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颈椎旋转牵引手法对颈椎椎旁软组织即刻效应的研究：软组织张力云图技术的应用。

The immediate effect of cervical rotation-traction manipulation on cervical paravertebral soft tissue: a study using soft tissue tension cloud chart technology.

机构信息

Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.

Beijing University of Chinese Medicine, Beijing, People's Republic of China.

出版信息

BMC Musculoskelet Disord. 2024 Feb 29;25(1):184. doi: 10.1186/s12891-024-07277-5.

DOI:10.1186/s12891-024-07277-5
PMID:38424580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10903149/
Abstract

BACKGROUND

To evaluate the reliability of the Soft Tissue Tension Cloud Chart (STTCC) technology, an original method combining multi-point Cervical Paravertebral Soft Tissue Test (CPSTT) with MATLAB software, we conducted a preliminary analysis on the immediate effects of Orthopaedic Manual Therapy (OMT) on cervical paravertebral soft tissue.

METHODS

30 patients with Cervical Spondylotic Radiculopathy (CSR) were included in this study. We analyzed the differences in CPSTT before and after treatment with Cervical Rotation-Traction Manipulation (CRTM), a representative OMT technique in Traditional Chinese Medicine, using the STTCC technology.

RESULTS

The STTCC results demonstrated that post-treatment CPSTT levels in CSR patients were significantly lower than pre-treatment levels after application of CRTM, with a statistically significant difference (P < 0.001). Additionally, pre-treatment CPSTT levels on the symptomatic side (with radicular pain or numbness) were higher across the C5 to C7 vertebrae compared to the asymptomatic side (without symptoms) (P < 0.001). However, this difference disappeared after CRTM treatment (P = 0.231).

CONCLUSIONS

The STTCC technology represents a reliable method for analyzing the immediate effects of OMT. CSR patients display uneven distribution of CPSTT characterized by higher tension on the symptomatic side. CRTM not only reduces overall cervical soft tissue tension in CSR patients, but can also balance the asymmetrical tension between the symptomatic and asymptomatic sides.

TRIAL REGISTRATION

This study was approved by the Chinese Clinical Trials Registry (Website: . https://www.chictr.org.cn .) on 20/04/2021 and the Registration Number is ChiCTR2100045648.

摘要

背景

为评估软组织张力云图（STTCC）技术的可靠性，我们结合多点颈椎脊柱旁软组织测试（CPSTT）和 MATLAB 软件，对中医正骨手法（OMT）治疗即刻对颈椎脊柱旁软组织的影响进行了初步分析。

方法

本研究纳入 30 例神经根型颈椎病（CSR）患者，采用 STTCC 技术分析颈椎旋转牵引手法（CRTM）治疗前后 CPSTT 的差异，CRTM 是一种中医代表的 OMT 技术。

结果

STTCC 结果显示，CRTM 治疗后 CSR 患者的 CPSTT 水平明显低于治疗前，差异有统计学意义（P < 0.001）。此外，治疗前有根性痛或麻木症状的患侧（C5-C7 节段）CPSTT 水平高于无症状侧（P < 0.001）。但 CRTM 治疗后，这种差异消失（P = 0.231）。

结论

STTCC 技术是分析 OMT 即刻效果的可靠方法。CSR 患者的 CPSTT 分布不均匀，表现为患侧张力较高。CRTM 不仅降低 CSR 患者颈椎软组织的整体张力，而且可以平衡症状侧和无症状侧之间的不对称张力。

试验注册

本研究于 2021 年 4 月 20 日经中国临床试验注册中心（网址：. https://www.chictr.org.cn.）批准，注册号 ChiCTR2100045648。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7548/10903149/72cdf89a921f/12891_2024_7277_Fig11_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7548/10903149/0de201005d7e/12891_2024_7277_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7548/10903149/43c59d6ebb77/12891_2024_7277_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7548/10903149/122911d11211/12891_2024_7277_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7548/10903149/78296864c60d/12891_2024_7277_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7548/10903149/9465dde4dc31/12891_2024_7277_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7548/10903149/27d5b38cb19e/12891_2024_7277_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7548/10903149/79b8cc3261ee/12891_2024_7277_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7548/10903149/72cdf89a921f/12891_2024_7277_Fig11_HTML.jpg

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