胸腹式呼吸训练对颈型颈椎病颈椎活动度影响的研究 临床医学专业VIP免费

摘要研究目的：本研究将颈型颈椎病患者纳入样本，观察胸腹式呼吸训练法对临床症状的影响，同时评估本病患者在干预后的康复情况，从而为大众预防、解决颈椎病提供借鉴。研究方法：本研究主要采用实验法将22例颈型颈椎病受试者随机分为两组：实验组（11例）和对照组（11例）。筛选符合入组标准的受试者进行前测。对照组在实验人员的指导下进行颈椎操训练，训练15分钟。一周5次训练，持续4周。实验组在实验人员的指导下，完成每天5组练习，1min/组，一周5次训练，持续4周的胸腹式呼吸训练；四周结束后，再次测试上述指标，统计分析后评价。研究结果：1.对照组的颈椎功能障碍指数（NDI）、视觉模拟评分（VAS）的得分在干预前后差异明显，（p＜0.01）。颈椎关节活动度值在统计学上有显著的差异（p＜0.05）；2.实验组的颈椎功能障碍指数（NDI）、视觉模拟评分（VAS）和颈椎活动度在干预前后差异明显（p＜0.01）；3.干预后，两组在视觉模拟评分（VAS）、功能障碍指数（NDI）得分、颈椎活动度均有显著差异，表现显著性差别。（p＜0.01）；4.干预后，两组受试者均有有效的临床疗效，（p＜0.01）。5.相关性分析：症状体征积分、颈椎活动度二者的相关性，Pearson相关系数r=－0.8756，提示有强烈的负相关（p＜0.01）。研究结论：1.胸腹式呼吸训练和颈椎操对颈型颈椎病受试者颈肩部疼痛的缓解、颈椎功能障碍、颈椎活动度的增加以及颈椎功能的提高均有良好的治疗效果。2.胸腹式呼吸训练有利于颈椎关节活动度异常的恢复或纠正。颈椎活动度的改善利于颈型颈椎病的康复I故此，胸腹式呼吸训练作为一种高效便捷的自我治疗方法值得应用于颈型颈椎病受试者的治疗和康复中，而且治疗效果显著，值得推广。关键词：颈型颈椎病；胸腹式呼吸训练；颈椎操；颈椎活动度IIABSTRACTObjective:Thisstudyaimstoobservetheimprovementofsymptomsofpatientswithcervicalspondylosisbyusingchestandabdomenbreathingtrainingmethodastheinterventionmeans,andthenevaluatetherehabilitationeffectofthistrainingmethodforpatientswithcervicalspondylosis,soastoprovidereferenceforthepublictopreventandsolvecervicalspondylosis.Methods:Inthisstudy,22patientswithcervicalspondylosiswererandomlydividedintotwogroups:experimentalgroup(11patients)andcontrolgroup(11patients)byexperimentalmethod.Allsubjectswereassessedbysymptomandsignscores,visualanaloguescale(VAS),cervicaldysfunctionindex(NDI),andcervicalrangeofmotion.Undertheguidanceoftheexperimenter,theexperimentalgroupcompleted5groupsofexercisesperday,1min/group,5timesaweekfor4weeksofchestandabdominalbreathingtraining.Thecontrolgroupwastreatedwithtraditionalrehabilitationtherapyofcervicalspondylosisfor15minutes.Trainingisdone5timesaweekfor4weeks.Attheendofthe4weeks,theaboveindicatorsweretestedagainandevaluatedafterstatisticalanalysis.Results:1.Thereweresignificantdifferencesinthescoresofcervicalspinedysfunctionindex(NDI)andvisualanaloguescale(VAS)beforeandaftertheinterventioninthecontrolgroup(P<0.01).Therewassignificantdifferenceintherangeofmotionofcervicalspine(P<0.05);2.VASscores,NDIscoresandrangeofmotionofcervicalvertebraintheIIIexperimentalgroupweresignificantlydifferentbeforeandaftertreatment(P<0.01);3.Aftertheintervention,thereweresignificantdifferencesinvisualanaloguescale(VAS),disabilityindex(NDI)scoreandcervicalspinemobilitybetweenthetwogroups.（p＜0.01）；4.Aftertheintervention,bothgroupshadeffectiveclinicalefficacy(P<0.01).Correlationanalysis:Correlationanalysisofsymptomandsignscores(clinicalefficacy)andrangeofmotionofcervicalspondyloticpatientsshowedthatPearsoncorrelationcoefficientRwas-0.8756,andtherewasasignificantnegativecorrelationbetweenthetwo,P<0.01.Conclusions:1.Thechestandabdomenbreathingtrainingandce...