中医康复2025，Vol.2Issue(9)：21-25,5.DOI:10.19787/j.issn.2097-3128.2025.09.005
基于肌骨超声技术探讨压弹法治疗慢性非特异性颈痛的临床研究
Clinical Study on the Treatment of Chronic Non-Specific Neck Pain by Compression and Elastic Method Based on Musculoskeletal Ultrasound
摘要
Abstract
Objective:To investigate the effect and mechanism of compression and elastic method in the treatment of chronic non-specific neck pain(NCNP),and to provide objective scientific evidence reference for the clinical application and promotion of this method.Methods:The research subjects were 60 NCNP patients collected from the Tuina Clinic of Yuxi Municipal Hospital of T.C.M between October 2021 and June 2024.The patients were randomly divided into a manual treatment group(n=30)and a manual control group(n=30),and 30 healthy volunteers were recruited as the healthy control group.The manual treatment group received compression and elastic method,the manual control group received traditional massage therapy,and the healthy control group did not receive any treatment,and musculoskeletal ultrasound examination was performed before and after treatment to evaluate the muscle thickness of the cervical posterior muscle group and the SR value of ultrasound elastography.Results:The thickness of trape-zius muscle,capitis muscle,capitis semisspinosus muscle,cervical semisspinosus muscle and multifidus muscle and the ultrasonic elastic imaging SR value before and after treatment in the manual treatment group and the manual control group were statistically significant compared with the healthy control group(P<0.05,P<0.01),and the muscle thickness and SR value of the cervical poste-rior muscle group before and after treatment were statistically significant(P<0.05,P<0.01).There were statistically significant differ-ences in the thickness changes of bilateral trapezius muscles,right semispinalis capitis muscle,right multifidus muscle,and the elas-tography SR values of bilateral multifidus muscles between the manual treatment group and manual control group(P<0.05,P<0.01).Conclusion:The muscle thickness and elasticity of the posterior cervical muscle in NCNP patients show a decrease in muscle thick-ness and an increase in SR value on ultrasound examination.The two methods have the same therapeutic effect on the muscle thick-ness of bilateral trapezius muscle,capitis muscle,capitis semispina muscle and cervical semispina muscle,as well as the ultrasonic elastic imaging SR value and the muscle thickness of bilateral multifidus muscle,except that the manual control group has no obvi-ous change in the elastic imaging SR value.The improvement of muscle thickness and SR value of bilateral trapezius muscle,right hemispinal muscle,right multifidus muscle and bilateral multifidus muscle in NCNP patients was better than that of manual control group.It is inferred that compression and elastic method can improve the muscle thickness and muscle elasticity of the multifidus muscle,and has a positive significance for maintaining the stability of the cervical spine.关键词
慢性非特异性颈痛/压弹法/肌骨超声/超声弹性成像Key words
chronic non-specific neck pain/compression and elastic method/musculoskeletal ultrasound/ultrasonic elastography分类
医药卫生引用本文复制引用
刘金宸,段练,白雪,景明,江涛,赵晓宾,郭树明,王玉琳..基于肌骨超声技术探讨压弹法治疗慢性非特异性颈痛的临床研究[J].中医康复,2025,2(9):21-25,5.基金项目
云南省科技厅科技计划项目中医联合专项面上项目(202101AZ070001-150) （202101AZ070001-150）
玉溪市中医医院科技计划项目(2021005) （2021005）
