Zhen Peng-Chao, Zhu Li-Guo, Gao Jing-Hua, Yu Jie, Feng Min-Shan, Wei Xu, Wang Shang-Quan
Department of the Second Spine, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China.
Zhongguo Gu Shang. 2010 Oct;23(10):750-3.
To observe the effects of two different therapies on patients whose cervical function were restricted due to cervical spondylotic radiculopathy.
Form April 2008 to October 2009, 71 cases with cervical spondylotic radiculopathy were divided into group A (36 cases) and group B (35 cases). Among them, 22 cases were male and 49 cases were female, ranging in age form 45 to 65 years with an average of 52.27 years, course of disease was from 3 days to 5 years. The patients in group A were treated with rotation-traction manipulation, neck pain particles and cervical rehabilitation exercises; and the patients in group B were treated with cervical traction, Diclofenac sodium sustained release tablets and wearing neck collar. Theapeutic time was two weeks. The cervical anteflexion, extension, left and right lateral bending, left and right rotative activity were measured by helmet-style activities instrument before and after treatment (at the 1, 3, 5, 7, 9, 11, 13 days and 1 month after treatment respectively).
There were no difference between two groups in cervical activity in all directions before treatment (P > 0.05). Compared with the beginning, cervical anteflexion and extension showed significant difference at the 5th day after treatment in group A (P < 0.01). In group B, cervical anteflexion showed significant difference at the 13th day after treatment (P < 0.05), but at the 1 month after treatment, the significant difference disappeared (P > 0.05); cervical extension showed significant difference at the 7th day after treatment compared with the beginning (P < 0.05). Compared with the beginning,left lateral bending showed significant difference at the 1st day after treatment in group A (P < 0.05) and at the 5th day after treatment in group B (P < 0.01). Both in group A or B, right lateral bending, left and right rotative activity showed significant difference at the same time after treatment, either the 3rd day (P < 0.05) or the 5th day (P < 0.05). Compared between groups, cervical anteflexion, left and right lateral bending, left and right rotative activity showed significant difference at the 1 month after treatment (P < 0.05).
The rotation-traction manipulation and neck pain particles and cervical rehabilitation exercises in treating cervicalspondylotic radiculopathy have quick effect to improve the activities of cervical anteflexion, extension, left lateral bending, and have durable effect to improve the activities of cervical spine in all directions.
观察两种不同疗法对神经根型颈椎病致颈椎功能受限患者的疗效。
2008年4月至2009年10月，将71例神经根型颈椎病患者分为A组（36例）和B组（35例）。其中，男性22例，女性49例，年龄45至65岁，平均52.27岁，病程3天至5年。A组患者采用旋转牵引手法、颈痛颗粒及颈椎康复锻炼治疗；B组患者采用颈椎牵引、双氯芬酸钠缓释片及佩戴颈托治疗。治疗时间为两周。治疗前后（分别于治疗后第1、3、5、7、9、11、13天及1个月）采用头盔式活动仪测量颈椎前屈、后伸、左右侧屈、左右旋转活动度。
治疗前两组颈椎各方向活动度比较，差异无统计学意义（P>0.05）。A组治疗后第5天颈椎前屈和后伸与治疗前比较，差异有统计学意义（P<0.01）。B组治疗后第13天颈椎前屈与治疗前比较，差异有统计学意义（P<0.
