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主动抗阻运动疗法治疗慢性颈部疼痛的临床研究
引用本文:杜良杰,李建军. 主动抗阻运动疗法治疗慢性颈部疼痛的临床研究[J]. 中国康复理论与实践, 2011, 17(7): 649-653
作者姓名:杜良杰  李建军
作者单位:1. 中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科,北京市,100068
2. 首都医科大学康复医学院,北京市,100068
基金项目:中央级公益性科研院所科研业务费专项资金(2008CZ-11)
摘    要:目的观察主动抗阻运动疗法对于慢性颈部疼痛患者的治疗效果。方法门诊选择39例病程超过6个月的女性慢性颈部疼痛的患者作为治疗组;选择21例正常女性作为对照组。对照组不进行功能锻炼。治疗组应用主动抗阻运动疗法进行功能锻炼。治疗前、治疗后12个月,观察颈椎生理曲度、项背肌肌肉CT值、项背肌肌力和耐力、颈部疼痛视觉模拟评分。结果与对照组相比,治疗组治疗前颈椎生理曲度降低(P<0.05),治疗前后无显著性差异(P>0.05)。年长对照组的颈椎后部肌肉总体平均CT值较年轻对照组降低(P<0.05);治疗组项背肌肌肉总体平均CT值比对照组降低(P<0.05);治疗组治疗前后项背肌肌肉总体平均CT值无显著性差异(P>0.05)。治疗组较对照组项背肌肌肉的肌力和耐力降低(P<0.05);治疗后治疗组项背肌肌力和耐力都较治疗前提高(P<0.05)。治疗组在治疗后1个月疼痛评分改善(P<0.05),治疗后1年所有患者疼痛完全消失。结论主动抗阻运动疗法能够提高项背肌肌力和耐力,消除疼痛。

关 键 词:颈椎病  慢性颈部疼痛  主动抗阻运动疗法  颈椎康复器

Effect of Active Resistance Exercise Therapy on Chronic Neck Pain
DU Liang-jie,LI Jian-jun. Effect of Active Resistance Exercise Therapy on Chronic Neck Pain[J]. Chinese Journal of Rehabilitation Theory and Practice, 2011, 17(7): 649-653
Authors:DU Liang-jie  LI Jian-jun
Affiliation:DU Liang-jie,LI Jian-jun.Department of Spinal and Neural Function Reconstruction,Capital Medical University School of Rehabilitation Medicine,Beijing Charity Hospital,China Rehabilitation Research Centre,Beijing 100068,China
Abstract:Objective To explore the effect of active resistance exercise therapy on patients with chronic neck pain.Methods 39 female patients with neck pain more than 6 months were recruited in treatment group and received active resistance exercise therapy.21 healthy women were recruited in control group without any treatment.They were assessed with cervical curve(C2-7 Cobb's angle),CT attenuation value of cervical back muscle,neck muscular strength and endurance and visual analog scale(VAS) before and 12 months aft...
Keywords:cervical spondylosis  chronic neck pain  active resistance exercise therapy  cervical rehabilitation apparatus  
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