胸椎自我松动术对机械性颈部疼痛患者的即时影响：一项随机对照试验。
Immediate effects of thoracic spine self-mobilization in patients with mechanical neck pain: A randomized controlled trial.
作者信息
Nakamaru Koji, Aizawa Junya, Kawarada Keizo, Uemura Yukari, Koyama Takayuki, Nitta Osamu
机构信息
Department of Rehabilitation Medicine, Terashima Orthopaedic Clinic, Tokyo, Japan; Graduate School of Human Health Science, Tokyo Metropolitan University, Tokyo, Japan; Athletic Rehabilitation Section, Clinical Center for Sports Medicine and Sports Dentistry Sports Science Organization, Tokyo Medical and Dental University, Tokyo, Japan.
Athletic Rehabilitation Section, Clinical Center for Sports Medicine and Sports Dentistry Sports Science Organization, Tokyo Medical and Dental University, Tokyo, Japan.
出版信息
J Bodyw Mov Ther. 2019 Apr;23(2):417-424. doi: 10.1016/j.jbmt.2018.05.008. Epub 2018 Jun 1.
OBJECTIVES
To investigate the immediate effects of thoracic spine self-mobilization in patients with mechanical neck pain.
STUDY DESIGN
Randomized, controlled trial.
BACKGROUND
Thoracic spine self-mobilization is performed after thoracic spine thrust manipulation to augment and maintain its effects. To the best of our knowledge, no study has investigated the effects of thoracic spine self-mobilization alone in individuals with mechanical neck pain. The purpose of this randomized, controlled trial was to evaluate the immediate effects of thoracic spine self-mobilization alone without any other intervention on disability, pain, and cervical range of motion in patients with mechanical neck pain.
METHODS
Fifty-two patients (39 females and 13 males) with mechanical neck pain were randomly allocated to either a thoracic spine self-mobilization group that was performing a thoracic spine active flexion and extension activity using two tennis balls fixed by athletic tape or a placebo thoracic spine self-mobilization group. Outcome measures were collected at pre-intervention and immediately after intervention, including the Neck Disability Index, visual analogue scale, and active cervical range of motion (ROM). The immediate effect of the intervention was analyzed using two-way repeated measures analysis of variance (ANOVA). If interactions were found, a simple main effect test was performed to compare the pre-post intra-group results.
RESULTS
The results of two-way repeated measures ANOVA indicated that the main effect of time was significant (p < 0.05) for all measurement outcomes. The main effect of group was not significant for all measurement outcomes (p > 0.05). The group × time interactions for cervical flexion active ROM (p = 0.005) and cervical extension active ROM (p = 0.036) were significant. The tests of simple main effect in cervical flexion active ROM (p < 0.0001) and cervical extension active ROM (p < 0.0001) showed a significant difference before and after intervention in the thoracic spine self-mobilization group.
CONCLUSION
Patients with mechanical neck pain who carried out thoracic spine self-mobilization showed increases in active cervical flexion and extension ROM.
目的
探讨胸椎自我松动术对机械性颈痛患者的即时效果。
研究设计
随机对照试验。
背景
胸椎自我松动术在胸椎推力整复术后进行，以增强并维持其效果。据我们所知，尚无研究单独调查胸椎自我松动术对机械性颈痛患者的影响。本随机对照试验的目的是评估在无任何其他干预的情况下，胸椎自我松动术对机械性颈痛患者的残疾、疼痛及颈椎活动度的即时效果。
方法
52例机械性颈痛患者（39例女性，13例男性）被随机分为两组，一组为胸椎自我松动组，使用运动胶带固定的两个网球进行胸椎主动屈伸活动；另一组为安慰剂胸椎自我松动组。在干预前及干预后立即收集结果指标，包括颈部残疾指数、视觉模拟评分法以及颈椎主动活动度（ROM）。使用双向重复测量方差分析（ANOVA）分析干预的即时效果。若发现交互作用，则进行简单主效应检验以比较组内干预前后的结果。
结果
双向重复测量方差分析结果表明，所有测量结果的时间主效应均显著（p<0.05）。所有测量结果的组间主效应均不显著（p>0.05）。颈椎前屈主动ROM（p=0.005）和颈椎后伸主动ROM（p=0.036）的组×时间交互作用显著。颈椎前屈主动ROM（p<0.0001）和颈椎后伸主动ROM（p<0.0001）的简单主效应检验显示，胸椎自我松动组干预前后存在显著差异。
结论
进行胸椎自我松动术的机械性颈痛患者的颈椎前屈和后伸主动ROM增加。
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