本体感觉神经肌肉促进疗法与手法治疗颈痛患者的随机对照试验。

OBJECTIVE: To compare the effects of proprioceptive neuromuscular facilitation therapy with manual therapy in improving the range of motion, decreasing pain, and improving activity of daily living in patients with neck pain. DESIGN: Double-blinded, randomized, experimental study. PATIENTS: Women aged 45-65 with cervical pain due to osteoarthritis of the vertebral body and intervertebral disc. METHODS: A total of 93 randomly selected females were included in the study. They were randomly divided into 2 groups. One received proprioceptive neuromuscular facilitation treatment and the other received manual therapy. To evaluate functional capabilities, the Oswestry Disability Index and range of motion measure were used. To evaluate changes in subjective experience of pain the Visual Analogue Scale was used. RESULTS: In terms of the activities of daily living, pain, and range of motion of flexion, extension, lateral flexion to the right and left, and rotation to the right and left improvement in group I compared with group II was statistically significant (p < 0.05) at 2 weeks and 3 months' follow-up. CONCLUSION: Treatment according to proprioceptive neuromuscular facilitation is a better method in comparison with manual therapy regarding improvement of pain, range of motion, and daily functioning in patients with cervical pain.

目的：比较本体感觉神经肌肉促进疗法与手法治疗对改善颈椎病患者关节活动度、减轻疼痛和提高日常生活活动能力的效果。

设计：双盲、随机、实验研究。

患者：年龄在 45-65 岁之间，因椎体和椎间盘骨关节炎而患有颈痛的女性。

方法：共纳入 93 名随机选择的女性患者。她们被随机分为两组。一组接受本体感觉神经肌肉促进治疗，另一组接受手法治疗。为了评估功能能力，使用 Oswestry 残疾指数和关节活动度测量法。为了评估主观疼痛体验的变化，使用视觉模拟量表。

结果：在日常生活活动、疼痛和关节活动度方面，与组 II 相比，组 I 在 2 周和 3 个月的随访中，在伸展、侧屈到右侧和左侧、以及旋转到右侧和左侧方面的改善具有统计学意义（p < 0.05）。

结论：与手法治疗相比，根据本体感觉神经肌肉促进治疗对改善颈椎病患者的疼痛、关节活动度和日常生活功能是一种更好的方法。