Rehabilitation Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Korea.
Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Korea.
Int J Environ Res Public Health. 2019 Jun 19;16(12):2162. doi: 10.3390/ijerph16122162.
The newly developed cervical lordotic curve-controlled traction (C-LCCT) appears to be an ideal method to improve the treatment outcome in patients with cervical intervertebral disc disease. The purpose of this study was to investigate the treatment outcomes of C-LCCT including the functional and morphological changes of the cervical intervertebral disc compared to traditional traction (TT) with a randomized controlled trial design. A total of 40 patients with cervical intervertebral disc disease at the C5/6 level confirmed by magnetic resonance imaging were recruited and assigned to either the C-LCCT group or the TT group. The comprehensive health status changes of the patients were recorded using pain and functional scores (Visual Analogue Scale, Oswestry Disability Index) and morphological changes (cervical lordosis, cervical central canal area) before and after the traction treatment. Both groups showed a significant improvement in pain scores after traction ( < 0.05). The functional score and morphological changes improved significantly after treatment in the C-LCCT group. However, there was no significant improvement in the TT group ( < 0.05). The C-LCCT showed significant pain, functional, and morphological improvement compared to TT. C-LCCT could be effective in improving the treatment outcomes of the traction technique in patients with cervical intervertebral disc disease.
新开发的颈椎前凸曲线控制牵引（C-LCCT）似乎是一种改善颈椎间盘疾病患者治疗效果的理想方法。本研究旨在通过随机对照试验设计，研究 C-LCCT 治疗颈椎间盘疾病的疗效，包括颈椎间盘的功能和形态变化。共招募了 40 例经磁共振成像（MRI）证实的 C5/6 颈椎间盘疾病患者，随机分为 C-LCCT 组和 TT 组。使用疼痛和功能评分（视觉模拟评分、Oswestry 残疾指数）和形态变化（颈椎前凸、颈椎中央椎管面积）记录患者牵引治疗前后的综合健康状况变化。两组患者在牵引后疼痛评分均显著改善（ < 0.05）。C-LCCT 组治疗后功能评分和形态变化显著改善，而 TT 组无显著改善（ < 0.05）。与 TT 相比，C-LCCT 显示出显著的疼痛、功能和形态改善。C-LCCT 可能有效改善颈椎间盘疾病患者牵引技术的治疗效果。
