对大学生颈椎病与运动处方干预研究.doc

对大学生颈椎病与运动处方干预研究 陈香仙1,余华龙2,崇玉萍1,邹华刚1 （1.安徽师范大学体育学院,安徽,芜湖,241000 2.安徽师范大学附属中学,安徽,芜湖,241000） 摘要：目的：了解大学生颈椎健康状况，探讨致病因素及生物力学发病机制，研究颈椎病防治方法。方法：对师大10个学院大一、二年级1500名大学生进行颈椎状况的问卷调查，对疑似症状者进行颈椎活动度测量、触诊和相关体格检查，症状、体征阳性者加摄颈椎正、侧位、张口位X射线片。运用运动处方干预，1年后测量颈椎病转归结果。结果：大学生颈椎发病率为27.33%。发病类型与比例为颈型颈椎病占患病数的45.12%，神经根型占34.88%，椎动脉型占11.95%，交感型和混合型占8.05%。影像学表现为颈椎生理前曲减少、椎间隙变窄、颈椎骨赘形成、轻度增生。结论：超长时间伏案学习、使用电脑、不良姿势和用枕习惯等，都会引起颈背部椎骨与软组织的创伤、劳损、退变、发育性颈椎管狭窄、炎症。运动处方实验结果显示，81.76%大学生颈椎病典型症状减轻甚至消失（P﹤0.05），运动疗法能有效的控制和防治颈椎病，改善和提高学生身体健康水平；两个运动处方分别从课间、体育课中介入，不影响原来教学秩序与教学计划，介入途径合理。 关键词：大学生；颈椎病；运动处方；干预途径；转归 中图分类号：G804.54 文献标识码：A 文章编号： Researching on the Cervical Spondylosis of College Students and the Motion Prescription CHEN Xiang-xian1，YU Hua-long 2 ,CHONG Yu-ping 1 ,ZOU Hua-gang 1 (1.College of physical education ,Anhui Normal University Anhui wuhu 241000) （2.subsidiary Middle school, Anhui Normal University, Anhui wuhu 241000） Abstract: purpose: This paper is to know about the cervical spondylosis status of college students, to study the pathogenesis factors and the Biological Mechanics reasons, and to research the methods of preventing and controlling the cervical spondylosis。Method: Making a questionnaire about the cervical spondylosis status among 1500 freshmen and Sophomore in the 10 colleges of Anhui Normal University。We measure, palpate and do some check-up to the borderline patients, take X-line photos from fa?ade location, side location and mouth-opened location for the patients。And a year later, we study the results after some interference methods of motion prescription。Result: Morbidity of cervical spondylosis is 27.33% among the college students。Among these patients, the cervical spondylosis of cervical type is 45.12%,the nerve root type is 34.88%,the arteria verterbralis type is 11.95%, the cross coupling type and mixed type is about 8.05%。Clinical symptoms are cervical front-bent lessened, intervertebral crack narrowed, cervical osteophyte formed and lightly accrementition。Conclusion: Stud