上段颈胸椎快速小幅度松动手法结合常规松动术-中国康复医学杂志.PDF

ChineseJournalofRehabilitationMedicine, Oct.2013, Vol. 28, No.10 ·临床研究· 上段颈胸椎快速、小幅度松动手法结合常规松动术 治疗机械性颈肩痛的疗效观察 1 1，3 2 陈 勇 黄晓琳 彭 轩 摘要 目的：研究上段颈胸椎快速、小幅度松动手法结合常规松动术治疗机械性颈肩痛的短期疗效。 方法：将60例患者随机分为HVLA手法组（30例）和对照组（30例）两组。HVLA手法组除了接受常规松动术治疗以 外，还针对C1-2、T1-2关节实施快速、小幅度松动手法，对照组仅接受常规松动术治疗。在治疗前和治疗后48h分 别使用颈部功能障碍指数（NDI）、视觉模拟疼痛评分（VAS）和C1-2旋转活动范围来评估患者。 结果：治疗后，HVLA手法组和对照组都明显好于治疗前，有显著性差异（P＜0.01）；HVLA手法组（30例）NDI指数下 降57.5%，VAS评分下降50.4%，对照组（30例）NDI 指数下降16.7%，VAS评分下降12.8%，两组比较有显著性差异 （P＜0.01）；HVLA组治疗后C1-2旋转活动范围均显著高于对照组（P＜0.01）。 结论：治疗机械性颈肩痛综合运用上段颈椎和胸椎HVLA手法治疗的短期疗效明显好于常规松动术。 关键词 快速小幅度松动手法治疗；常规松动术；颈椎病 中图分类号：R681.5 文献标识码：A 文章编号：1001-1242（2013 ）-10-0914-04 The efficacy of combined treatment of upper segments of cervical and thoracic high-velocity low-ampli⁃ tude thrust manipulation and conventional mobilization in treating patients with mechanical neck pain/ CHEN Yong ，HUANG Xiaolin ，PENG Xuan//Chinese Journal of Rehabilitation Medicine, 2013, 28(10): 914—917 Abstract Objective:To observe the short-term effects of combined treatment of upper segments of cervical and thoracic high-velocity low-amplitude (HVLA) thrust manipulation and conventional mobilization in patients with mechani- cal neck-shoulder pain. Method:Sixty patients were randomized into HVLA group(n=30) and control group(n=30).The HVLA group re- ceived HVLA thrust manipulation targeted on C1-2 and T1-2 without conventional mobilization.The control group received conventional mobilization only.Patients of both groups completed the assessments of neck disabil- ity index(NDI) and visual analogue scale(VAS) piror to treatment and 48h after treatment.The range of rotation of C1-2 was assessed. Result:All patients of both groups ameliorated after treatment(P＜0.01). And patients of HVLA group improved