呼吸训练联合常规运动治疗神经嵌压性颈痛△

Breathing training combined with routine exercise therapy for neck pain due to pinched nerve

摘要:

[目的] 探讨呼吸训练联合常规运动疗法对椎孔外颈神经嵌压性颈痛的临床效果。[方法] 2021 年 9 月—2022 年 6 月，对 60 例椎孔外颈神经嵌压性颈痛患者进行康复治疗，其中 30 例采用常规运动疗法（常规组），30 例在常规运动疗法的基础上增加呼吸训练（联合组），比较两组治疗期和随访结果。[结果]治疗结束时，两组患者顺应性 VAS 评分差异无统计学意义 （P＞0.05），但联合组满意度 VAS 评分显著优于常规组 [(8.5±1.1) vs (7.5±1.1), P=0.027]。随访时间平均（7.4±1.6）个月。与治疗前相比，治疗结束时两组的 VAS 和 NDI 评分均显著下降（P＜0.05），颈椎前屈-后伸、颈椎左-右侧屈和颈椎左-右旋转活动度均显著增加（P＜0.05）。末次随访时，联合组的 VAS 评分 [(1.3±1.0) vs (2.3±1.5), P＜0.05]、NDI 评分 [(3.5±1.5) vs (4.8±2.0), P＜0.05] 和颈椎前屈-后伸 ROM [(86.9±3.1)° vs (83.9±3.9)°, P＜0.05]、颈椎左-右旋转 ROM [(115.3±5.1)° vs (108.5±4.7)°, P＜0.05] 均显著优于常规组。[结论]呼吸训练联合常规运动疗法能显著改善神经嵌压性颈痛的临床治疗效果。

Abstract:

[Objective] To investigate the clinical outcomes of breathing training combined with routine exercise therapy for neck pain due to the pinched extraforaminal nerve. [Methods] From September 2021 to June 2022, a total of 60 patients received exercise therapy for neck pain induced by the pinched extraforaminal nerve. Of them, 30 patients received conventional exercise therapy (the conventional group), while the other 30 patients underwent breathing training on the basis of conventional exercise therapy (the combined group). The treatment period and follow-up documents of the two groups were compared. [Results] At the end of treatment, there was no significant differ- ence in the compliance VAS score between the two groups (P＞0.05), but the combined group was marked significantly higher satisfaction VAS score than the conventional group [(8.5±1.1) vs (7.5±1.1), P=0.027]. The mean follow-up time was of (7.4±1.6) months in all patients of both groups. Compared with those before treatment, the VAS and NDI scores significantly decreased (P＜0.05), while cervical flexion-exten- sion, left-right bending and left-right rotation range of motion (ROM) significantly increased in both groups after treatment and at the latest follow-up (P＜0.05). At the time of the last follow-up, the combined group proved significantly superior to the conventional group in terms of pain VAS score [(1.3±1.0) vs (2.3±1.5), P＜0.05], NDI score [(3.5±1.5) vs (4.8±2.0), P＜0.05], cervical flexion-extension ROM [(86.9±3.1)° vs (83.9±3.9)°, P＜0.05], and cervical left-right rotation ROM [(115.3±5.1)° vs (108.5±4.7)°, P＜0.05]. [Conclusion] This breathing training combined with conventional exercise therapy does significantly improve the clinical outcomes for neck pain induced by pinched extraforami- nal nerves.