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压力生物反馈训练对机械性颈部疼痛患者颈深屈肌耐力的影响:一项随机对照试验。

Effect of Pressure biofeedback training on deep cervical flexors endurance in patients with mechanical neck pain: A randomized controlled trial.

作者信息

Ashfaq Rabia, Riaz Huma

机构信息

Dr. Rabia Ashfaq, DPT, MS (OMPT). Physical Therapist, Department of Rehabilitation sciences, Riphah International University, Rawalpindi, Pakistan.

Huma Riaz, PHD(Rehab Sciences), PP-DPT, PGD (PE&TM), Bs.PT Associate Professor/ Head of Department DPT, Riphah College of Rehabilitation & Allied Health Sciences, Islamabad, Pakistan.

出版信息

Pak J Med Sci. 2021 Mar-Apr;37(2):550-555. doi: 10.12669/pjms.37.2.2343.

DOI:10.12669/pjms.37.2.2343
PMID:33679948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7931293/
Abstract

OBJECTIVE

To compare the effects of Cranio cervical flexion training with and without pressure biofeedback on deep cervical muscular endurance in patients with mechanical chronic neck pain.

METHODS

A randomized control trial was conducted at Railway General Hospital Rawalpindi, from May to December 2019. It consisted of thirty participants with the age ranging from 25 to 40 years, and having chronic mechanical neck pain. The participants were randomly allocated into two groups Group-A received Craniocervical flexion training with pressure biofeedback and Group-B received Craniocervical flexion training without pressure biofeedback. The intervention was applied for four weeks (3 sessions per week). Assessments were taken at Pre, Post intervention and after six weeks of follow up. Data analysis was done using SPSS-21 version.

RESULTS

The mean age of Group-A and Group-B was 29.40±3.08 and 31.33±4.95 respectively. Between-group analyses has shown statistically and clinically significant improvement in Group-A regarding deep neck muscles endurance (p<0.05). Whereas within group analysis of both groups A & B showed a statistical and clinically significant difference (p=0.00) for deep neck muscles endurance.

CONCLUSIONS

Cranio-cervical flexion training with Pressure Biofeedback has proven to be more effective in improving endurance of deep cervical flexors in patients with mechanical neck pain.

摘要

目的

比较有无压力生物反馈的颅颈屈曲训练对机械性慢性颈痛患者深层颈部肌肉耐力的影响。

方法

2019年5月至12月在拉瓦尔品第铁路总医院进行了一项随机对照试验。该试验纳入了30名年龄在25至40岁之间、患有慢性机械性颈痛的参与者。参与者被随机分为两组,A组接受有压力生物反馈的颅颈屈曲训练,B组接受无压力生物反馈的颅颈屈曲训练。干预持续四周(每周3次)。在干预前、干预后及随访六周后进行评估。使用SPSS-21版本进行数据分析。

结果

A组和B组的平均年龄分别为29.40±3.08岁和31.33±4.95岁。组间分析显示,A组在深层颈部肌肉耐力方面有统计学和临床意义上的显著改善(p<0.05)。而A组和B组的组内分析均显示,深层颈部肌肉耐力存在统计学和临床意义上的显著差异(p=0.00)。

结论

事实证明,有压力生物反馈的颅颈屈曲训练在提高机械性颈痛患者深层颈屈肌的耐力方面更有效。

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Musculoskelet Sci Pract. 2020 Dec;50:102220. doi: 10.1016/j.msksp.2020.102220. Epub 2020 Jul 24.
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Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain: a randomized controlled trial.特定颈深部肌肉锻炼对慢性机械性颈部疼痛患者功能障碍、疼痛强度、颅椎角及颈部肌肉力量的影响:一项随机对照试验
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Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11).慢性疼痛:作为一种症状或疾病——国际疼痛学会(IASP)对《国际疾病分类》第 11 版(ICD-11)中慢性疼痛的分类。
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Effects of deep cervical flexor training on impaired physiological functions associated with chronic neck pain: a systematic review.深层颈屈肌训练对慢性颈部疼痛相关生理功能受损的影响:一项系统评价
BMC Musculoskelet Disord. 2018 Nov 28;19(1):415. doi: 10.1186/s12891-018-2324-z.
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