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《The Journal of Traditional Chinese Orthopedics and Traumatology》 2015-11
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Clinical study on three-dimensional dynamic and static equilibrium rehabilitation modality in the treatment of non-myelopathy type cervical spondylosis

SUN Xianwu;YU Xianglan;SHAO Haiyan;SUN Dawei;WANG Juntao;YU Jinxiu;ZHANG Hongcui;The Wendeng Osteopath Hospital;The People's Hospital of Wendeng district in Weihai City;  
Objective: To observe the clinical curative effects of three-dimensional dynamic and static equilibrium rehabilitation modality in the treatment of non-myelopathy type cervical spondylosis. Methods: Ninety-eight patients with non-myelopathy type cervical spondylosis enrolled in the study were randomly divided into three-dimensional rehabilitation group and traditional therapy group,49 cases in each group. The patients in three-dimensional rehabilitation group were treated with three-dimensional cervical vertebra rehabilitation cushion combined with three-dimensional neck muscle resistance isometric exercises,while the others in traditional therapy group were treated with jaw-occiput traction combined with drug therapy and neck-shoulder functional exercises. After 3-week treatment,the neck pain visual analogue scale( VAS) scores,neck disability index( NDI),horizontal distance between C2 and C7 plumb lines and clinical curative effects were compared between the 2 groups. Results: There was no statistical difference in neck pain VAS scores,NDI and horizontal distance between C2 and C7 plumb lines between the 2 groups before the treatment( 5. 16 + /- 1. 21 vs 5. 21 + /- 1. 17 points,t = 0. 168,P = 0. 829;28. 63 + /- 5. 07 vs 28. 56 + /- 5. 11,t = 0. 131,P = 0. 896; 7. 15 + /- 5. 68 vs 7. 08 + /- 5. 77 mm,t = 0. 156,P = 0. 863). The neck pain VAS scores and NDI were lower and the horizontal distance between C2 and C7 plumb lines was greater in the three-dimensional rehabilitation group compared to the traditional therapy group after 3-week treatment( 2. 53 + /- 1. 05 vs 3. 79 + /- 1. 71 points,t = 1. 680,P = 0. 012; 17. 21 + /- 4. 75 vs 24. 15 + /- 5. 82,t = 1. 132,P = 0. 023; 9. 83 + /- 5. 98 vs 7. 69 + /- 6. 03 mm,t =- 3. 265,P = 0. 002). The neck pain VAS scores and NDI decreased while the horizontal distance between C2 and C7 plumb lines increased after 3-week treatment in three-dimensional rehabilitation group( t = 2. 946,P = 0. 004; t = 2. 685,P = 0. 013; t =- 3. 496,P = 0. 001). However,no statistical difference was found between pretreatment and post-treatment in above parameters in traditional therapy group( t = 0. 489,P = 0. 617; t = 0. 632,P = 0. 582; t = 0. 182,P = 0. 632). After 3-week treatment,39 patients were cured,8 fair and 2 poor in the three- dimensional rehabilitation group; while 18 patients were cured,20 fair and 11 poor in traditional therapy group. The three-dimensional rehabilitation group surpassed the traditional therapy group in the clinical curative effect( R_(three-dimensional rehabilitation group)= 38. 51,R_(traditional therapy group)= 60. 49,Z =- 4. 339,P =0. 000). Conclusion: The three-dimensional dynamic and static equilibrium rehabilitation modality can effectively relieve the neck pain and improve the cervical curve and promote the cervical function recovery in patients with non-myelopathy type cervical spondylosis,so it is worthy of popularizing in clinic.
【Fund】: 山东省威海市科技发展计划项目(2014GNS044)
【CateGory Index】: R274.9
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