四川大学学报（医学版）2026，Vol.57Issue(3)：671-677,7.DOI:10.12182/20260560203
旋提手法对神经根型颈椎病患者颈部肌张力的效应分析
Effectiveness Analysis of Cervical Rotation-Traction Manipulation on Cervical and Dorsal Muscle Tone in Patients With Cervical Spondylotic Radiculopathy
摘要
Abstract
Objective To clarify the mechanism of action of the Cervical Rotation-Traction Manipulation in treating cervical spondylotic radiculopathy using shear wave elastography.Methods Thirty patients with cervical spondylotic radiculopathy and 30 volunteers without abnormal cervical conditions in the past three months were included.Patients received manipulation therapy once a week for 15 to 20 minutes,totaling three sessions over two weeks.Volunteers received no treatment.Shear wave elastography was the primary research method(with Young's modulus as the primary outcome measure)to assess the effect of the Cervical Rotation-Traction Manipulation on the neck and back soft tissues in patients with cervical spondylotic radiculopathy.Shear wave elastography was performed on patients three times:before treatment,after the first manipulation session,and after two weeks of treatment.Volunteers underwent one shear wave elastography test as a baseline control.Secondary outcome measures were the visual analogue scale(VAS)and neck disability index(NDI)scores of patients before treatment,after treatment,and two weeks after treatment.Results The Young's modulus values of the cervical muscles in patients before treatment were higher than those in volunteers(P<0.001),but there was no statistically significant difference after the treatment course.There were statistically significant differences in the Young's modulus of the muscle before and after treatment and before and after the treatment course in patients(P<0.001).The Young's modulus values of the affected side cervical muscles were higher than those of the healthy side(P=0.001),but there was no statistically significant difference after treatment.The median Young's modulus was positively correlated with the VAS score(r=0.741,P<0.001)and the NDI score(r=0.591,P<0.001)in patients with cervical spondylotic radiculopathy.Conclusion The Cervical Rotation-Traction Manipulation can reduce the VAS and NDI scores of patients with cervical spondylotic radiculopathy,lower neck muscle tension,and balance the distribution of cervical muscle tension while reducing it.Young's modulus is a potential indicator reflecting the therapeutic effect of the spinal manipulation.关键词
中医正骨疗法/神经根型颈椎病/颈椎旋提手法/剪切波弹性成像Key words
Traditional Chinese spinal manipulative therapy/Cervical spondylotic radiculopathy/Cervical rotation-traction manipulation/Shear wave elastography引用本文复制引用
王旭,魏戌,冯天笑,朱永涛,赵小琪,孙凯,刘宁,谢榕,朱立国,刘广会..旋提手法对神经根型颈椎病患者颈部肌张力的效应分析[J].四川大学学报（医学版）,2026,57(3):671-677,7.基金项目
This study was supported by the Beijing NOVA Interdisciplinary Cooperation Project in 2025(No.20250484972),the National Intangible Cultural Heritage Project(No.102160242020130000006),and the High-level Traditional Chinese Medicine Hospital Construction Project of Wangjing Hospital,China Academy of Chinese Medical Sciences(No.WJYY-XZKT-2023-05). 2025年度北京市科技新星交叉合作课题(No.20250484972)、国家级非物质文化遗产代表性项目(No.102160242020130000006)和中国中医科学院望京医院高水平中医医院建设项目(No.WJYY-XZKT-2023-05)资助 （No.20250484972）
