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1、主动抗阻运动疗法治疗慢性颈部疼痛的临床研究杜良杰42,李建军匚2【摘要】目的观察主动抗阻运动疗法对于慢性颈部疼痛患者的治疗效果。方法门诊选择39例病程超过6个月的女性慢性颈部疼痛的患者作为治疗组;选择21例正常女性作为对照组进行临床观察研究。对照组不进行功能锻炼。治疗组应用主动抗阻运动疗法进行功能锻炼。治疗前、治疗后12个刀，观察颈椎生理曲度、项背肌肌肉CT值、项背肌肌力和耐力、颈部疼痛视觉评分，用SPSS11.0统计软件包进行统计分析。对于治疗组治疗前后变化,用配对资料的t检验进行统计分析；治疗纽与空白对照纟F1之间应用独
2、立样木均数的t检验；以p<0.05为具冇显著性差异。结果与对照组相比，治疗组颈椎生理曲度显着减小(pv0.05),且其颈椎生理曲度在治疗前后无显著性差异(p>0.05)o年长对照组的颈椎后部肌肉总体平均CT值较年轻组对照组的显著降低(pv0.05)；治疗组项背肌肌肉总体平均CT值与对照组比较显著减小(p<0.05)；治疗组治疗前后项背肌肌肉总体平均CT值无显著性差界(P>0.05)o治疗组较对照组项背肌肌肉的肌力和耐力显著性降低(p〈0.05)；治疗后的治疗组项背肌肌肉力量和耐力都较治疗前显著提高(p〈0.05)。治疗组在治
3、疗后一个刀疼痛评分显著改善，治疗后一年所有患者的疼痛完全消失,有显苦性券异(P<0.05)0结论主动抗阻运动疗法能够显著提高项背肌肌力和耐力、消除慢性颈部疼痛症状。【关键词】颈椎病；慢性颈部疼痛；主动抗阻运动疗法；颈椎康复器，临床研究ClinicalstudyonchronicneckpainusingactiveresistanceexercisetherapyDULian^jie,LIJian-jun.Departmentofspinalandneuralfunctionreconstruction,BeijingCha
4、rityHospital,ChinaRehabilitationResearchCenter,SchoolofRehabilitation,CapitalMedicalUniversity,Beijing100068,ChinaAbstract:ObjectiveToexploretheclinicaleffectofactiveresistanceexercisetherapyonpatientswithchronicneckpain.Methods39femalepatientswithneckpainlastingfo
5、rmorethan6monthswererecruitedintreatmentgroupandreceivedactiveresistanceexercisetherapy.21healthyfemalepersonswererecruitedincontrolgroupwithoutanytreatment.Cervicalcurve(C2-C7Cobb，sangle),CTattenuationvalueofcervicalbackmuscle,neckmuscularstrengthandenduranceandvi
6、sualanalogpainscalewereassessedbeforetreatmentandatthe12lhmonthoftreatment.Spss11.0softwarepackageandIndependent-sampleTtest,Paired-sampleTtestwereusedforanalyzing,p<().()5wasconsideredasbeingobviouslydifferent.ResultsComparetothecontrolgroup,cervicalcurve(C2-C7Cob
7、b'sangle)ofthetreatmentgroupwasobviouslyless(p<0.05)andtherewasnoobviousdifferencebetweenpre-treatmentandpost-treatmentgroups(p>0.05)・TheeldercontrolgroupsCTattenuationvalueofcervicalbackmusclewasobviouslylessthantheminorcontrolgroup's(p<().()5)；TheCTattenuationval
8、ueofcervicalbackmuscleofallofthetreatmentgroupswereobviouslylessthanallofthecontrolgroups5(p<0.05)；Therewasnoobviousdifferencebetweenpre-treatmen
