[1]马昱堃,杨君佶,姜国正,等.改良版刘寿山“与项争力势”功法锻炼对颈椎前路术后患者身心康复的影响[J].中国中医骨伤科杂志,2026,34(04):46-53.[doi:10.20085/j.cnki.issn1005-0205.260408]
　MA Yukun,YANG Junji,JIANG Guozheng,et al.Influence of the Modified Neck-Rivaling Force Maneuver on Rehabilitation after Anterior Cervical Surgery[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(04):46-53.[doi:10.20085/j.cnki.issn1005-0205.260408]
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改良版刘寿山“与项争力势”功法锻炼对颈椎前路术后患者身心康复的影响()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年04期
页码:
46-53
栏目:
临床研究
出版日期:
2026-04-10

文章信息/Info

Title:
Influence of the Modified Neck-Rivaling Force Maneuver on Rehabilitation after Anterior Cervical Surgery
文章编号:
1005-0205(2026)04-0046-08
作者:
马昱堃1; 杨君佶2; 姜国正2; 仇子叶2; 冯宁宁2; 陈思学2; 孟乐天2; 魏倢昀2; 俞兴2△; 王俊华1△
1清华大学玉泉医院(清华大学中西医结合医院)(北京,100049)
2北京中医药大学东直门医院
Author(s):
MA Yukun1; YANG Junji2; JIANG Guozheng2; QIU Ziye2; FENG Ningning2; CHEN Sixue2; MENG Letian2; WEI Jieyun2; YU Xing2△; WANG Junhua1△
1Tsinghua University Yuquan Hospital,Beijing 100049,China; 2Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China.
关键词:
功法锻炼;  与项争力势;  颈椎前路减压融合术;  颈椎前路Hybrid术;  脂肪浸润
Keywords:
exercise therapy;  neck-rivaling force maneuver;  anterior cervical discectomy and fusion;  anterior cervical hybrid surgery;  fatty infiltration
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.260408
文献标志码:
A
摘要:
目的:探究改良版刘寿山“与项争力势”功法锻炼对颈椎前路减压融合术(ACDF)和前路Hybrid术后患者症状改善、功能恢复和心理状态改善的影响。方法:采用回顾性研究,纳入40例术后规律锻炼患者(功法锻炼组),并根据基线资料匹配同时期接受相同治疗且未锻炼患者40例(对照组)。功法锻炼组根据术前颈椎旁肌脂肪浸润(FI)程度再分为正常(8例)、中度脂肪浸润(22例)、重度脂肪浸润(10例)三组。比较各组术前、术后1周、3个月及末次随访时的改良日本骨科协会评分量表(mJOA)评分、颈部功能障碍指数(NDI)评分、视觉模拟量表(VAS)评分、匹兹堡睡眠质量指数(PSQI)评分、汉密尔顿焦虑量表(HAMA)评分及汉密尔顿抑郁量表(HAMD)评分。结果:术后各随访时间点功法锻炼组和对照组mJOA评分、NDI评分、颈部及上肢VAS评分均较术前显著改善,差异有统计学意义(P<0.05); 组间比较mJOA评分和NDI评分术后各时间节点差异无统计学意义(P>0.05),功法锻炼组患者术后3个月及末次随访时颈部及上肢VAS评分较对照组更低,差异有统计学意义(P<0.05); 术后3个月及末次随访时,功法锻炼组和对照组PSQI评分、HAMA评分及HAMD评分均较前改善,且功法锻炼组优于对照组,差异有统计学意义(P<0.05); 功法锻炼组中,颈椎旁肌重度脂肪浸润组患者在各项评分改善程度方面均较正常组和中度脂肪浸润组更低,差异有统计学意义(P<0.05),正常组和中度脂肪浸润组间的差异无统计学意义(P>0.05)。结论:改良版“与项争力势”锻炼能够有效缓解颈椎前路减压融合术和颈椎Hybrid患者术后颈部疼痛,改善术后患者睡眠状态,降低焦虑及抑郁状态发生率。颈椎旁肌重度脂肪浸润可能削弱功法锻炼的临床获益。
Abstract:
Objective:To assess the effect of the modified neck-rivaling force maneuver on patients following anterior cervical discectomy and fusion(ACDF)or hybrid surgery.Methods:In this retrospective study,40 patients who performed the maneuvers postoperatively(exercise group)were compared with 40 matched controls who did not.The exercise group was further stratified according to preoperative cervical paraspinal muscle fatty infiltration(FI):normal group(n=8),moderate group(n=22),and severe group(n=10).Outcomes(mJOA,NDI,VAS,PSQI,HAMA,HAMD scores)were assessed both preoperatively and postoperatively.Results:Both groups showed improved mJOA and NDI scores postoperatively,with no significant intergroup differences.The exercise group had significantly lower neck/upper limb VAS scores at both the 3-month and final follow-ups.While early PSQI,HAMA,and HAMD scores showed no difference,the exercise group demonstrated significantly better scores at both the 3-months and final follow-ups.Within the exercise group,patients with severe FI showed less improvement across all outcomes.Conclusion:The modified neck-rivaling force maneuver effectively reduces post-operative pain,improves sleep,and alleviates anxiety and depression following anterior cervical surgery.Severe cervical paraspinal muscle FI may attenuate these benefits.

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(收稿日期:2025-09-12)

备注/Memo

备注/Memo:
△通信作者 E-mail:yuxingbucm@sina.com(俞兴)
wjh2525@163.com(王俊华)
更新日期/Last Update: 2026-04-15