本体感觉反射手法治疗颈胸综合征的效果

摘要

目的 观察本体感觉反射疗法对颈胸综合征的临床疗效.方法 将入选的60例患者按随机数字法分为本体感觉反射疗法组和澳式手法组,观察两组颈椎关节活动度、视觉模拟疼痛评分(VAS)、痛域及耐痛域.结果 两种治疗方法均可改善颈胸交界区综合征的临床症状,治疗后,治疗组颈椎右侧屈活动度[(44.67 ±2.43)°]、左旋活动度[(68.33 ±5.56)°]分别优于对照组[右侧屈(42.37 ±3.08)°、左旋(64.67 ± 7.13)°],差异有统计学意义(均P＜0.05).随访时,颈椎关节右侧屈范围疗效治疗组[(44.85 ±2.43)°]优于对照组[(43.21 ±3.08)°],差异有统计学意义(P＜0.05).结论 本体感觉反射疗法对治疗颈胸综合征有效.%Objective To study the clinical effect of proprioceptive sensibihty reflexotherapy on cervicothoracic syndrome.Method Sixty patients with cervico－thoracic syndrome were randomly divided into two groups ,30 patients in experience group were treated with proprioceptive sensibihty reflexotherapy and other 30 patients in control group were treated with Maitland manipulation.The curative effect was evaluated with the range of motion (ROM),the visual analog scale(VAS)and Pain point pressure measurement.Result Both the proprioceptive sensibility reflexotherapy and Mait－land manipulation relieved the clinical symptom of cervicothoracic syndrome.After treatment,the ROM of right flexion [(44.67 ±2.43)°] and left rotation[(68.33 ±5.56)°] of the treatment group were better than those of the control group[(42.37 ±3.08)°].During the follow－up ,the effect of the right flextion movement [(44.85 ±2.43)°] was bet－ter than that of the control group [(43.21 ±3.08)°].The difference between both groups was statistically significant (P＜0.05).Conclusion The proprioceptive sensibility reflexotherapy is effective in the treatment of cervicothoracic syndrome.