枢椎短杠杆推法治疗寰枢关节错位源性颈性头痛的临床研究
摘要
目的:观察枢椎短杠杆推法治疗寰枢关节错位源性颈性头痛的临床疗效。方法:将符合纳入标准的72例本病患者随机分为治疗组(n=36)与对照组(n=36)。治疗组患者以予枢椎短杠杆推法治疗,对照组患者予经络推拿治疗;两组患者分别在治疗前后以SF-36健康调查量表评定生活质量,测量寰枢轴线差值。结果:治疗组患者临床疗效显著优于对照组(P<0.05)。两组患者治疗后SF-36量表评分均较治疗前显著降低(P<0.05);两组患者治疗后SF-36量表评分比较,差异无统计学意义(P>0.05)。两组患者治疗后寰枢轴线差值均减小(P<0.05);治疗后两组比较,治疗组患者寰枢轴线差值显著低于对照组(P<0.05)。结论:枢椎短杠杆推法治疗寰枢关节错位源性颈性头痛临床疗效优于经络推拿,且能较好地改善寰枢椎不对称性,但在改善患者健康状况方面与经络推拿相同。
引文
[1]段筱妍,袁有才,周粉峰.头部六穴合督脉按摩治疗颈源性头痛48例临床观察[J].中医药导报,2016,22(13):90-91.
[2] Antonaci F, Sjaastad O. Cervicogenic headache:a real headache[J].Curr Neurol Neurosci Rep,2011,11(2):149-155.
[3]彭亮,文翠芳.针刀疗法治疗颈源性头痛99例疗效观察[J].中医药导报,2009,15(8):51-52.
[4] Rueda V G,Celis C L D,Uribarren A C,et al. Effectiveness of a specific manual approach to the suboccipital region in patients with chronic mechanical neck pain and rotation deficit in the upper cervical spine:study protocol for a randomized controlled trial[J]. Bmc Musculoskeletal Disorders,2017,18(1):384.
[5] Goel A, Shah A. Atlantoaxial facet locking:treatment by facet manipulation and fixation. Experience in 14cases[J].Journal of Neurosurgery Spine,2011,14(1):3-9.
[6]叶勇,邵湘宁,汤伟,等.“筋骨调衡”手法治疗寰枢关节错位源性椎动脉型颈椎病临床研究[J].中医药导报,2017,23(10):101-102.
[7]叶勇,邵湘宁,汤伟,等.“筋骨调衡”手法治疗颈性眩晕的现代理论探析及思考[J].中医药导报,2016,22(2):9-11.
[8]张明才,石印玉,王翔,等.手法矫正寰枢关节骨错缝的有效性研究[J].上海中医药杂志,2009,43(8):15-18.
[9] Cattrysse E,Gianola S,Provyn S,et al. Intended and non-intended kinematic effects of atlanto-axial rotational high-velocity,low-amplitude techniques[J].Clinical Biomechanics,2015,30(2):149-152.
[10]张志凌.颈源性头痛的诊断标准[J].中国中医骨伤科杂志,1999,7(6):55-56.
[11]张妍,张铎.X线,CT,MRI对寰枢关节半脱位的诊断价值[J].北华大学学报(自然科学版),2009,10(3):242-245.
[12]王华兰.推拿治疗学[M].上海:上海科学技术出版社,2011:161-162.
[13] Brazier J. The Short-Form 36(SF-36)Health Survey and Its Use in Pharmacoeconomic Evaluation[J].Pharmacoeconomics,1995,7(5):403-415.
[14]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:186.
[15] Bogduk N. Cervicogenic headache:Anatomic basis and pathophysiologic mechanisms[J].Curr Pain Headache Rep,2001,5(4):382-386.
[16]李斌,赵文志,陈秉智.有限元分析:椎间盘退变对颈椎生物力学的影响[J].中国组织工程研究,2017,21(11):1748-1752.
[17]何亮亮,倪家骧.颈源性头痛诊断及治疗研究进展[J].中国全科医学,2016,19(12):1392-1395.
[18] Jafari M, Bahrpeyma F, Togha M. Effect of ischemic compression for cervicogenic headache and elastic behavior of active trigger point in the sternocleidomastoid muscle using ultrasound imaging[J].Journal of Bodywork&Movement Therapies,2017,21(4):933-939.
[19]黄乐天,和晓峰.颈性眩晕伴头痛的病因机制探讨[J].中国康复医学杂志,2012,27(7):665-666.
[20] Erik Cattrysse, Silvia Gianola,Steven Provyn, et al.Intended and non-intended kinematic effects of atlantoaxial rotational high-velocity,low-amplitude techniques[J].Clinical Biomechanics,2015,30(2):149-152.
