对照组各60例,治疗组采用仰头缩颈扩胸法治疗,对照组给予复方氯唑沙宗片口服,比较治疗3周后两组临床疗效、VAS评分、颈残障指数评分差异。结果：治疗前,两组VAS评分、颈残障指数评分差异无统计学意义,治疗3周后,两组VAS评分、颈残障指数评分差异具有统计学意义,两组VAS评分、颈残障指数均明显下降（P〈0.05）,但治疗组优于对照组,治疗组临床痊愈37例,显效11例,有效12例,无效1例,总有效率98%。结论：采用仰头缩颈扩胸锻炼法治疗项背部肌筋膜炎疗效确切,为防治项背部肌筋膜炎提供一种简单、有效而又舒适的运动疗法。

Therapeutic Effect of the Exercise of Head Hypsokinesis Shortening Neck and Extending Chest Therapy on the Myofasical Pain Syndrome of Neck and Back

Objective：To explore a kind of train method to treat the myofasical pain syndrome of Neck and Back.Method：120 patients from the outpatient between April 2009 to May 2010 were randomly divided into treatment and control groups,the treatment group was treated by exercise of head hypsokinesis shortening neck and extending chest,the control group was treated by taking chlorzoxazone orally.Then compare the clinical therapeutic effect of the two groups after 3 weeks.Results：Before the treatment,there was no statistical significance to the difference of VAS and NDI scores between the two groups,after 3 weeks treatment,there had statistical significance to the difference of VAS and NDI scores between the two groups,the VAS and NDI scores decreased evidently（P〈0.05）,but the therapeutic effect of the treatment was much more better than the control group.There were 37 fully recovered,11 excellent,12 effective and 1 ineffective patients in the treatment group,the total effective rate were 98%.Conclusion：There was exactly therapeutic effect to treat the myofasical pain syndrome of Neck and Back by the exercise of head hypsokinesis shortening neck and extending chest,and it was a simple,effective and comfortable exercise therapy on the prevention and treatment of the myofasical pain syndrome of Neck and Back.