Wang Huihao, Jiang Enyu, Wang Kuan, Deng Zhen, Zhan Hongsheng, Shen Zhibi, Niu Wenxin
Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China.
Institute of Traumatology, Shanghai Academy of TCM, Shanghai 201203, China.
Evid Based Complement Alternat Med. 2018 Dec 12;2018:4983891. doi: 10.1155/2018/4983891. eCollection 2018.
To compare the immediate and short term effectiveness of Shi's Daoyin therapy (DT) rather than the Melbourne Protocol (MP) in terms of pain, mobility, and isometric strength of cervical muscles in nonacute nonspecific neck pain patients.
A total of 114 nonacute nonspecific neck pain patients aged 20~50 years were recruited and randomly assigned to be treated by either Shi's DT or the MP. 56 cases and 54 cases received treatment for 3 weeks and were evaluated before and after intervention and at 3-week follow-up in Shi's DT group and MP group, respectively. The outcome measures were Chinese version of the Neck Disability Index (NDI), cervical range of motion (ROM), maximal voluntary isometric force (MVIF), and pain intensity (Numeric Pain Rating Scale, NPRS).
All outcomes of both groups showed statistically significant improvements after the intervention and at 3-week follow-up ( < 0.05), while no statistically significant difference was found in NDI between groups. When followed up after 3 weeks, the ROM in axial rotation was significantly greater in the Shi's DT group ( < 0.05), and the NPRS in the Shi's DT group was significantly lower than the MP group (P < 0.05). At the end of the treatment period, the MVIF in lateral bending in the Shi's DT group had a lower value ( = 0.044) than in the MP group, but there was no significant difference in flexion and extension between the two groups.
Both Shi's DT and MP groups demonstrated an obvious reduction in pain intensity and improvements in neck mobility after a short term follow-up period. The improvement of Shi's DT in disability and pain during functional activities is generally similar to that of the MP for the treatment of nonacute nonspecific neck pain.
比较施氏导引疗法（DT）与墨尔本方案（MP）对非急性非特异性颈部疼痛患者疼痛、活动度及颈部肌肉等长肌力的即时和短期疗效。
共招募114例年龄在20至50岁之间的非急性非特异性颈部疼痛患者，随机分为施氏DT组或MP组接受治疗。施氏DT组56例，MP组54例，均接受3周治疗，并分别在干预前后及3周随访时进行评估。疗效指标包括中文版颈部功能障碍指数（NDI）、颈椎活动范围（ROM）、最大随意等长肌力（MVIF）和疼痛强度（数字疼痛评分量表，NPRS）。
两组所有疗效指标在干预后及3周随访时均有统计学意义的改善（<0.05），但两组间NDI无统计学显著差异。3周随访时，施氏DT组的轴向旋转ROM显著更大（<0.05），且施氏DT组的NPRS显著低于MP组（P<0.05）。治疗期末，施氏DT组侧弯时的MVIF值低于MP组（=0.044），但两组屈伸时无显著差异。
短期随访后，施氏DT组和MP组的疼痛强度均明显降低，颈部活动度均有改善。施氏DT在功能活动中的残疾和疼痛改善方面与MP治疗非急性非特异性颈部疼痛的效果总体相似。
