Zhu Qing-Guang, Fang Min, Shen Guo-Quan, Jiang Shu-Yun, Cheng Ying-Wu, Zhou Nan
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China.
Zhongguo Gu Shang. 2012 Jan;25(1):18-21.
To explore the mechanism of manipulation in treating cervical spondylosis.
From August 2008 to December 2009, 65 patients with cervical spondylosis were randomly divided into manipulation group and traction group. There were 32 patients in manipulation group, of which 30 cases obtained followed-up, including 10 males and 20 females, ranging in age from 30 to 65 years,with an average of (42.31 +/- 13.23) years; the mean course of diseases was (12.40 +/- 6.23) months, and the average weight was (61.21 +/- 10.23) kg. In traction group, there were 33 patients, 30 cases obtained follow-up, including 11 males and 19 males, ranging in age from 30 to 65 years, with an average of (45.54 +/- 14.35) years; the mean course of diseases was (13.25 +/- 6.06) months and average weight was (62.31 +/- 10.45) kg. Biodex III Isokinetic Testing System and TeleMyo 2400 T Surface EMG was applied to test the mechanical properties and fatigue of neck muscles before and after treatment.
The mechanical properties of neck muscles: measuring in the 60 degrees/s and 120 degrees/s angular velocity, there were no significant difference (P > 0.05) in peak torque (PT), average power (AP), peak torque of flexor/extensor peak torque ratio (F/E) before treatment, while manipulation group was improved more than traction group in PT, AP, F/E after treatment (P < 0.05), and there was significant difference (P < 0.05). For the degree of fatigue: there was no significant difference (P > 0.05) in IEMG, MPF compared by two groups before treatment, but the manipulation group was improved more than the traction group in IEMG, MPF after treatment (P < 0.05), and there was significant difference (P < 0.05) on the right side.
Manipulation can improve contraction forces and work efficiency of neck muscle, coordination ability of flexors and extensors muscles, efficiency of neck muscle, and recover mechanical properties and can alleviate fatigue of neck muscles in patients with cervical spondylosis.
探讨推拿治疗颈椎病的机制。
选取2008年8月至2009年12月颈椎病患者65例，随机分为推拿组和牵引组。推拿组32例，获随访30例，其中男10例，女20例，年龄30～65岁，平均（42.31±13.23）岁；平均病程（12.40±6.23）个月，平均体重（61.21±10.23）kg。牵引组33例，获随访30例，其中男11例，女19例，年龄30～65岁，平均（45.54±14.35）岁；平均病程（13.25±6.06）个月，平均体重（62.31±10.45）kg。采用Biodex III等速测试系统和TeleMyo 2400 T表面肌电图仪检测治疗前后颈部肌肉力学性能及疲劳情况。
颈部肌肉力学性能：在角速度60°/s和120°/s时测量，治疗前两组间峰值扭矩（PT）、平均功率（AP）、屈/伸肌峰值扭矩比（F/E）差异无统计学意义（P＞0.05），治疗后推拿组PT、AP、F/E改善程度优于牵引组（P＜0.05），差异有统计学意义（P＜0.05）。疲劳程度：两组治疗前肌电积分值（IEMG）、平均功率频率（MPF）比较差异无统计学意义（P＞0.05），治疗后推拿组IEMG、MPF改善程度优于牵引组（P＜0.05），右侧差异有统计学意义（P＜0.05）。
推拿可提高颈椎病患者颈部肌肉收缩力和工作效率、屈肌与伸肌肌肉协调能力、颈部肌肉效能，恢复力学性能，减轻颈部肌肉疲劳。
