DOI临床研究等长收缩训练治疗下颈椎失稳交感神经症状的效果.pdfVIP

中国康复理论与实践2013 年3 月第19 卷第3 期 Chin J Rehabil Theory Pract, Mar. 2013, Vol. 19, No.3 - 269 - DOI : 10.3969/j.issn. 1006-9771.2013.03.019 ·临床研究· 等长收缩训练治疗下颈椎失稳交感神经症状的效果① 1a 1b 1a 1a 1a 1a 郄淑燕 ，张夏琳 ，潘钰 ，马全胜 ，张丽华 ，丁永红 [摘要] 目的 探讨颈部肌群等长收缩训练对下颈椎失稳交感神经症状的临床疗效。方法 41 例下颈椎失稳并发交感神经症 状的患者分为试验组(n=21)和对照组(n=20) 。两组均接受为期3 周的手法治疗，试验组同时行颈部肌群等长收缩训练。治疗前后采 用视觉模拟评分法(VAS)评价临床症状，采用短程频谱分析法检测心率变异性，包括总功率(TP)、低频成分(LF)、高频成分(HF)、 低频高频比(LF/HF) 。结果 治疗后，两组VAS 评分、LF 、LF/HF 均下降(P0.05) ；试验组VAS 评分、LF 、LF/HF 均低于对照组 (P0.05) 。结论 等长收缩训练可改善下颈椎失稳患者交感神经症状。 [关键词] 下颈椎失稳；交感神经症状；心率变异性；等长收缩 Effect of Isometric Contraction on Sympathetic Nervous Symptoms Followed Subaxial Cervical Instability QIE Shu-yan, ZHANG Xia-lin, PAN Yu, et al. Department of Rehabilitation Medicine, Beijing Rehabilitation Center, Beijing 100144, China Abstract: Objective To study the effect of isometric contraction on subaxial cervical instability with sympathetic nervous symptoms. Methods 41 subaxial cervical instability patients with sympathetic nervous symptoms were assigned to experimental group (n=21) and con- trol group (n=20). Both groups received manipulation therapy. Experimental group received isometric contraction in addition. They were as- sessed with Visual Analogue Scale (VAS) and heart rate variability (HRV), including total power (TP), low frequency power (LF), high fre- quency power (HF), and LF/HF before and 3 weeks after treatment. Results The scores of VAS, LF and LF/HF decreased in both groups af- ter treatment (P0.05), which decreased more in the experiement group than in the control group (P0.05). Conclusion Isometric contrac- tion can release the sympathetic nervous symptoms post subaxial cervic