颈神经根病患者的肌动学拉伸运动与等长收缩后放松联合牵引的对比——一项随机临床试验
Myokinetic Stretching Exercise Versus Post-Isometric Relaxation Combined with Traction in Patients with Cervical Radiculopathy-A Randomized Clinical Trial.
作者信息
Saleem Fatima, Arshad Maryam, Anwar Sahreen, Panaet Elena Adelina, Tohănean Dragoș Ioan, Alexe Cristina-Ioana, Alexe Dan Iulian
机构信息
Department of Physical Therapy, Riphah International University, Faisalabad 38000, Pakistan.
University Institute of Physical Therapy, University of Lahore, Lahore 54590, Pakistan.
出版信息
Life (Basel). 2025 Apr 29;15(5):721. doi: 10.3390/life15050721.
BACKGROUND
Cervical radiculopathy is one of the frequent musculoskeletal problems prevalent in the general population, characterized by neck pain radiating to the upper limb. This study investigated the effects of the myokinetic stretching technique versus post-isometric relaxation (PIR) exercises with mechanical traction in patients with cervical radiculopathy.
METHODS
A single-blinded, randomized clinical trial was conducted from March 2023 to June 2023. Sixty-six patients with cervical radiculopathy were randomly assigned to two groups: Group A (n = 33) received myokinetic stretching exercises and Group B (n = 33) received isometric relaxation exercises, while mechanical cervical traction was applied to both groups as the baseline treatment. The treatment frequency was two sessions per week for eight weeks. Outcome measures were pain, range of motion, and neck disability measured through the Numerical Pain Rating Scale, a goniometer, and the Urdu version of the Neck Disability Index. Assessments were performed at the baseline and the 4th and 8th weeks of the treatment.
RESULTS
The between-group analysis showed a non-significant difference ( > 0.05). The within-group analysis showed ( < 0.001) significant improvement in both groups.
CONCLUSION
This study concluded that the myokinetic stretching technique and post-isometric relaxation exercises combined with mechanical traction are effective in improving pain, range of motion, and neck disability in patients with cervical radiculopathy.
背景
神经根型颈椎病是普通人群中常见的肌肉骨骼问题之一,其特征为颈部疼痛放射至上肢。本研究调查了动态拉伸技术与等长收缩后放松(PIR)练习联合机械牵引对神经根型颈椎病患者的影响。
方法
于2023年3月至2023年6月进行了一项单盲随机临床试验。66例神经根型颈椎病患者被随机分为两组:A组(n = 33)接受动态拉伸练习,B组(n = 33)接受等长收缩后放松练习,两组均以机械颈椎牵引作为基础治疗。治疗频率为每周两次,共八周。通过数字疼痛评分量表、角度计和乌尔都语版颈部功能障碍指数测量疼痛、活动范围和颈部功能障碍等结果指标。在基线以及治疗的第4周和第8周进行评估。
结果
组间分析显示差异无统计学意义(> 0.05)。组内分析显示两组均有显著改善(< 0.001)。
结论
本研究得出结论,动态拉伸技术和等长收缩后放松练习联合机械牵引可有效改善神经根型颈椎病患者的疼痛、活动范围和颈部功能障碍。