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家庭护理颈部牵引治疗颈部疼痛和神经根型颈椎病症状患者:一例报告

Home Care Neck Traction for a Patient With Neck Pain and Cervical Radiculopathy Symptoms: A Case Report.

作者信息

Garg Pankaj

机构信息

Department of Surgery, Indus Super Specialty Hospital, Mohali, Punjab, India.

出版信息

J Chiropr Med. 2019 Jun;18(2):127-130. doi: 10.1016/j.jcm.2018.11.006. Epub 2019 Jun 29.

Abstract

OBJECTIVE

The purpose of this case study is to describe home care traction for a patient with neck pain and radicular symptoms.

CLINICAL FEATURES

A 30-year old male patient presented with a sharp pain in the left shoulder and lateral side of the left arm. Cervical spine motion was limited on the left side. Physical examination findings suggested radiculopathy on the left side.

INTERVENTION AND OUTCOME

Home care traction exercise for the neck in the supine position was recommended to the patient. In this exercise, the person lay on the edge of the bed in a supine position. The head was at the edge of the bed and the feet were toward the center of the bed. The head and the upper torso were lowered from the edge of the bed so as to hang the head freely from the bed. This position was maintained for 1 minute. This exercise was done 6 times a day. After 3 weeks, the patient had relief from pain and became asymptomatic with this exercise regimen.

CONCLUSION

Home traction exercises for the neck provided pain relief for this patient with cervical radiculopathy. This traction exercise seems simple, easy to learn, and reproducible. It can be done at home without involving any extra cost.

摘要

目的

本病例研究的目的是描述对一名伴有颈部疼痛和神经根症状患者的家庭护理牵引。

临床特征

一名30岁男性患者,表现为左肩和左臂外侧剧痛。颈椎左侧活动受限。体格检查结果提示左侧神经根病。

干预与结果

建议患者进行仰卧位颈部家庭护理牵引锻炼。在该锻炼中,患者仰卧于床边。头部位于床边,双脚朝向床中央。头部和上半身从床边垂下,使头部自由悬于床外。该姿势保持1分钟。此锻炼每天进行6次。3周后,患者疼痛缓解,通过该锻炼方案症状消失。

结论

颈部家庭牵引锻炼为该颈椎神经根病患者缓解了疼痛。这种牵引锻炼看似简单、易于学习且可重复进行。它可以在家中进行,无需额外费用。

相似文献

本文引用的文献

1
Neck Pain: Revision 2017.颈部疼痛:2017 年修订版。
J Orthop Sports Phys Ther. 2017 Jul;47(7):A1-A83. doi: 10.2519/jospt.2017.0302.
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The application of a clinical prediction rule for patients with neck pain likely to benefit from cervical traction: A case report.
Physiother Theory Pract. 2016 Oct;32(7):546-55. doi: 10.1080/09593985.2016.1206154. Epub 2016 Jul 29.
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Nonoperative management of cervical myelopathy: a systematic review.非手术治疗颈椎脊髓病:系统评价。
Spine (Phila Pa 1976). 2013 Oct 15;38(22 Suppl 1):S55-67. doi: 10.1097/BRS.0b013e3182a7f41d.

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