[1]裴帅,俞鹏飞,沈晓峰,等.颈椎后伸位扳法干预下颈椎生理曲度与颈椎矢状位参数变化的相关性分析[J].中医正骨,2021,33(11):36-40.
　PEI Shuai,YU Pengfei,SHEN Xiaofeng,et al.An analysis of the correlation between cervical physiological curvature and cervical sagittal parameters variation under the intervention of cervical pulling manipulation in backward-extension position[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(11):36-40.
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颈椎后伸位扳法干预下颈椎生理曲度与颈椎矢状位参数变化的相关性分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年11期
页码:
36-40
栏目:
临床研究
出版日期:
2021-11-20

文章信息/Info

Title:
An analysis of the correlation between cervical physiological curvature and cervical sagittal parameters variation under the intervention of cervical pulling manipulation in backward-extension position
作者:
裴帅; 俞鹏飞; 沈晓峰; 姜宏; 李宇卫
(南京中医药大学附属苏州市中医医院,江苏 苏州 215009)
Author(s):
PEI Shuai; YU Pengfei; SHEN Xiaofeng; JIANG Hong; LI Yuwei
Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Suzhou 215009,Jiangsu,China
关键词:
颈椎病;  推拿; 脊柱;  颈椎曲度
Keywords:
cervical spondylosis;  manipulation; spinal;  cervical curvature
摘要:
目的:探讨颈椎后伸位扳法干预下颈椎生理曲度与颈椎矢状位参数变化的相关性。方法:以2018年7月至2020年8月收治的颈型颈椎病患者为研究对象。所有患者均采用颈椎后伸位扳法治疗,治疗前后在颈椎侧位X线片上测量C2～C7Cobb角、C2～C7矢状面垂直轴(sagittal vertical axis,SVA)、T1倾斜角(T1 slope,T1S)、弧弦距,并比较这些参数治疗前后的变化,同时分析其与颈椎生理曲度的相关性。结果:研究共纳入12例患者,男3例、女9例; 年龄18～47岁,中位数31.5岁。治疗后,8例患者的颈椎由S型变为前凸型,4例患者的颈椎由后凸型变为前凸型。治疗后C2～C7Cobb角、T1S、弧弦距均大于治疗前[(2.0°±15.0°),(21.5°±4.2°),Z=-3.061,P=0.002;(10.5°±8.0°),(19.0°±14.6°),Z=-3.064,P=0.002;(-2.2±8.5)mm,(8.9±2.2)mm,Z=-3.059,P=0.002]; 治疗前后C2～C7SVA比较,差异无统计学意义[(21.7±10.6)mm,(17.2±10.4)mm,Z=-1.336,P=0.182]。C2～C7Cobb角、T1S、弧弦距与颈椎生理曲度均呈正相关(r=0.820,P=0.000; r=0.719,P=0.000; r=0.855,P=0.000),C2～C7SVA与颈椎生理曲度无相关性(P=0.282)。结论:在颈椎后伸位扳法干预下,颈型颈椎病患者的C2～C7Cobb角、T1S、弧弦距均可恢复; C2～C7Cobb角、T1S、弧弦距与颈椎生理曲度均呈正相关,可作为评估颈椎生理曲度是否恢复的有效参数。
Abstract:
Objective:To explore the correlation between cervical physiological curvature and cervical sagittal parameters variation under the intervention of cervical pulling manipulation in backward-extension position.Methods:The patients with neck-type cervical spondylopathy recruited from July 2018 to August 2020 were selected as the subjects.All patients were treated with cervical pulling manipulation in backward-extension position.The C2-C7 Cobb angle,C2-C7 sagittal vertical axis(SVA),T1 slope(T1S)and arc-chord distance(ACD)were measured on cervical lateral X-ray films before and after the treatment,and the variations of these parameters were compared between pre-treatment and post-treatment,followed by analysis on the correlation between the parameters and cervical physiological curvature.Results:Twelve patients(3 males and 9 females)between the ages of 18 and 47(Median=31.5 yrs)were included in the study.After the treatment,the cervical vertebrae changed from S-shaped curvature to lordosis in 8 patients and from kyphosis to lordosis in 4 patients.The C2-C7 Cobb angle,T1S and ACD were greater after the treatment compared to pre-treatment(2.0±15.0 vs 21.5±4.2 degrees,Z=-3.061,P=0.002; 10.5±8.0 vs 19.0±14.6 degrees,Z=-3.064,P=0.002; -2.2±8.5 vs 8.9±2.2 mm,Z=-3.059,P=0.002).There was no statistical difference in C2-C7 SVA between pre-treatment and post-treatment(21.7±10.6 vs 17.2±10.4 mm,Z=-1.336,P=0.182).The results of correlation analysis showed that C2-C7 Cobb angle,T1S and ACD were positively correlated with cervical physiological curvature(r=0.820,P=0.000; r=0.719,P=0.000; r=0.855,P=0.000),while there was no correlation between C2-C7 SVA and cervical physiological curvature(P=0.282).Conclusion:The C2-C7 Cobb angle,T1S and ACD can be recovered with the intervention of cervical pulling manipulation in backward-extension position in patients with neck-type cervical spondylopathy,and they are positively correlated with cervical physiological curvature,so they can be considered as the effective parameters for evaluating whether the cervical physiological curvature is recovered.

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备注/Memo

备注/Memo:
基金项目:苏州市姑苏卫生人才计划项目(〔2020〕126)
通讯作者:俞鹏飞 E-mail:yupengfei86@163.com
更新日期/Last Update: 1900-01-01