本文關(guān)鍵詞： 上交叉綜合征 八段錦 導(dǎo)引 臨床研究　出處：《福建中醫(yī)藥大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：研究目的:觀察導(dǎo)引(八段錦)對(duì)上交叉綜合征(Upper Cross Syndrome,以下簡(jiǎn)稱(chēng)UCS)干預(yù)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(mén)診患者80例,年齡20-40歲,通過(guò)查隨機(jī)數(shù)字表法平均分為對(duì)照組和治療組,每組40例(因本研究結(jié)束時(shí)共有13例患者退出試驗(yàn),其中對(duì)照組8例,治療組5例,因此最終僅有對(duì)照組32例、治療組35例參與本研究)。治療前先對(duì)所有患者進(jìn)行Posture Screen體位評(píng)估測(cè)試,對(duì)照組進(jìn)行日常生活指導(dǎo)同時(shí)給予電腦中頻、超短波治療,治療組在日常生活指導(dǎo)與電腦中頻、超短波治療的基礎(chǔ)上同時(shí)給予頸、胸、背部肌群有效的八段錦導(dǎo)引式訓(xùn)練。分別干預(yù)4周、3個(gè)月后由本科室的權(quán)威康復(fù)團(tuán)隊(duì)對(duì)治療組和對(duì)照組UCS患者進(jìn)行Posture Screen體位評(píng)估測(cè)試并對(duì)測(cè)試的UCS疼痛與廢用綜合評(píng)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(jìn)行數(shù)據(jù)對(duì)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(shuō)明治療前兩組患者的UCSPAD差異無(wú)統(tǒng)計(jì)學(xué)意義。②治療4周后兩組間UCSPAD比較P0.05,說(shuō)明治療4周后兩組患者的UCSPAD的差異無(wú)統(tǒng)計(jì)學(xué)意義。③治療3個(gè)月后兩組間UCSPAD比較P0.05,說(shuō)明治療3個(gè)月后兩組患者的UCSPAD的差異有統(tǒng)計(jì)學(xué)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(shuō)明治療前兩組患者的HT差異無(wú)統(tǒng)計(jì)學(xué)意義。②治療4周后兩組間HT比較P0.05,說(shuō)明治療4周后兩組患者的HT的差異無(wú)統(tǒng)計(jì)學(xué)意義。③治療3個(gè)月后兩組間HT比較P0.05,說(shuō)明治療3個(gè)月后兩組患者的HT的差異有統(tǒng)計(jì)學(xué)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(shuō)明治療前兩組患者的HA差異無(wú)統(tǒng)計(jì)學(xué)意義。②治療4周后兩組間HA比較P0.05,說(shuō)明治療4周后兩組間HA無(wú)統(tǒng)計(jì)學(xué)意義。③治療3個(gè)月后兩組間HA比較P0.05,說(shuō)明治療3個(gè)月后治療組與對(duì)照組HA比較差異具有統(tǒng)計(jì)學(xué)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(shuō)明治療前兩組患者的ST差異無(wú)統(tǒng)計(jì)學(xué)意義。②治療4周后兩組間ST比較P0.05,說(shuō)明治療4周后兩組間ST差異無(wú)統(tǒng)計(jì)學(xué)意義。③治療3個(gè)月后兩組間ST比較P0.05,說(shuō)明治療3個(gè)月后治療組與對(duì)照組ST比較差異無(wú)統(tǒng)計(jì)學(xué)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(shuō)明治療前兩組患者的SA差異無(wú)統(tǒng)計(jì)學(xué)意義。②治療4周后兩組間SA比較P0.05,說(shuō)明治療4周后兩組間SA無(wú)統(tǒng)計(jì)學(xué)意義。③治療3個(gè)月后兩組間SA比較P0.05,說(shuō)明治療3個(gè)月后治療組與對(duì)照組SA比較差異具有統(tǒng)計(jì)學(xué)意義。研究結(jié)論:導(dǎo)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(shí)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(shì)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(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R274

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