[21] Vautravers P,Maigne J Y. Cervical spine manipulation and the precautionary principle[J].Journal of Osteopathic Medicine,2000,4(4):272-276.
[22] Clements B, Gibbons P, Mclaughlin P. The amelioration of atlanto-axial rotation asymmetry using high velocity low amplitude manipulation:Is the direction of thrust important?[J].Journal of Osteopathic Medicine,2001,4(1):8-14.
[23] Bowler N,Shamley D,Davies R. The effect of a simulated manipulation position on internal carotid and vertebral artery blood flow in healthy individuals[J].Manual Therapy,2011,16(1):87-93.
[2] Antonaci F, Sjaastad O. Cervicogenic headache:a real headache[J].Curr Neurol Neurosci Rep,2011,11(2):149-155.
[3]彭亮,文翠芳.针刀疗法治疗颈源性头痛99例疗效观察[J].中医药导报,2009,15(8):51-52.
[4] Rueda V G,Celis C L D,Uribarren A C,et al. Effectiveness of a specific manual approach to the suboccipital region in patients with chronic mechanical neck pain and rotation deficit in the upper cervical spine:study protocol for a randomized controlled trial[J]. Bmc Musculoskeletal Disorders,2017,18(1):384.
[5] Goel A, Shah A. Atlantoaxial facet locking:treatment by facet manipulation and fixation. Experience in 14cases[J].Journal of Neurosurgery Spine,2011,14(1):3-9.
[6]叶勇,邵湘宁,汤伟,等.“筋骨调衡”手法治疗寰枢关节错位源性椎动脉型颈椎病临床研究[J].中医药导报,2017,23(10):101-102.
[7]叶勇,邵湘宁,汤伟,等.“筋骨调衡”手法治疗颈性眩晕的现代理论探析及思考[J].中医药导报,2016,22(2):9-11.
[8]张明才,石印玉,王翔,等.手法矫正寰枢关节骨错缝的有效性研究[J].上海中医药杂志,2009,43(8):15-18.
[9] Cattrysse E,Gianola S,Provyn S,et al. Intended and non-intended kinematic effects of atlanto-axial rotational high-velocity,low-amplitude techniques[J].Clinical Biomechanics,2015,30(2):149-152.
[10]张志凌.颈源性头痛的诊断标准[J].中国中医骨伤科杂志,1999,7(6):55-56.
[11]张妍,张铎.X线,CT,MRI对寰枢关节半脱位的诊断价值[J].北华大学学报(自然科学版),2009,10(3):242-245.
[12]王华兰.推拿治疗学[M].上海:上海科学技术出版社,2011:161-162.
[13] Brazier J. The Short-Form 36(SF-36)Health Survey and Its Use in Pharmacoeconomic Evaluation[J].Pharmacoeconomics,1995,7(5):403-415.
[14]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:186.
[15] Bogduk N. Cervicogenic headache:Anatomic basis and pathophysiologic mechanisms[J].Curr Pain Headache Rep,2001,5(4):382-386.
[16]李斌,赵文志,陈秉智.有限元分析:椎间盘退变对颈椎生物力学的影响[J].中国组织工程研究,2017,21(11):1748-1752.
[17]何亮亮,倪家骧.颈源性头痛诊断及治疗研究进展[J].中国全科医学,2016,19(12):1392-1395.
[18] Jafari M, Bahrpeyma F, Togha M. Effect of ischemic compression for cervicogenic headache and elastic behavior of active trigger point in the sternocleidomastoid muscle using ultrasound imaging[J].Journal of Bodywork&Movement Therapies,2017,21(4):933-939.
[19]黄乐天,和晓峰.颈性眩晕伴头痛的病因机制探讨[J].中国康复医学杂志,2012,27(7):665-666.
[20] Erik Cattrysse, Silvia Gianola,Steven Provyn, et al.Intended and non-intended kinematic effects of atlantoaxial rotational high-velocity,low-amplitude techniques[J].Clinical Biomechanics,2015,30(2):149-152.
[21] Vautravers P,Maigne J Y. Cervical spine manipulation and the precautionary principle[J].Journal of Osteopathic Medicine,2000,4(4):272-276.
[22] Clements B, Gibbons P, Mclaughlin P. The amelioration of atlanto-axial rotation asymmetry using high velocity low amplitude manipulation:Is the direction of thrust important?[J].Journal of Osteopathic Medicine,2001,4(1):8-14.
[23] Bowler N,Shamley D,Davies R. The effect of a simulated manipulation position on internal carotid and vertebral artery blood flow in healthy individuals[J].Manual Therapy,2011,16(1):87-93.