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针刺肌筋膜触发点结合悬带运动疗法对神经根型颈椎病患者临床康复及颈椎生物力学的影响。

Effects of acupuncture at myofascial trigger points combined with sling exercise therapy on clinical recovery and cervical spine biomechanics in patients with cervical spondylotic radiculopathy.

机构信息

Department of Rehabilitation Medicine, The People's Hospital of Jiangmen, Jiangmen, Guangdong Province, China.

Department of Neurology, The People's Hospital of Jiangmen, Jiangmen, Guangdong Province, China.

出版信息

Int J Neurosci. 2024 Sep;134(9):1019-1025. doi: 10.1080/00207454.2024.2327402. Epub 2024 Mar 28.

Abstract

OBJECTIVE

This research aimed to ascertain the effects of acupuncture at myofascial trigger points (MTrPs) in combination with sling exercise therapy (SET) on the clinical recovery and cervical spine biomechanics in patients with cervical spondylotic radiculopathy (CRS).

METHODS

Eighty patients with CSR were divided into Group A and Group B. Group A was treated with acupuncture at MTrPs, and Group B was treated with acupuncture at MTrPs combined with SET. The cervical spine function, pain level, cervical spine biomechanics and the occurrence of complications were compared between the two groups before and after treatment.

RESULTS

After treatment, the Japanese Orthopaedic Association scores, Clinical Assessment Scale for Cervical Spondylosis scores, cervical forward flexion angle, posterior extension angle, left lateral flexion angle, right lateral flexion angle, left lateral rotation angle, and right lateral rotation angle of the Group B were raised, and the Neck Disability index, Visual Analogue Scale scores, and Neck Pain Questionnaire scores were reduced versus those of the Group A. The difference in complication rates between the two groups was not of statistical significance.

CONCLUSION

Acupuncture at MTrPs combined with SET promotes functional recovery of the cervical spine, reduces pain, and improves cervical spine biomechanics in patients with CRS.

摘要

目的

本研究旨在确定肌筋膜触发点(MTrPs)针刺联合吊索运动疗法(SET)对神经根型颈椎病(CRS)患者临床康复和颈椎生物力学的影响。

方法

将 80 例神经根型颈椎病患者分为 A 组和 B 组。A 组采用 MTrPs 针刺治疗,B 组采用 MTrPs 针刺联合 SET 治疗。比较两组患者治疗前后颈椎功能、疼痛程度、颈椎生物力学及并发症发生情况。

结果

治疗后,B 组日本矫形协会评分、颈椎病临床评价量表评分、颈椎前屈角度、后伸角度、左侧屈角度、右侧屈角度、左侧旋转角度、右侧旋转角度升高,颈部残疾指数、视觉模拟评分、颈部疼痛问卷评分均低于 A 组。两组并发症发生率差异无统计学意义。

结论

MTrPs 针刺联合 SET 可促进 CRS 患者颈椎功能恢复,减轻疼痛,改善颈椎生物力学。

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