Mańko Grzegorz, Jekiełek Małgorzata, Ambroży Tadeusz, Rydzik Łukasz, Jaszczur-Nowicki Jarosław
Department of Biomechanics and Kinesiology, Institute of Physiotherapy, Jagiellonian University Collegium Medicum, 31-126 Kraków, Poland.
ORNR "Krzeszowice", Rehabilitation Center, Daszyńskiego 1, 32-065 Krzeszowice, Poland.
Life (Basel). 2022 Mar 31;12(4):513. doi: 10.3390/life12040513.
Spinal dysfunctions are very common in the population. However, there is still a lack of information on how to diagnose and treat them properly. The common causes of spinal dysfunctions are cervical discopathy and degenerative cervical myelopathy. The aims of the study are to examine whether a combination of manual therapy and stabilometer platform exercises can be effective in treating cervical discopathy and degenerative cervical myelopathy, and the possibility of observing the differences between patients suffering from the above diseases. The study involved 40 patients referred for rehabilitation, who formed two groups of 20 people. The first group consisted of patients suffering from cervical discopathy, the second group consisted of patients affected by degenerative cervical myelopathy. During therapy, manual therapy techniques and a stabilometric platform were used. The Neck Disability Index and Pain Numeric Rating Scale were used for clinical evaluation. The correlation between the existing diseases and the results obtained in the Neck Disability Index and Pain Numeric Rating Scale was examined. The distribution of patient responses in questions of the Neck Disability Index was also checked. Clinical evaluation was performed twice, before the start of therapy and after a two-week rehabilitation treatment. The study showed a significant difference between the patients' results before the start of therapy and after the end of the rehabilitation stay in both used questionnaires ( = 0.00). A difference in the distribution of responses between the two groups after therapy was also found in the Neck Disability Index ( = 0.018) and in the Pain Numeric Rating Scale ( = 0.043). The study shows that manual therapy and exercises using the stabilometric platform are effective methods of treating both patients with cervical discopathy and patients with degenerative cervical myelopathy. It was also noted that, when comparing groups of patients, patients with degenerative cervical myelopathy tend to have greater disturbances in concentration-related activities, such as reading, focusing, driving, sleeping, and resting.
脊柱功能障碍在人群中非常常见。然而，关于如何正确诊断和治疗它们的信息仍然不足。脊柱功能障碍的常见原因是颈椎间盘病变和退行性颈椎脊髓病。本研究的目的是检验手法治疗和稳定仪平台训练相结合是否能有效治疗颈椎间盘病变和退行性颈椎脊髓病，以及观察上述疾病患者之间差异的可能性。该研究纳入了40名被转诊进行康复治疗的患者，分为两组，每组20人。第一组由患有颈椎间盘病变的患者组成，第二组由患有退行性颈椎脊髓病的患者组成。在治疗过程中，采用了手法治疗技术和稳定测量平台。使用颈部功能障碍指数和疼痛数字评定量表进行临床评估。检查了现有疾病与颈部功能障碍指数和疼痛数字评定量表所获结果之间的相关性。还检查了患者在颈部功能障碍指数问题上的回答分布情况。在治疗开始前和为期两周的康复治疗后，进行了两次临床评估。研究表明，在两份使用的问卷中，治疗开始前和康复结束后患者的结果存在显著差异（ = 0.00）。在颈部功能障碍指数（ = 0.018）和疼痛数字评定量表（ = 0.043）中，也发现两组治疗后回答分布存在差异。研究表明，手法治疗和使用稳定测量平台的训练是治疗颈椎间盘病变患者和退行性颈椎脊髓病患者的有效方法。还注意到，在比较患者组时，患有退行性颈椎脊髓病的患者在与注意力相关的活动（如阅读、集中注意力、驾驶、睡眠和休息）中往往有更大的障碍。
