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普拉提训练联合针灸治疗对慢性非特异性颈痛患者疼痛强度、功能障碍、关节活动范围的影响

恭贺 贾(曲阜师范大学体育科学学院,中国;)
国诏 丁(曲阜师范大学体育科学学院,中国;)
萌 张(承德医学院附属医院超声科,中国;)

摘要

背景:目前慢性非特异性颈痛(CNNP,Chronic non-specific neck pain)的发病率急剧上升。在其辅助治疗中,运动是最有效的,论文将探讨普拉提是否可以促进CNNP患者的康复。方法:选取72例CNNP患者,随机分为两组。对照组常规针刺治疗,实验组常规针刺联合普拉提治疗,疗程为4周。观察治疗前后NDI评分、SF-MPQ评分和颈部关节活动范围。治疗结束后,实验组居家每周进行三次普拉提,而对照组无进行任何运动。在随访1个月和3个月时观察NDI、SF-MPQ评分。结果:治疗后,两组NDI、SF-MPQ评分均降低,颈关节活动均增加,实验组的变化大于对照组(P<0.05)。随访期间,实验组的NDI、SF-MPQ下降,而对照组呈上升趋势。结论:与单纯针刺相比,普拉提联合针刺在改善CNNP患者颈部症状和功能方面更有效。

关键词

非特异性颈痛;普拉提;针灸;康复锻炼

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参考

Vasseljen O, Woodhouse A, Bjørngaard JH, et al. Natural course of acute neck and low back pain in the general population: the HUNT study[J]. Pain,2013,154(8):1237-1244.

Woodhouse A, Pape K, Romundstad PR, et al. Health care contact following a new incident neck or low back pain episode in the general population; the HUNT study[J]. BMC Health Serv Res,2016(16):81.

Jensen I, Harms-Ringdahl K. Strategies for prevention and management of musculoskeletal conditions[J]. Neck pain. Best Pract Res Clin Rheumatol,2007,21(1):93-108.

Cohen SP. Epidemiology, diagnosis, and treatment of neck pain[J]. Mayo Clin Proc,2015,90(2):284-299.

Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016[J]. Lancet,2017,390(10100):1211-1259.

Harirforoosh S, Asghar W, Jamali F. Adverse effects of nonsteroidal antiinflammatory drugs: an update of gastrointestinal, cardiovascular and renal complications[J]. Pharm Pharm Sci,2013,16(5):821-847.

Minakawa Y, Miyazaki S, Waki H, et al. Clinical effectiveness of trigger point acupuncture on chronic neck and shoulder pain (katakori) with work productivity loss in office workers: a randomized clinical trial[J]. Occup Health,2024,66(1):uiad016.

Ko JH, Kim SN. Effect of acupuncture on pain and substance P levels in middle-aged women with chronic neck pain[J]. Front Neurol,2023(14):1267952.

Lagerweij E, Nelis PC, Wiegant VM, van Ree JM. The twitch in horses: a variant of acupuncture[J]. Science,1984,225(4667):1172-1174.

Skrabanek P. Acupuncture and endorphins[J]. Lancet,1984,1(8370):220.

Li P, Pitsillides KF, Rendig SV, et al. Reversal of reflex-induced myocardial ischemia by median nerve stimulation: a feline model of electroacupuncture[J]. Circulation,1998,97(12):1186-1194.表 1 各组 NDI 评分、SF-MPQ 评分和颈部关节活动范围的比较(平均值 ± 标准差)指标实验组对照组治疗前治疗后治疗前治疗后问卷评分NDI 评分20.96±5.629.35±3.15#21.07±5.8615.98±3.56SF-MPQ 评分24.40±5.968.19±3.05#24.38±6.1913.31±3.30颈部关节活动度(°)前屈和后伸66.17±3.6283.28±9.65#66.11±3.8378.58±9.93左右旋转112.57±5.83145.18±12.55#112.68±6.23135.20±12.63注:NDI:颈部残疾指数。SF-MPQ:简式麦吉尔疼痛问卷。治疗前后比较,P<0.05,▲P>0.05;治疗后两组比较,#P<0.05。



DOI: http://dx.doi.org/10.26549/nrr.v3i3.20540

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