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临床普拉提和家庭运动对矢状位颈椎失稳的疗效:随机对照研究。

Effectiveness of clinical Pilates and home exercises in sagittal cervical disorientation: randomized controlled study.

机构信息

Physiotherapy & Rehabilitation Faculty, Hacettepe University, Ankara, Turkey.

Department of Physiotherapy & Rehabilitation, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta 99628, Cyprus.

出版信息

J Comp Eff Res. 2021 Apr;10(5):365-380. doi: 10.2217/cer-2020-0186. Epub 2021 Mar 12.

DOI:10.2217/cer-2020-0186
PMID:33706543
Abstract

To compare effects of clinical Pilates and home exercises on postural disorders, strength and endurance of deep cervical flexors (DCF), cervical range of motion (CROM), pain intensity and functional disability in sagittal cervical disorientation. : Fourty six patients were included and divided into two groups. Clinical Pilates group performed stabilization based exercise and home exercise group performed conventional exercises. Craniovertebral, head tilt, cervicothoracic angles and strength and endurance of DCF muscles had improvement in favor of clinical Pilates group (p < 0.05). There was no difference between groups in terms of right-left acromial distance, pain intensity, functional disability and CROM parameters (p > 0.05). Clinical Pilates exercises have been found to provide clinically significant improvements in craniovertebral, head tilt, cervicothoracic angles and strength and endurance of DCF muscles. However, in the increase of CROM, decreasing pain severity and functional impairment parameters there was no superiority of both exercise training. NCT03352921 (Clinicaltrials.gov).

摘要

比较临床普拉提和家庭运动对矢状位颈椎失稳患者姿势障碍、深层颈屈肌(DCF)力量和耐力、颈椎活动度(CROM)、疼痛强度和功能障碍的影响:共纳入 46 例患者,分为两组。临床普拉提组进行基于稳定的运动,家庭运动组进行常规运动。颅颈角、头倾斜角、颈胸角和 DCF 肌肉的力量和耐力均有改善,临床普拉提组更优(p<0.05)。两组间左右肩峰距离、疼痛强度、功能障碍和 CROM 参数无差异(p>0.05)。临床普拉提运动可显著改善颅颈角、头倾斜角、颈胸角和 DCF 肌肉的力量和耐力。然而,在 CROM 增加、疼痛严重程度减轻和功能障碍参数方面,两种运动训练均无优势。NCT03352921(Clinicaltrials.gov)。

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