湖南中医药大学学报2025，Vol.45Issue(1)：73-79,7.DOI:10.3969/j.issn.1674-070X.2025.01.010
PNF技术结合筋骨调衡手法对青少年上交叉综合征的疗效观察
Efficacy observation of PNF combined with muscle and bone balancing technique for the treatment of upper cross syndrome in adolescents
摘要
Abstract
Objective To observe the clinical efficacy of proprioceptive neuromuscular facilitation(PNF)combined with muscle and bone balancing technique in the treatment of upper cross syndrome(UCS)in adolescents.Methods The study employed a multi-center,large-sample randomized controlled trial method.A total of 180 adolescent UCS patients were enrolled from three Chinese medicine hospitals in Hunan Province from July 2022 to September 2023.They were randomly divided into observation group and control group,with 90 cases in each group.During the study phase,two cases dropped out from the observation group and three cases dropped out from the control group.The observation group received PNF technology combined with bone and muscle balancing technique,while the control group only received PNF.Both groups were treated for four weeks(one course of treatment),and the recurrence rate was followed up at three months and six months after the end of treatment.The root mean square(RMS),median frequency(MF),forward head angle(FHA),rounded shoulder angle(FSA),and cervical spine range of motion on the surface electromyographic indicators of the upper trapezius and pectoralis major muscles in two groups of patients before and after treatment were measured.The total effective rate and recurrence rate after treatment were compared.Results After treatment,the RMS of both groups of patients decreased and the MF increased compared to that before treatment(P＜0.05).Additionally,the RMS of the observation group was lower than that of the control group,and the MF was higher than that of the control group(P＜0.05),and the FHA and FSA of both groups of patients decreased(P＜0.05),and the FHA and FSA of the observation group were lower than those of the control group(P＜0.05).The range of cervical spine activity of both groups of patients increased after treatment(P＜0.05),and the range of cervical spine activity of the observation group was better than that of the control group(P＜0.05).The total effective rate of the observation group was better than that of the control group(P＜0.05),and the recurrence rates of the observation group at three and six months after treatment were lower than those of the control group(P＜0.05).Conclusion The combination of PNF and muscle and bone balance adjustment technique can effectively relieve muscle fatigue,alleviate the imbalance of neck and shoulder muscles,increase the cervical spine range of motion,and significantly improve the therapeutic effect of posture changes in adolescents with UCS.It is worth promoting and applying clinically.关键词
上交叉综合征/筋骨调衡/本体感觉神经肌肉易化技术/表面肌电/颈椎活动范围Key words
upper cross syndrome/muscle and bone balancing/proprioceptive neuromuscular facilitation/surface elec-tromyography/cervical spine range of motion分类
医药卫生引用本文复制引用
唐静,叶勇,李里,唐锦忠,胡笛,邬婉蓉,彭咏梅,王堃至,张泓..PNF技术结合筋骨调衡手法对青少年上交叉综合征的疗效观察[J].湖南中医药大学学报,2025,45(1):73-79,7.基金项目
湖南省卫生健康委员会科研重点项目(C202302088588). （C202302088588）
