本文關鍵詞： 上交叉綜合征 八段錦 導引 臨床研究　出處：《福建中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

【摘要】：研究目的:觀察導引(八段錦)對上交叉綜合征(Upper Cross Syndrome,以下簡稱UCS)干預的臨床療效,為今后防治該病提供臨床依據(jù)。研究方法:本課題納入在2015年-2016年在我院就診的上交叉綜合征門診患者80例,年齡20-40歲,通過查隨機數(shù)字表法平均分為對照組和治療組,每組40例(因本研究結(jié)束時共有13例患者退出試驗,其中對照組8例,治療組5例,因此最終僅有對照組32例、治療組35例參與本研究)。治療前先對所有患者進行Posture Screen體位評估測試,對照組進行日常生活指導同時給予電腦中頻、超短波治療,治療組在日常生活指導與電腦中頻、超短波治療的基礎上同時給予頸、胸、背部肌群有效的八段錦導引式訓練。分別干預4周、3個月后由本科室的權威康復團隊對治療組和對照組UCS患者進行Posture Screen體位評估測試并對測試的UCS疼痛與廢用綜合評分(UCS pain and disability scale,UCSPAD)、頭偏移距離(Head Transiations,HT)、頭偏移角度(Head Angulations,HA)、肩部偏移距離(Shoulder Transiations,ST)、肩部偏移角度(Shoulder Angulations,SA)結(jié)果進行數(shù)據(jù)對比。研究結(jié)果:1.兩組病例治療前后UCSPAD比較:①治療前兩組間UCSPAD比較p0.05,說明治療前兩組患者的UCSPAD差異無統(tǒng)計學意義。②治療4周后兩組間UCSPAD比較P0.05,說明治療4周后兩組患者的UCSPAD的差異無統(tǒng)計學意義。③治療3個月后兩組間UCSPAD比較P0.05,說明治療3個月后兩組患者的UCSPAD的差異有統(tǒng)計學意義。2.兩組病例治療前后HT比較:①治療前兩組間HT比較P0.05,說明治療前兩組患者的HT差異無統(tǒng)計學意義。②治療4周后兩組間HT比較P0.05,說明治療4周后兩組患者的HT的差異無統(tǒng)計學意義。③治療3個月后兩組間HT比較P0.05,說明治療3個月后兩組患者的HT的差異有統(tǒng)計學意義。3.兩組病例治療前后HA比較:①治療前兩組間HA比較P0.05,說明治療前兩組患者的HA差異無統(tǒng)計學意義。②治療4周后兩組間HA比較P0.05,說明治療4周后兩組間HA無統(tǒng)計學意義。③治療3個月后兩組間HA比較P0.05,說明治療3個月后治療組與對照組HA比較差異具有統(tǒng)計學意義。4.兩組病例治療前后ST比較:①治療前兩組間ST比較P0.05,說明治療前兩組患者的ST差異無統(tǒng)計學意義。②治療4周后兩組間ST比較P0.05,說明治療4周后兩組間ST差異無統(tǒng)計學意義。③治療3個月后兩組間ST比較P0.05,說明治療3個月后治療組與對照組ST比較差異無統(tǒng)計學意義。5.兩組病例治療前后SA比較:①治療前兩組間SA比較P0.05,說明治療前兩組患者的SA差異無統(tǒng)計學意義。②治療4周后兩組間SA比較P0.05,說明治療4周后兩組間SA無統(tǒng)計學意義。③治療3個月后兩組間SA比較P0.05,說明治療3個月后治療組與對照組SA比較差異具有統(tǒng)計學意義。研究結(jié)論:導引(八段錦)可以改善上交叉綜合征患者上交叉線上的肌肉失衡,同時具有調(diào)整上交叉綜合征患者頭部前傾(頸椎的自然彎曲消失或減少)、翼狀肩、圓背、含胸、中背部(胸椎部位)后突增加、肩胛骨隆起等脊柱不良姿勢的作用。
[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.

【學位授予單位】：福建中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R274

【參考文獻】

相關期刊論文 前7條

1 秦月蘭;劉宇;陶美伊;;健身氣功八段錦在臨床上的應用進展[J];當代護士(中旬刊);2014年07期

2 楊輝;郭麗新;武媛媛;;頸椎病病因的相關性研究進展[J];中國實驗診斷學;2012年06期

3 周勇;李程秀;張佳楠;張珂;;八段錦鍛煉對大學生頸椎病患者的康復影響[J];遼寧體育科技;2011年06期

4 李程秀;賀生飛;吳博;王棣;;八段錦鍛煉對中老年肩周炎患者的康復影響[J];遼寧體育科技;2010年05期

5 王文遠;張利芳;;肩痛穴治療外傷性肩周炎3850例臨床療效研究[J];醫(yī)藥世界;2006年10期

6 張乾軍;;神經(jīng)根型頸椎病的中醫(yī)認識及其治療進展[J];中醫(yī)藥臨床雜志;2006年02期

7 郭書芹;少女駝背的預防[J];科學24小時;2004年Z1期

相關碩士學位論文 前2條

1 何欣蔚;八段錦對頸型頸椎病患者臨床康復療效的觀察[D];南京中醫(yī)藥大學;2014年

2 張麗芬;八段錦對老年人平衡能力影響的研究[D];首都體育學院;2012年

，

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