Nykänen Matti, Ylinen Jari, Häkkinen Arja
Kruunupuisto Punkaharju Rehabilitation Centre, Punkaharju, Finland.
J Rehabil Med. 2007 May;39(5):363-5. doi: 10.2340/16501977-0075.
Previous investigations suggest little association between clinical findings and radiographic degenerative findings. However, the association between degenerative changes and neck function has not been investigated.
A cross-sectional study.
Data were collected from 179 female office workers aged 25-53 years with chronic neck pain who were referred for institutional rehabilitation.
Radiographs of the cervical spine, and neck function including isometric muscle strength and passive range of motion were evaluated. All subjects completed self-report questionnaires including questions about neck pain and disability.
Fifty-nine percent of the women presented degenerative changes and they were older than women without the changes (p=0.001). Neck pain and disability were comparable when the patients were put into subgroups according to the radiological cervical changes. Neck mobility and muscle strength were comparable in women with or without degenerative changes, except for a lower rotational range of motion in women with degenerative changes (p=0.009).
The results suggest that the degenerative changes in cervical plain films are poorly related to the severity of symptoms or neck function in women with chronic neck pain working in sedentary occupations.
先前的研究表明临床发现与影像学退行性改变之间几乎没有关联。然而，退行性改变与颈部功能之间的关联尚未得到研究。
一项横断面研究。
收集了179名年龄在25 - 53岁之间、患有慢性颈部疼痛并被转诊至机构进行康复治疗的女性办公室职员的数据。
对颈椎X线片以及包括等长肌力和被动活动范围在内的颈部功能进行评估。所有受试者均完成了自我报告问卷，包括有关颈部疼痛和残疾的问题。
59%的女性存在退行性改变，且她们的年龄大于无此改变的女性（p = 0.001）。根据颈椎影像学改变将患者分为亚组时，颈部疼痛和残疾情况相当。有或无退行性改变的女性在颈部活动度和肌肉力量方面相当，但有退行性改变的女性其旋转活动范围较低（p = 0.009）。
结果表明，对于从事久坐职业且患有慢性颈部疼痛的女性，颈椎平片上的退行性改变与症状严重程度或颈部功能之间的相关性较差。
