Lee Kwan-Woo, Kim Won-Ho
Department of Physical Therapy, College of Health and Therapy, Daegu Haany University, Republic of Korea.
Department of Physical Therapy, Ulsan College: 101 Bongsuro, Don-gu, Ulsan 682-715, Republic of Korea.
J Phys Ther Sci. 2016 Jan;28(1):175-80. doi: 10.1589/jpts.28.175. Epub 2016 Jan 30.
[Purpose] To investigate the effects of thoracic manipulation and deep craniocervical flexor training on the muscle strength and endurance, range of motion, and the disability index of the neck of patients with chronic nonspecific neck pain. [Subjects and Methods] Forty-six patients with chronic neck pain participated. They received an intervention for 35 minutes a day, three times a week for 10 weeks. Subjects were randomly assigned to one control and two experimental groups: group A (thoracic manipulation combined with deep craniocervical flexor training, n=16), group B (deep craniocervical flexor training, n=15), and group C (active self-exercise as a control group, n=15). Muscle strength and endurance, pain, neck disability index, and range of motion of the cervical and thoracic spine were measured before and after the intervention. [Results] Group A showed significant increases in muscle strength, endurance, and cervical and thoracic range of motion, and significant decreases in the pain and neck disability index, compared with groups B and C. [Conclusion] Although deep craniocervical flexor training is effective at improving neck function, thoracic manipulation combined with deep craniocervical flexor training was a more effective intervention for pain relief and improving the range of motion, muscle function, and neck disability of patients with nonspecific chronic neck pain.
[目的]探讨胸椎整复手法与颅颈深层屈肌强化训练对慢性非特异性颈部疼痛患者颈部肌肉力量、耐力、活动范围及功能障碍指数的影响。[对象与方法]46例慢性颈部疼痛患者参与研究。他们每天接受35分钟的干预，每周3次，共10周。受试者被随机分为1个对照组和2个试验组：A组（胸椎整复手法联合颅颈深层屈肌强化训练，n = 16），B组（颅颈深层屈肌强化训练，n = 15），C组（主动自我锻炼作为对照组，n = 15）。在干预前后测量肌肉力量、耐力、疼痛、颈部功能障碍指数以及颈椎和胸椎的活动范围。[结果]与B组和C组相比，A组的肌肉力量、耐力以及颈椎和胸椎活动范围显著增加，疼痛和颈部功能障碍指数显著降低。[结论]尽管颅颈深层屈肌强化训练对改善颈部功能有效，但胸椎整复手法联合颅颈深层屈肌强化训练对于缓解慢性非特异性颈部疼痛患者的疼痛、改善活动范围、肌肉功能和颈部功能障碍是更有效的干预措施。
