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    邓婉桦, 陈碧玉, 陈双妹. 手法治疗联合电动牵引治疗神经根型颈椎病的疗效分析[J]. 蚌埠医科大学学报, 2021, 46(2): 187-190. DOI: 10.13898/j.cnki.issn.1000-2200.2021.02.013
    引用本文: 邓婉桦, 陈碧玉, 陈双妹. 手法治疗联合电动牵引治疗神经根型颈椎病的疗效分析[J]. 蚌埠医科大学学报, 2021, 46(2): 187-190. DOI: 10.13898/j.cnki.issn.1000-2200.2021.02.013
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    DENG Wan-hua, CHEN Bi-yu, CHEN Shuang-mei. Effect analysis of manual therapy combined with electric traction in the treatment of cervical spondylotic radiculopathy[J]. Journal of Bengbu Medical University, 2021, 46(2): 187-190. DOI: 10.13898/j.cnki.issn.1000-2200.2021.02.013
    Citation: DENG Wan-hua, CHEN Bi-yu, CHEN Shuang-mei. Effect analysis of manual therapy combined with electric traction in the treatment of cervical spondylotic radiculopathy[J]. Journal of Bengbu Medical University, 2021, 46(2): 187-190. DOI: 10.13898/j.cnki.issn.1000-2200.2021.02.013
    shu

    手法治疗联合电动牵引治疗神经根型颈椎病的疗效分析

    Effect analysis of manual therapy combined with electric traction in the treatment of cervical spondylotic radiculopathy

      摘要
    • 摘要:
      目的探究手法治疗联合电动牵引治疗神经根型颈椎病（CSR）的临床疗效。
      方法选取88例CSR病人，采用数字表随机分为观察组和对照组，各44例。对照组采用常规电动牵引治疗，观察组在此基础上联合Mulligan手法治疗，共治疗4周。比较治疗前后疼痛视觉模拟（VAS）评分、颈椎功能障碍指数（NDI）及颈椎病临床评价量表（CASCS）评分，测量治疗前后颈椎右旋、左旋角度，评价治疗4周后的综合疗效。
      结果治疗后2组CASCS评分明显升高，VAS评分和NDI均明显降低（P < 0.01）；且观察组CASCS评分明显高于对照组，VAS评分和NDI均明显低于对照组（P < 0.01）。治疗后2组颈椎右旋、左旋角度均明显增加（P < 0.01），且观察组颈椎右旋、左旋角度均明显大于对照组（P < 0.01）。观察组治疗总有效率为95.45%，略高于对照组的81.82%，但差异无统计学意义（P>0.05）。
      结论在传统电动牵引治疗治疗CSR的基础上开展Mulligan手法治疗能有效改善病人疼痛、眩晕及功能障碍等，提升颈椎活动度。该手法见效快、操作简单，适用于CSR的物理治疗。

       

      Abstract:
      ObjectiveTo explore the curative effects of manual therapy combined with electric traction in the treatment of cervical spondylotic radiculopathy(CSR).
      MethodsEighty-eight patients with CSR were randomly divided into the observation group and control group using number table method(44 cases in each group).The control group was treated with conventional electric traction, and the observation group was treated with Mulligan manual therapy based on the control group for 4 weeks.The pain visual analogue(VAS)score, neck disability index(NDI)and clinical assessment scale cervical spondylosis(CASCS)score in two groups were compared between before and after treatment.The right and left rotation angles of the cervical spine in two groups were measured before and after treatment.The comprehensive curative effects in two groups after 4 weeks of treatment were evaluated.
      ResultsAfter treatment, the CASCS score significantly increased, and the VAS score and NDI significantly decreased in two groups(P < 0.01).After treatment, the CASCS score in observation group was higher than that in control group, and the VAS score and NDI in observation group were significantly lower than those in control group(P < 0.01).After treatment, the right and left rotation angles of the cervical spine in two groups significantly increased, and the right and left rotation angles in observation group were significantly larger than those in control group(P < 0.01).The total effective rates in the observation group and control group were 95.45% and 81.82%, respectively, but and the difference of which was not statistically significant(P>0.05).
      ConclusionsThe Mulligan technique manual therapy based on traditional electric traction for CSR can effectively improve the pain, dizziness and dysfunction, and improve cervical vertebra activity.This method is quick and easy to operate, and suitable for physical therapy of CSR.

       

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