颈椎牵引对颈椎病患者稳定参数的影响：随机交叉研究

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-230270

Anis Jellad, Amine Kalai, Ilef Abbes, Mahbouba Jguirim, Soumaya Boudokhane, Zohra Ben Salah Frih, Mohamed Hedi Bedoui

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引用次数: 0

摘要

背景：颈椎牵引对颈椎病患者的疼痛和功能有效，但其对平衡障碍的效果尚未研究：评估机械性间歇性颈椎牵引（MICT）对颈椎病患者稳定参数的影响：这项随机交叉研究将 20 名颈椎病患者分为两组：有效牵引组（ET）/胫骨牵引组（ST）（n= 10）先进行ET治疗（牵引力为12公斤），然后进行ST治疗（牵引力为2公斤），间隔一周；ST/ET组（n= 10）先进行ST治疗，然后进行ET治疗。每次牵引持续 10 分钟，两次间隔 5 分钟。在 MICT 过程之前和之后立即对患者进行评估。主要结果指标为稳定度参数：压力中心、摇摆面积以及使用测力平台的侧向和前向位移。次要结果指标为疼痛强度、握力和头晕：结果：与 ST 相比，ET 在稳定参数（p< 0.01）、疼痛强度和握力（p< 0.05）方面对两组和所有人群都有明显改善：MICT似乎对颈椎病患者的稳定参数、疼痛和握力有立竿见影的效果。

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The effect of cervical traction on stabilometric parameters in cervical radiculopathy patients: A randomized crossover study.

Background: Cervical traction is effective on pain and function in patients with cervical radiculopathy but its effectiveness on balance disorders has not yet been studied.

Objective: To evaluate the effect of mechanical intermittent cervical traction (MICT) on stabilometric parameters in patients with cervical radiculopathy.

Methods: This randomized crossover study assigned 20 patients with cervical radiculopathy to one of the two groups: Group effective traction (ET)/sham traction (ST) (n= 10) treated firstly with ET (traction force of 12 Kg) then with ST (traction force of 2 Kg) with one-week interval and group ST/ET (n= 10) treated invertedly with a ST then ET. Each traction procedure was maintained for 10 minutes twice separated by 5 minutes of rest. Patients were assessed before and immediately after MICT procedure. Main outcome measures were stabilometric parameters: center of pressure, sway area and lateral and anteroposterior displacements using a force platform. Secondary outcome measures were pain intensity, grip strength and dizziness.

Results: ET has provided a significantly greater improvement in both groups and in the total population in terms of stabilometric parameters (p< 0.01), pain intensity, and grip strength (p< 0.05), compared to ST.

Conclusion: MICT seems to have an immediate beneficial effect on stabilometric parameters, pain and grip strength in patients with cervical radiculopathy.

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.