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横向振荡压力与颈椎牵引治疗神经根型颈椎病的比较疗效:一项随机对照研究。

Comparative effectiveness of transverse oscillatory pressure and cervical traction in the management of cervical radiculopathy: A randomized controlled study.

作者信息

Ojoawo Adesola Ojo, Olabode Ayodele Damilare

机构信息

Department of Medical Rehabilitation, Faculty of Basic Medical Sciences College of Health Sciences, Obafemi Awolowo University, Ile Ife, Nigeria.

出版信息

Hong Kong Physiother J. 2018 Dec;38(2):149-160. doi: 10.1142/S1013702518500130. Epub 2018 Aug 14.

Abstract

BACKGROUND

Radiating neck pain is one of the major symptoms of cervical radiculopathy (CR).

OBJECTIVE

This study compared the effects of cervical traction (CT) and transverse oscillatory pressure (TOP) in management of CR.

METHODS

Seventy-five participants with unilateral radiating neck pain were randomly allocated into three groups, 25 (14 males, 11 females) for CT, 25 (15 males and 10 females) for TOP and 25 (11 males and 14 females) control (Cnt) group. All participants received massage, cryotherapy and active exercises three times in a week for six weeks. CT was administered to CT group, TOP to TOP group while the third group served as control. Pain intensity (PI) and neck functional disability (NFD) were assessed pretreatment, 3rd and 6th week of intervention. Data were analyzed using descriptive and inferential statistics.

RESULTS

There was a significant reduction in PI and NFD between pretreatment and 6th week in all the groups ( ). The effect size of PI ( , ) and disability index ( , ) in CT group were significantly lower than that of TOP group at 3rd week. PI of TOP was significantly ( ) lower than that of CT and Cnt groups at the 6th week.

CONCLUSION

TOP reduces the PI and disability of patients with CR faster compared to CT.

摘要

背景

放射性颈部疼痛是神经根型颈椎病(CR)的主要症状之一。

目的

本研究比较了颈椎牵引(CT)和横向振荡压力(TOP)对神经根型颈椎病的治疗效果。

方法

75例单侧放射性颈部疼痛患者被随机分为三组,25例(男14例,女11例)接受颈椎牵引治疗,25例(男15例,女10例)接受横向振荡压力治疗,25例(男11例,女14例)作为对照组。所有参与者每周接受三次按摩、冷冻疗法和主动运动,共六周。颈椎牵引组接受颈椎牵引治疗,横向振荡压力组接受横向振荡压力治疗,第三组作为对照组。在干预前、干预第3周和第6周评估疼痛强度(PI)和颈部功能障碍(NFD)。使用描述性和推断性统计分析数据。

结果

所有组在干预前和第6周之间PI和NFD均有显著降低( )。第3周时,颈椎牵引组PI( , )和功能障碍指数( , )的效应量显著低于横向振荡压力组。第6周时,横向振荡压力组的PI显著( )低于颈椎牵引组和对照组。

结论

与颈椎牵引相比,横向振荡压力能更快降低神经根型颈椎病患者的PI和功能障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e005/6405355/5bd678a51e8d/hkpj-38-149-g001.jpg

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