Mulligan活动技术和颈椎稳定训练对慢性颈部疼痛患者疗效的比较:一项单盲随机对照试验。

IF 1.4 4区 医学 Q3 REHABILITATION
Rehabilitation Pub Date : 2025-06-16 DOI:10.1055/a-2618-6281
Serbay Sekeroz, Emine Aslan Telci, Meryem Buke, Nuray Akkaya
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引用次数: 0

摘要

本研究的目的是比较Mulligan活动技术(MMT)和颈椎稳定训练(CST)对慢性颈部疼痛患者的疗效。36例慢性颈部疼痛患者随机分为对照组、MMT组和CST组。在目前的研究中,疼痛强度、活动范围(ROM)、本体感觉、头部姿势、深颈屈肌(DNF)肌肉耐力、残疾水平和颈部意识被评估为结果指标。所有变量在治疗后均显示有统计学意义的变化。MMT和CST在疼痛强度(p=0.001)、DNF肌肉耐力(p=0.0001)和残疾水平(p=0.007)方面均优于家庭运动方案(对照组),但两者之间并不存在优势。MMT在增加ROM (p=0.0001)和颈部意识(p=0.018)方面更有效。此外,CST被发现在改善头部姿势(p=0.0001)和本体感觉(p=0.001)方面更有效。研究表明MMT在提高ROM和颈部意识方面更有效,而CST在改善头部姿势和本体感觉方面更有效。我们的研究结果可以为该领域的卫生专业人员选择合适的慢性颈部疼痛患者的康复方法提供全面的视角。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of effectiveness of Mulligan mobilization technique and cervical stabilization training in patients with chronic neck pain: a single-blinded randomized controlled trial.

The purpose of the current study was to compare the effectiveness of Mulligan mobilization technique (MMT) and cervical stabilization training (CST) in patients with chronic neck pain.Thirty-six patients with chronic neck pain were randomly assigned to three groups as control, MMT, and CST groups. In the current study, pain intensity, range of motion (ROM), proprioception, head posture, deep neck flexor (DNF) muscle endurance, disability level, and neck awareness were evaluated as outcome measures.All variables showed statistically significant changes following treatment in all groups. MMT and CST were found to be more effective than home exercise regimen (control group) in pain intensity (p=0.001), DNF muscle endurance (p=0.0001), and disability level (p=0.007) but they were not superior to each other. MMT was found to be more effective in increasing ROM (p=0.0001) and neck awareness (p=0.018). Also, CST was found to be more effective in improving head posture (p=0.0001) and proprioception (p=0.001).The study indicated MMT was more effective in increasing ROM and neck awareness, and the CST was more effective in improving head posture and proprioception. Comprehensive perspective can be acquired for health professionals in this field to select the appropriate rehabilitation approaches for patients with chronic neck pain thanks to our results.

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来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
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