[1]庄明辉 李路广 唐彬 阳国庆 崔莹 魏戌 朱立国△ 于杰△.颈椎旋提手法治疗中青年颈椎失稳22例[J].中国中医骨伤科杂志,2022,30(04):46-50.
　ZHUANG Minghui LI Luguang TANG Bin YANG GuoqingCUI Ying WEI Xu ZHU Liguo YU Jie.22 Cases Clinical Study on Cervical Rotation-Traction Manipulation on the Treatment of Middle-Aged and Young Patients with Cervical Instability[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(04):46-50.
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颈椎旋提手法治疗中青年颈椎失稳22例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年04期
页码:
46-50
栏目:
临床报道
出版日期:
2022-04-15

文章信息/Info

Title:
22 Cases Clinical Study on Cervical Rotation-Traction Manipulation on the Treatment of Middle-Aged and Young Patients with Cervical Instability
文章编号:
1005-0205(2022)04-0046-05
作者:
庄明辉1 李路广1 唐彬1 阳国庆1 崔莹1 魏戌1 朱立国1△ 于杰1△
1中国中医科学院望京医院(北京,100102)
Author(s):
ZHUANG Minghui1 LI Luguang1 TANG Bin1 YANG Guoqing1CUI Ying1 WEI Xu1 ZHU Liguo1△ YU Jie1△
1Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100102, China.
关键词:
颈椎失稳; 旋提手法; 影像学; 角度位移
Keywords:
cervical instability;  rotation-traction manipulation;  imaging;  angular displacement
分类号:
R681.5
文献标志码:
B
摘要:
目的:在“筋骨理论”指导下,观察旋提手法治疗中青年颈椎失稳的临床疗效及影像学变化。方法:22例中青年颈椎失稳患者采用旋提手法连续治疗2周,隔日1次,每次15 min,于治疗前、治疗后第3,5,7,14天采集患者颈肩部VAS评分、NDI评分,同时采集治疗前、治疗后患者颈椎X线片(包含侧位、屈曲位、后伸位片),测量治疗前后颈椎曲度、水平位移、角度位移变化情况,以评价临床疗效。结果:患者VAS评分和NDI评分在治疗后第3,5,7,14天均与治疗前相比较差异有统计学意义(P<0.05)。在后伸位X线片上患者治疗后的位移角度较治疗前减小,差异有统计学意义(P<0.05)。结论:旋提手法能够缓解中青年颈椎失稳患者颈肩部疼痛症状,改善颈椎功能,且能够改善角度位移。
Abstract:
Objective:To observe the clinical efficacy and image changes of rotation-traction manipulation on the treatment of cervical instability in middle-aged and young people under the guidance of “muscle and bone theory”.Methods:22 young and middle-aged patients with cervical instability were treated with rotation-traction manipulation for 2 weeks, once every other day, with 15 min per time.The VAS score and NDI score of the neck and shoulder of the patients were collected before and on the 3rd, 5th, 7th and 14th day after treatment.At the same time, the cervical X-ray films(including lateral, flexion and extension films)were collected before and after treatment.The curvature, horizontal displacement and change of angular displacement was used to evaluate the clinical efficacy.Results:There were significant differences in VAS score and NDI score on the 3rd, 5th, 7th and 14th day after treating than that before treating(P<0.05).On the X-ray film of the posterior extension position, the displacement angle after treating was significantly lower than that before treating(P<0.05).Conclusion:Rotation-traction manipulation can effectively alleviate the pain symptoms of neck and shoulder in young and middle-aged patients with cervical instability, improve cervical function and improve the value of angular displacement.

参考文献/References:

