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用于治疗颈椎间盘退变疾病的按摩疗法:缓解颈部疼痛?

Massage therapy for cervical degenerative disc disease: alleviating a pain in the neck?

作者信息

Avery Rhonda-Marie

机构信息

Ste Anne's Spa, Grafton, ON, Canada.

出版信息

Int J Ther Massage Bodywork. 2012;5(3):41-6. doi: 10.3822/ijtmb.v5i3.146. Epub 2012 Sep 26.

Abstract

BACKGROUND

A 66-year-old female client with cervical degenerative disc disease at lateral left facet joint C6/C7 was experiencing symptoms of chronic neck pain accompanied by limited cervical range of motion, as well as radicular left shoulder and arm pain. The objective of this case report was to describe the effect of therapeutic massage on the client's symptoms and impairments of cervical DDD.

METHODS

Therapeutic massage interventions included soft-tissue manipulation using petrissage and neuromuscular techniques, fascial work, facilitated stretching, joint play, hydrotherapy, education on self-stretching, and positive guidance about condition management. Assessment included pain-free cervical ROM and a subjective verbal pain scale.

RESULTS

After several treatment sessions, client's symptoms had decreased and cervical ROM had improved moderately. There was also a decrease in reported pain and an increase in functional daily activities. Client showed a greater understanding of the physiologic barriers which degenerative changes may present.

CONCLUSIONS

This client responded favorably to massage therapy as a treatment intervention for cervical DDD symptoms.

摘要

背景

一名66岁女性患者,患有C6/C7左侧小关节颈椎间盘退变疾病,出现慢性颈部疼痛症状,伴有颈椎活动范围受限,以及左肩和左臂放射性疼痛。本病例报告的目的是描述治疗性按摩对该患者颈椎间盘退变疾病症状和功能障碍的影响。

方法

治疗性按摩干预措施包括采用揉捏法和神经肌肉技术进行软组织手法操作、筋膜治疗、辅助拉伸、关节松动、水疗、自我拉伸教育以及关于病情管理的积极指导。评估包括无痛颈椎活动范围和主观口头疼痛量表。

结果

经过几次治疗后,患者症状减轻,颈椎活动范围适度改善。报告的疼痛也有所减轻,日常功能活动有所增加。患者对退行性改变可能带来的生理障碍有了更深入的了解。

结论

该患者对按摩疗法作为颈椎间盘退变疾病症状的治疗干预反应良好。

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Randomized trial of therapeutic massage for chronic neck pain.慢性颈痛治疗性按摩的随机试验。
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