综合矫正训练方案联合中药熏蒸治疗上交叉综合征疗效观察

<正>上交叉综合征(upper crossed syndrome,UCS)是指因上半身长期处于不良姿势，造成相关肌群功能失衡，进而引起颈肩背部疼痛不适、胸闷、睡眠障碍等一系列不良症状的一种亚健康状态^1]。UCS常见的体态是圆肩、驼背、头前倾^2]。目前临床上主要通过纠正局部的肌肉失衡来治疗UCS，常用的方法有运动疗法、肌肉能量技术、针灸和推拿等^3]。

Observation on the effect of comprehensive corrective exercise program combined with traditional Chinese medicine fumigation in the treatment of upper crossed syndrome

objective: to observe the effect of comprehensive corrective exercise program (CCEP) combined with traditional Chinese medicine fumigation in the treatment of upper crossed syndrome (UCS). Methods: 90 UCS patients who were admitted to the Rehabilitation Medical Center of Tongde Hospital of Zhejiang Province from October 2020 to June 2021 were randomly divided into routine group (n = 30), CCEP group (n = 30) and combined group (n = 30). The routine group was treated with routine exercise therapy, the CCEP group was treated with comprehensive corrective exercise program, and the combined group was treated with traditional Chinese medicine fumigation on the basis of CCEP . The treatment last for 8 weeks. Visual analogue scale (VAS), head protrusion angle (FHA), round shoulder angle (FSA) and neck disorder index (NDI) were compared among the three groups before and after treatment. Results: Before treatment, there was no significant difference in VAS score, FHA, FSA and NDI among the three groups, but after 8 weeks of treatment, all the indexes in the three groups improved significantly (all P < 0.05). After 8 weeks of treatment, all the indexes in the combined group and CCEP group were significantly better than those in the routine group(all P < 0.05), and the VAS and NDI in the combined group were significantly better than those in the CCEP group (all P < 0.05), but there was no significant difference in FHA and FSA between the combined group and the CCEP group. Conclusion: CCEP can improve the poor posture of patients with UCS and relieve symptoms. Patients with obvious neck symptoms can be fumigated with traditional Chinese medicine first, which can be used as a new way for the treatment of UCS.