| 运动疗法为主治疗颈椎失稳症的临床观察 |
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投稿时间：2010-04-28
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| 作者 | Author | 单位 | Address | E-Mail |
| 朱永展 |
ZHU Yong-zhan |
佛山市中医院骨科, 广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China |
377204390@qq.com |
| 郭剑 |
GUO Jian |
佛山市中医院骨科, 广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China |
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| 何利雷 |
HE Li-lei |
佛山市中医院骨科, 广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第8期，第591-594页 |
| DOI：10.3969/j.issn.1003-0034.2010.08.010 |
| 基金项目: |
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中文摘要:
目的：探寻运动疗法为主配合枕颌牵引治疗颈椎失稳症的疗效。
方法：选择2005年2月至2008年12月就诊颈椎失稳症患者400例，男220例，女180例；年龄34～72岁，平均48.4岁；采用运动疗法为主配合枕颌牵引治疗，即拮抗和修正肌肉训练，每日8次，每次2 min,同时枕颌牵引。治疗随访3个疗程(6个月),观察临床症状的改善、临床体征积分的变化及影像学改变等。
结果：全部完成3个疗程(6个月)后得出最终结果，痊愈210例，显效126例，有效53例，无效11例，总有效率97.3%.治疗前平均积分为(22.42±3.25)分，治疗后平均为(9.03±1.92)分。椎体间水平位移治疗前为(3.70±0.12) mm,治疗后为(2.96±0.09) mm;旋转角度治疗前为(12.64±0.21)°，治疗后为(8.90±0.17)°。
结论：运动疗法可以明显改善颈椎失稳症状，有方法简单、作用明显，效果持久、不易反复等优点。 |
| 【关键词】颈椎 关节不稳定性 运动疗法,持续被动性 牵引术 |
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| Clinical observation of the treatment of cervical vertebral instability with kinesitherapy |
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ABSTRACT
Objective: To ovserved the treatment of cervical vertebral instability with kinesitherapy combined with occipito-mandibular traction.
Methods: From April 2005 to December 2008,400 patients with cervical vertebral instability including 220 males and 180 females with an average age of 48.4 years old ranging from 34 to 72 years,were treated by the kinesitherapy combined with occipito-mandibular traction,contradict and amend muscle training 2 min everytime,8 time a day. All patients were followed-up for 6 months (three treatment periods),the clinical symptom improvement,changes of clinical signs scoring and imaging were observed.
Results: After three treatment periods,the outcome were evaluated and the results were excellent in 210 cases,good in 126,accepted in 53,inefficacy in 11,the total effective rate was 97.3%. The total scores were(22.42±3.25) before the treatments and(9.03±1.92) after the treatments. The level replacement of intervertebral were(3.70±0.12) mm before the treatments and(2.96±0.09) mm after the treatments;The rotation angle was(12.64±0.21)° before the treatments and (8.90±0.17)° after the treatments.
Conclusion: The kinesitherapy was a simple method with good effect to cure patients with cervical vertebral instability. |
| KEY WORDS Cervical vertebrae Joint instability Motion therapy,continuous passive Traction |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 朱永展,郭剑,何利雷.运动疗法为主治疗颈椎失稳症的临床观察[J].中国骨伤,2010,23(8):591~594 |
| 英文格式: | ZHU Yong-zhan,GUO Jian,HE Li-lei.Clinical observation of the treatment of cervical vertebral instability with kinesitherapy[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(8):591~594 |
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