[1] 王向阳,高晔,龚福太,等.不同牵引角度治疗青少年颈椎失稳症120例[J].陕西医学杂志,2019,48(1):80-82.
[2] STEILEN DANIELLE,HAUSER ROSS,WOLDIN BARBARA,et al.Chronic neck pain:making the connection between capsular ligament laxity and cervical instability[J].Open Orthop J,2014,8:326-345.
[3] 刘培太,张军,吴硕柱,等.颈性眩晕发病机制探讨[J].中国中医骨伤科杂志,2019,27(6):13-17.
[4] ALIZADA M,LI R R,HAYATULLAH G.Cervical instability in cervical spondylosis patients:significance of the radiographic index method for evaluation[J].Orthopade,2018,47(12):977-985.
[5] 常晓娟,谢瑞,于杰,等.中青年颈椎失稳患者的临床表现回归分析[J].中国中医骨伤科杂志,2020,28(4):33-35.
[6] ZHU L,WEI X,WANG S Q.Does cervical spine manipulation reduce pain in people with degenerative cervical radiculopathy a systematic review of the evidence,and a meta-analysis[J].Clinical Rehabilitation,2016,30(2):145-155.
[7] CUI X J,YAO M,YE X L,et al.Shi-style cervical manipulations for cervical radiculopathy:a multicenter randomized-controlled clinical trial[J].Medicine(Baltimore),2017,96(3):e7276.
[8] 刘鹏,李远栋,张君涛,等.旋提手法对神经根型颈椎病曲度改变的疗效分析[J].天津中医药,2011,28(4):298-300.
[9] 高景华,朱立国,谢利民,等.旋提手法治疗椎动脉型颈椎病的临床研究[J].中国中医骨伤科杂志,2011,19(7):17-19.
[10] 魏戌,高景华,朱立国,等.旋提手法改善椎动脉型颈椎病颈椎活动度的临床观察[J].中华中医药杂志,2012,27(4):900-904.
[11] WHITE A A,PANJABI M M.Update on the evaluation of instability of the lower cervical spine[J].Instructional Course Lectures,1987,36:513-520.
[12] 贾连顺,李家顺.颈椎外科学[M].上海:上海科学技术出版社,2004.
[13] 裴帅,姜宏,刘锦涛,等.颈椎曲度与颈椎病严重程度相关性的研究进展[J].中医正骨,2020,32(3):35-38.
[14] 雷小平,杨永辉,尚荣安,等.通督活血汤联合推拿手法治疗椎动脉型颈椎病对患者血流动力学的影响[J].世界中医药,2019,14(12):3359-3363.
[15] 王庆甫,时宗庭,黄沪,等.中医整脊手法及牵引治疗187例中青年颈椎失衡综合征前后X线分析[J].中国骨伤,2013,26(1):19-23.
[16] 梁龙,于杰,周帅琪,等.基于经筋理论探讨颈椎病的发病机制及颈部锻炼的分期论治[J].中华中医药杂志,2020,35(8):4201-4204.
[17] FEDORCHUK C,LIGHTSTONE D F,COMER R D,et al.Improvements in cervical spinal canal diameter and neck disability following correction of cervical lordosis and cervical spondylolistheses using chiropractic biophysics technique:a case series[J].J Radiol Case Rep,2020,14(4):21-37.
[18] 马明,张世民.中青年颈椎病的研究进展[J].中国骨伤,2014,27(9):792-795.
[19] CHU E C P,LO F S,BHAUMIK A,et al.Plausible impact of forward head posture on upper cervical spine stability[J].J Family Med Prim Care,2020,9(5):2517-2520.
[20] LIU I,ZHOU Y,LIU Y,et al.Cervical spinal instability causes vertebral microarchitecture change and vertebral endplate lesion in rats[J].J Orthop Translat,2020,24:209-217.
[21] KOLENKIEWICZ M,WODARCZYK A,WOJTKIEWICZ J.Diagnosis and incidence of spondylosis and cervical disc disorders in the university clinical hospital in olsztyn,in years 2011-2015[J].BioMed Research International,2018:5643839.
[22] 姜淑云,严隽陶,房敏,等.颈椎治疗过程中骨与椎体的生物力学变化[J].中国组织工程研究与临床康复,2009,13(11):2029-2032.
[23] 楚洪波,徐明.点按肩井为主治疗神经根型颈椎病临床观察[J].长春大学学报,2013,23(12):1599-1601.
[24] 张帅攀,朱清广,孔令军,等.脊柱微调手法治疗颈型颈椎病的临床疗效观察[J].中华中医药杂志,2021,36(5):3034-3037.
[25] 韩芳苗,徐兆辉,张万标,等.定点旋转复位手法对神经根型颈椎病椎间孔面积的影响[J].中国中医骨伤科杂志,2021,29(8):54-57.
[26] HUANG Y,LI S,FENG M,et al.Cervical spine mechanism for reproduction of the biomechanical behaviours of the human neck during rotation-traction manipulation[J].Appl Bionics Biomech,2017:5829048.
[27] 朱立国,张旭,冯敏山.旋提手法配合颈椎康复操防治神经根型颈椎病的应用研究[J].世界中西医结合杂志,2014,9(12):1324-1327.
[28] 朱立国,杨博文,展嘉文,等.旋提手法对椎动脉型颈椎病患者眩晕症状的改善作用及安全性[J].北京中医药,2019,38(7):695-697.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金(82074455)中国中医科学院科技创新工程(CI2021A02002)
△通信作者 E-mail:doctoryujie@aliyun.com(于杰)zhlg95@aliyun.com(朱立国)
更新日期/Last Update: 1900-01-01