中国中医骨伤科杂志2026，Vol.34Issue(4)：46-53,8.DOI:10.20085/j.cnki.issn1005-0205.260408
改良版刘寿山"与项争力势"功法锻炼对颈椎前路术后患者身心康复的影响
Influence of the Modified Neck-Rivaling Force Maneuver on Rehabilitation after Anterior Cervical Surgery
马昱堃 1王俊华 1杨君佶 2姜国正 2仇子叶 2冯宁宁 2陈思学 2孟乐天 2魏倢昀 2俞兴2
作者信息
- 1. 清华大学玉泉医院(清华大学中西医结合医院)(北京,100049)
- 2. 北京中医药大学东直门医院
- 折叠
摘要
Abstract
Objective:To assess the effect of the modified neck-rivaling force maneuver on patients following anterior cervi-cal discectomy and fusion(ACDF)or hybrid surgery.Methods:In this retrospective study,40 patients who performed the maneuvers postoperatively(exercise group)were compared with 40 matched controls who did not.The exercise group was further stratified according to preoperative cervical paraspinal muscle fatty infiltration(FI):normal group(n=8),moder-ate group(n=22),and severe group(n=10).Outcomes(mJOA,NDI,VAS,PSQI,HAMA,HAMD scores)were assessed both preoperatively and postoperatively.Results:Both groups showed improved mJOA and NDI scores post-operatively,with no significant intergroup differences.The exercise group had significantly lower neck/upper limb VAS scores at both the 3-month and final follow-ups.While early PSQI,HAMA,and HAMD scores showed no difference,the exercise group demonstrated significantly better scores at both the 3-months and final follow-ups.Within the exercise group,patients with severe FI showed less improvement across all outcomes.Conclusion:The modified neck-rivaling force maneuver effectively reduces post-operative pain,improves sleep,and alleviates anxiety and depression following anterior cervical surgery.Severe cervical paraspinal muscle FI may attenuate these benefits.关键词
功法锻炼/与项争力势/颈椎前路减压融合术/颈椎前路Hybrid术/脂肪浸润Key words
exercise therapy/neck-rivaling force maneuver/anterior cervical discectomy and fusion/anterior cervical hybrid surgery/fatty infiltration分类
医药卫生引用本文复制引用
马昱堃,王俊华,杨君佶,姜国正,仇子叶,冯宁宁,陈思学,孟乐天,魏倢昀,俞兴..改良版刘寿山"与项争力势"功法锻炼对颈椎前路术后患者身心康复的影响[J].中国中医骨伤科杂志,2026,34(4):46-53,8.
