颈椎康复操对颈椎病患者康复训练效果的影响

摘要

Objective To explore the effects of the cervical vertebra rehabilitation gymnastics on patients with different types of cervical spondylosis (CS). Methods 203 patients with different types of CS were selected. They were trained with rehabilitation gymnastics. The electrophysiological examination of neck-shoulder muscles were used to evaluate the effects 3 and 6 months after training. Results The peak of electrophysiological action potential of neck-shoulder muscles was significantly different in all the types of CS patients (P<0.001), as well as the conduction velocity of action potential (P<0.05) before and 3, 6 months after training. There was significantly different in scores of subjective symptoms in sympathetic cervical spondylosis and cervical spondylotic radiculopathy patients (P<0.001), but was not in the other types (P>0.05) before and 3, 6 months after training. Conclusion The cervical vertebra rehabilitation gymnastics can promote blood circulation of neck-shoulder muscles, relieve muscle spasm and ease the symptoms, especially for patients with cervical spondylotic radicu-lopathy and sympathetic cervical spondylosis.%目的：探讨颈椎康复操对颈椎病患者康复训练效果的影响。方法选取不同类型颈椎病患者203例，采用颈椎康复操进行康复训练，在训练3、6个月时进行颈肩部肌肉电生理检查和主观症状评估，评价康复训练效果。结果训练前，训练3、6个月后，所有患者肌肉动作电位峰值均有非常显著性差异(P<0.001)；交感神经型动作电位传导速度有非常高度显著性差异(P<0.001)，神经根型、脊髓型和混合型有显著性差异(P<0.05)；交感神经型、神经根型主观症状得分有非常高度显著性差异(P<0.001)，脊髓型和混合型无显著性差异(P>0.05)。结论颈椎康复操训练可以促进颈椎病患者颈肩部肌肉的血液循环，缓解肌肉痉挛，对神经根型和交感神经型颈椎病具有一定的疗效。