导引（八段锦）对上交叉综合征干预的临床研究

发布时间：2018-02-28 05:52

本文关键词： 上交叉综合征八段锦导引临床研究　出处：《福建中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:观察导引(八段锦)对上交叉综合征(Upper Cross Syndrome,以下简称UCS)干预的临床疗效,为今后防治该病提供临床依据。研究方法:本课题纳入在2015年-2016年在我院就诊的上交叉综合征门诊患者80例,年龄20-40岁,通过查随机数字表法平均分为对照组和治疗组,每组40例(因本研究结束时共有13例患者退出试验,其中对照组8例,治疗组5例,因此最终仅有对照组32例、治疗组35例参与本研究)。治疗前先对所有患者进行Posture Screen体位评估测试,对照组进行日常生活指导同时给予电脑中频、超短波治疗,治疗组在日常生活指导与电脑中频、超短波治疗的基础上同时给予颈、胸、背部肌群有效的八段锦导引式训练。分别干预4周、3个月后由本科室的权威康复团队对治疗组和对照组UCS患者进行Posture Screen体位评估测试并对测试的UCS疼痛与废用综合评分(UCS pain and disability scale,UCSPAD)、头偏移距离(Head Transiations,HT)、头偏移角度(Head Angulations,HA)、肩部偏移距离(Shoulder Transiations,ST)、肩部偏移角度(Shoulder Angulations,SA)结果进行数据对比。研究结果:1.两组病例治疗前后UCSPAD比较:①治疗前两组间UCSPAD比较p0.05,说明治疗前两组患者的UCSPAD差异无统计学意义。②治疗4周后两组间UCSPAD比较P0.05,说明治疗4周后两组患者的UCSPAD的差异无统计学意义。③治疗3个月后两组间UCSPAD比较P0.05,说明治疗3个月后两组患者的UCSPAD的差异有统计学意义。2.两组病例治疗前后HT比较:①治疗前两组间HT比较P0.05,说明治疗前两组患者的HT差异无统计学意义。②治疗4周后两组间HT比较P0.05,说明治疗4周后两组患者的HT的差异无统计学意义。③治疗3个月后两组间HT比较P0.05,说明治疗3个月后两组患者的HT的差异有统计学意义。3.两组病例治疗前后HA比较:①治疗前两组间HA比较P0.05,说明治疗前两组患者的HA差异无统计学意义。②治疗4周后两组间HA比较P0.05,说明治疗4周后两组间HA无统计学意义。③治疗3个月后两组间HA比较P0.05,说明治疗3个月后治疗组与对照组HA比较差异具有统计学意义。4.两组病例治疗前后ST比较:①治疗前两组间ST比较P0.05,说明治疗前两组患者的ST差异无统计学意义。②治疗4周后两组间ST比较P0.05,说明治疗4周后两组间ST差异无统计学意义。③治疗3个月后两组间ST比较P0.05,说明治疗3个月后治疗组与对照组ST比较差异无统计学意义。5.两组病例治疗前后SA比较:①治疗前两组间SA比较P0.05,说明治疗前两组患者的SA差异无统计学意义。②治疗4周后两组间SA比较P0.05,说明治疗4周后两组间SA无统计学意义。③治疗3个月后两组间SA比较P0.05,说明治疗3个月后治疗组与对照组SA比较差异具有统计学意义。研究结论:导引(八段锦)可以改善上交叉综合征患者上交叉线上的肌肉失衡,同时具有调整上交叉综合征患者头部前倾(颈椎的自然弯曲消失或减少)、翼状肩、圆背、含胸、中背部(胸椎部位)后突增加、肩胛骨隆起等脊柱不良姿势的作用。
[Abstract]:Objective: To observe the guide (eight section brocade on the cross) syndrome (Upper Cross Syndrome, hereinafter referred to as UCS) the clinical curative effect of intervention, so as to provide clinical basis for future prevention and treatment of this disease. Methods: the study included in the 2015 -2016 in our hospital on the cross syndrome of 80 patients, age 20-40 through the years, were randomly divided into control group and treatment group, 40 cases in each group (by the end of the study a total of 13 patients withdrew from the study, including 8 cases in the control group, the treatment group of 5 cases, so the final only 32 cases in the control group, 35 cases in the treatment group were involved in the study) before treatment. First of all the patients were Posture Screen postural assessment test, the control group was given daily life guidance computer intermediate frequency, ultrashort wave therapy, the treatment group guidance in daily life and computer intermediate frequency, based on the given ultrashort wave in the treatment of neck, chest, back muscles effectively Eight section brocade guided training respectively. After 4 weeks, 3 months later by the authority of the rehabilitation team Department of treatment group and control group of patients with UCS Posture Screen position evaluation test and the test of the UCS pain and disuse score (UCS pain and disability scale, UCSPAD), Head Transiations (head of the offset distance, HT), head (Head Angulations, HA offset angle), shoulder offset distance (Shoulder Transiations, ST (Shoulder), shoulder angle offset Angulations, SA) the comparison of the data. Results: comparison of 1. UCSPAD cases in the two groups before and after treatment: before treatment between the two groups UCSPAD P0.05, UCSPAD difference two groups of patients before treatment was not statistically significant. 2 4 weeks after treatment between the two groups of UCSPAD P0.05, indicating that the treatment between the two groups of UCSPAD after 4 weeks was not statistically significant. 3, after 3 months of treatment between the two groups of UCSPAD P0.05, indicating that the treatment The differences between the two groups were UCSPAD 3 months after the comparison of HT before and after treatment in two groups were significant.2.: before treatment between the two groups HT P0.05, HT between the two groups before treatment was not statistically significant. 2 4 weeks after treatment between the two groups of HT P0.05, indicating that the treatment between the two groups HT after 4 weeks was not statistically significant. 3, after 3 months of treatment between the two groups of HT P0.05, indicating that the treatment between the two groups of HT after 3 months before and after treatment in two groups were significant.3. HA: before treatment between the two groups HA P0.05, HA difference before treatment two groups of patients had no statistical significance. 2 4 weeks after treatment between the two groups HA P0.05, shows that after 4 weeks of treatment between the two groups was not statistically significant. 3 HA after 3 months of treatment between the two groups HA P0.05, shows that after 3 months of treatment, the treatment group and the control group with significant difference HA.4. two groups of patients Comparison of ST before and after treatment: before treatment between the two groups ST P0.05, ST between the two groups before treatment was not statistically significant. 2 4 weeks after treatment between the two groups ST P0.05, shows that after 4 weeks of treatment between the two groups ST showed no significant difference. The 3 months after treatment between the two groups ST comparison of P0.05, shows that after 3 months of treatment the treatment group compared with control group ST.5. showed no significant difference before and after treatment in two groups SA: before treatment between the two groups SA P0.05, SA between the two groups before treatment was not statistically significant. 2 4 weeks after treatment between the two groups of SA P0.05. Said that after 4 weeks of treatment between the two groups was not statistically significant. 3 SA after 3 months of treatment between the two groups SA P0.05, shows that after 3 months of treatment, the treatment group and the control group SA with significant difference. Conclusion: a guide (eight section brocade) can improve the cross syndrome on the cross line the muscle The meat also has imbalance, adjustment of cross head forward syndrome (natural bending cervical disappeared or reduced), of the shoulder, hand, chest, back (thoracic part) after the sudden increase of scapular spine eminence bad posture.

【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274

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